Evaluation of the Effectiveness of Delirium Preventive Care Protocol

Evaluation of the Effectiveness of Delirium Preventive Care Protocol for Hip Fracture Patients

The prospective, randomized controlled experimental trial investigates the effectiveness of delirium preventive care protocol for hip fracture patients.

The aim of this prospective, randomized controlled experimental trial is to evaluate the effectiveness of delirium preventive care protocol on pain, functional status, sleep quality and delirium prevention in patients with hip fracture.

This research was conducted at a training and research hospital's orthopedics and traumatology department. The study sample was compromised of 80 patients with hip fracture. Intervention and control groups were applied after block randomization. Study data was collected by using Patient Information Form, Mini-Cog Test, Confusion Assessment Method, Visual Analogue Scale, Barthel Index, Mini Nutritional Assessment-Short Form and Richards Campbell Sleep Questionnaire. The patients in the intervention group were provided with nursing care in accordance with the delirium preventive care protocol developed with the support of literature. In the control group, routine nursing care was provided in line with the clinical procedure. The data was analyzed by using number, percentage, mean, standard deviation, median, Interquartile Range, Student's t test, Mann-Whitney U test, Pearson's chi square test, Fisher corrected chi-square test, ANOVA test, Paired Sample t test, Friedman test, Wilcoxon test and Cronbach α coefficient.

Inclusion Criteria:

• Planned surgery for hip fracture,
• 65 years and older,
• No communication problems in Turkish,
• Without cognitive impairment,
• Patients who volunteered to participate in the study

Exclusion Criteria:

• Patients who could not be evaluated by the investigator before the operation
• Patients with dementia and Mini-Cog test less than 3 points
• Patients with a history of cerebrovascular accident
• Patients with severe comorbidity