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As part of this study, an intervention program aimed at preventing delirium in patients with subarachnoid hemorrhage treated in the intensive care unit will be implemented. Routine medical treatments, environmental adjustments, and a video-based communication program will be implemented to prevent delirium. In addition, basic body awareness training will be administered.
Patients will be divided into two groups. One group will receive only the routine treatment program recommended by international guidelines (medical, enviromental adjustment and face-to-face interview etc.), while the other group will receive body awareness therapy addition to routine interventions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Routine Treatment | Active Comparator | A treatment program will be implemented in line with the recommendations of international guidelines for the treatment of delirium. |
|
| ICU.Delibma | Experimental | In addition to the treatment program implemented in line with the recommendations of international guidelines for the treatment of delirium, "Basic Body Awareness Therapy" and "Communication Program" will be applied. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Routine Therapy (Medical, environmental accodamation, face-to-face commucation) | Other | In the treatment of delirium, a treatment program will be implemented in line with the recommendations of international guidelines. |
| Measure | Description | Time Frame |
|---|---|---|
| Charlson Comorbidity Index | Baseline | |
| Charlson Comorbidity Index | 8th day after admission to ICU | |
| Charlson Comorbidity Index | 15th day after admission to ICU | |
| Mini-Mental State Examination Test | Baseline | |
| APACHE II Score | Baseline | |
| APACHE II Score | 8th day after admission to ICU | |
| APACHE II Score | 15th day after admission to ICU | |
| SOFA Score | Baseline | |
| SOFA Score | 8th day after admission to ICU | |
| SOFA Score | 15th day after admission to ICU | |
| Glaskow Coma Score | During everyday she was admitted to the ICU | |
| Modified Rankin Scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Arzu Erden Güner, PhD | Contact | +90 506 248 26 80 | arzuerden@ktu.edu.tr |
| Name | Affiliation | Role |
|---|---|---|
| Hülya Ulusoy, PhD | Karadeniz Technical University | Principal Investigator |
| Nurel Ertürk, PhD | Tarsus University | Principal Investigator |
| Gizem Ergün, Physiotherapist |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karadeniz Technical University, Farabi Hospital | Trabzon | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D003142 | Communication |
| D003693 | Delirium |
| ID | Term |
|---|---|
| D001519 | Behavior |
| D003221 | Confusion |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
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| Biopsychosocial-Based Multimodal Approach | Procedure | Delirium treatment will be implemented in accordance with international guidelines. Additionally, a basic body awareness therapy and communication program will be implemented. |
|
| Baseline |
| Modified Rankin Scale | 8th day after admission to ICU |
| Modified Rankin Scale | 15th day after admission to ICU |
| Simple five-item questionnaire (SARC-F) | Baseline |
| Simple five-item questionnaire (SARC-F) | 8th day after admission to ICU |
| Simple five-item questionnaire (SARC-F) | 15th day after admission to ICU |
| Medical Research Council Muscle Strenght | Baseline |
| Medical Research Council Muscle Strenght | 8th day after admission to ICU |
| Medical Research Council Muscle Strenght | 15th day after admission to ICU |
| Physical Function in Intensive Care Test (PFIT-s) | Baseline |
| Physical Function in Intensive Care Test (PFIT-s) | 8th day after admission to ICU |
| Physical Function in Intensive Care Test (PFIT-s) | 15th day after admission to ICU |
| Hospital Anxiety and Depression Scale | Baseline |
| Hospital Anxiety and Depression Scale | 8th day after admission to ICU |
| Hospital Anxiety and Depression Scale | 15th day after admission to ICU |
| Montreal Cognitive Assessment | Baseline |
| Montreal Cognitive Assessment | 8th day after admission to ICU |
| Montreal Cognitive Assessment | 15th day after admission to ICU |
| Nothingham Health Profile | Baseline |
| Nothingham Health Profile | 8th day after admission to ICU |
| Nothingham Health Profile | 15th day after admission to ICU |
| Barthel Index | Baseline |
| Barthel Index | 8th day after admission to ICU |
| Barthel Index | 15th day after admission to ICU |
| Modified Borg Test | During everyday she was admitted to the ICU |
| Confusion Assessment Method for the intensive care unit (CAM-ICU) | During everyday she was admitted to the ICU |
| Richmond Ajitation-Sedation Scale | During everyday she was admitted to the ICU |
| Numeric Rating Scale | During everyday she was admitted to the ICU |
| Karadeniz Technical University |
| Principal Investigator |
| Neslihan Hatınoğlu, PhD | Karadeniz Technical University | Principal Investigator |
| Müge Koşucu, PhD | Karadeniz Technical University | Principal Investigator |
| Duygu Yıldırım, Phyiotherapist | Trabzon Kanuni Training and Research Hospital | Principal Investigator |
| Arzu Erden Güner, PhD | Karadeniz Technical University | Study Chair |
| D009422 |
| Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |