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415001

Effect of Implementing Multi-component Nursing Intervention on Agitation Level among Critically Ill Patients

Article

Last updated: 09 Mar 2025

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Abstract

Background: The presence of agitation often obscures the accurate diagnosis and postpones
the initiation of treatment of critically ill patients. To mitigate the negative consequences of agitation,
multi-component nursing interventions were tailored for these patients. Those are evidence-based
interventions that address the unique needs, preferences, and values of patients. Aim: To
determine the effect of multi-component nursing intervention on agitation level among critically ill
patients. Settings: This study was conducted across four adult intensive care units ICUs located within
Alexandria Main University Hospital (AMUH) in Egypt. Subjects: A convenient sample consisting of
60 critically ill patients was divided into two equal groups, with each group comprising 30 patients.
Tools: Three tools were employed in this study. The first tool was the "agitation risk assessment". The
second tool utilized was the "outcomes of multi-Component nursing intervention on agitation". The
third tool applied was the "agitation adverse events Assessment". Results: The study results showed
that the frequency of agitation was significantly reduced in the multi-component intervention group
compared to the routine care group on days 4 and 5 (p = (p=<0.018 and 0.035, respectively).
Furthermore, agitation levels over five days did not differ significantly between the multi-component
intervention group and the routine care group (p=0.077, 0.516, 0.492, 0.274, and 0.684, respectively).
Conclusion: Implementation of a multi-component nursing intervention significantly reduced the
frequency of agitation. Recommendations: Critical care nurses (CCNs) should integrate multicomponent
nursing interventions into their daily practice that tailored to the patient's needs and
preferences.

DOI

10.21608/asalexu.2025.415001

Keywords

Multi-component nursing intervention, agitation level, Critically Ill Patients

Authors

First Name

Eman Ragab Soliman

Last Name

Gad

MiddleName

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Affiliation

, Clinical Instructor Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University

Email

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City

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Orcid

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First Name

Eman Arafa Hassan

Last Name

Ali

MiddleName

-

Affiliation

Assistant Professor Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University

Email

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City

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Orcid

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First Name

Bassem Nashaat ,

Last Name

Beshay

MiddleName

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Affiliation

Professor Critical Care Medicine, Faculty of Medicine, Alexandria University

Email

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City

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Orcid

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First Name

Azza Hamdi

Last Name

El-Soussi

MiddleName

-

Affiliation

, Professor Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University

Email

-

City

-

Orcid

-

Volume

27

Article Issue

1

Related Issue

54162

Issue Date

2025-03-01

Receive Date

2025-03-01

Publish Date

2025-03-01

Page Start

171

Page End

181

Print ISSN

1687-3858

Link

https://asalexu.journals.ekb.eg/article_415001.html

Detail API

http://journals.ekb.eg?_action=service&article_code=415001

Order

415,001

Type

Research articles

Type Code

2,129

Publication Type

Journal

Publication Title

Alexandria Scientific Nursing Journal

Publication Link

https://asalexu.journals.ekb.eg/

MainTitle

Effect of Implementing Multi-component Nursing Intervention on Agitation Level among Critically Ill Patients

Details

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Article

Created At

09 Mar 2025