Effect of sleep promotion bundle on prevention of delirium in intensive care units

Background Delirium in ICU patients is a prevalent complication with severe consequences, necessitating the development and implementation of effective management protocols to prevent its adverse effects. it is a sudden, unpredictable condition affecting consciousness and often found in ICUs, and is linked to sleep deprivation. Aim To evaluate the impact of the sleep promotion bundle on prevention of ICU delirium among critically ill patients. Research hypothesis HI: Critically ill patient who undergoes sleep promotion bundle will have no delirium manifestation. Research design A quasi-experimental design (pre/post-test design) was utilized. Setting This study was conducted in the general ICU, at El-Sheikh Zayed Specialized Hospital. Sample A purposeful sample consisting of 100 ICU patients. Tools (1) Patient personal data sheet, (2) Confusion assessment method-ICU, (3) Richards-campbell sleep questionnaire. Results The study findings revealed that mean age of the studied patients was 48.1±6.4. The highest percentage of patients was in the age of 50–59 years. In addition, there is a significant difference between Richard Campbell mean scores of study and control groups after implementation of sleep bundle. The mean score of the study group was 83.6 versus 60.4 in the control group. Conclusion The current study concluded that implementing of nursing intervention bundle can improve sleep quality and decrease associated delirium. Recommendation Sleep interventions bundle should be integrated into routine care for patients in ICU to promote patient sleep and reduce incidence of delirium.