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Feasibility of cognitive training in critically ill patients: a pilot study

Feasibility of cognitive training in critically ill patients: a pilot study
Feasibility of cognitive training in critically ill patients: a pilot study
Background Delirium occurs frequently in the intensive care unit and is associated with detrimental consequences. Cognitive training is a promising, nonpharmacologic, preventive intervention, but it is unknown whether cognitive training is feasible for patients in intensive care units.

Objectives To examine the feasibility for both nurses and patients of using cognitive training exercises for intensive care unit patients.

Methods A pilot study of a set of cognitive training exercises in a large, academic intensive care unit. Feasibility of the exercises, operationalized as practicability and burden for the patient and the nurse, was tested in multiple rounds and evaluated using Likert scales and open-ended questions, patients’ vital signs, and time investment.

Results In total, 75 patients were included. During the first round, 11 exercises were separately tested by nursing researchers in 44 cooperative patients (50% with delirium). Four exercises were evaluated as burdensome and were excluded. Vital signs did not alter during execution. In a second round, the remaining exercises were tested in 31 patients (52% with delirium) by their attending nurse. All exercises were rated as practicable and not burdensome by the patients and the nurses. Total time investment per exercise was a median 4.5 (interquartile range, 3.0–5.0) minutes.

Conclusion Cognitive training exercises used in this study were feasible for intensive care unit patients (including cooperative patients with delirium) and their nurses. More research is needed to determine the clinical effect of the exercises on delirium outcome.
1062-3264
124-135
Wassenaar, Annelies
4a047852-d9cb-4760-879d-af4ec237204e
Rood, Paul
8431dbaa-aa36-459b-be3a-680f11904346
Boelen, Danielle
d9f39881-ff2c-4844-bd7b-6b7f07a4db7d
Schoonhoven, Lisette
46a2705b-c657-409b-b9da-329d5b1b02de
Pickkers, Peter
516df191-7ae2-457e-a7f7-abd6ca935687
Van den Boogaard, Mark
4751824c-6a51-4bc8-8854-97f4579e045b
Wassenaar, Annelies
4a047852-d9cb-4760-879d-af4ec237204e
Rood, Paul
8431dbaa-aa36-459b-be3a-680f11904346
Boelen, Danielle
d9f39881-ff2c-4844-bd7b-6b7f07a4db7d
Schoonhoven, Lisette
46a2705b-c657-409b-b9da-329d5b1b02de
Pickkers, Peter
516df191-7ae2-457e-a7f7-abd6ca935687
Van den Boogaard, Mark
4751824c-6a51-4bc8-8854-97f4579e045b

Wassenaar, Annelies, Rood, Paul, Boelen, Danielle, Schoonhoven, Lisette, Pickkers, Peter and Van den Boogaard, Mark (2018) Feasibility of cognitive training in critically ill patients: a pilot study. American Journal of Critical Care, 27 (2), 124-135. (doi:10.4037/ajcc2018467).

Record type: Article

Abstract

Background Delirium occurs frequently in the intensive care unit and is associated with detrimental consequences. Cognitive training is a promising, nonpharmacologic, preventive intervention, but it is unknown whether cognitive training is feasible for patients in intensive care units.

Objectives To examine the feasibility for both nurses and patients of using cognitive training exercises for intensive care unit patients.

Methods A pilot study of a set of cognitive training exercises in a large, academic intensive care unit. Feasibility of the exercises, operationalized as practicability and burden for the patient and the nurse, was tested in multiple rounds and evaluated using Likert scales and open-ended questions, patients’ vital signs, and time investment.

Results In total, 75 patients were included. During the first round, 11 exercises were separately tested by nursing researchers in 44 cooperative patients (50% with delirium). Four exercises were evaluated as burdensome and were excluded. Vital signs did not alter during execution. In a second round, the remaining exercises were tested in 31 patients (52% with delirium) by their attending nurse. All exercises were rated as practicable and not burdensome by the patients and the nurses. Total time investment per exercise was a median 4.5 (interquartile range, 3.0–5.0) minutes.

Conclusion Cognitive training exercises used in this study were feasible for intensive care unit patients (including cooperative patients with delirium) and their nurses. More research is needed to determine the clinical effect of the exercises on delirium outcome.

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More information

Accepted/In Press date: 19 May 2017
e-pub ahead of print date: 1 March 2018
Published date: March 2018

Identifiers

Local EPrints ID: 412333
URI: http://eprints.soton.ac.uk/id/eprint/412333
ISSN: 1062-3264
PURE UUID: 3829b626-8ed8-4804-873f-f62732bdd41a
ORCID for Lisette Schoonhoven: ORCID iD orcid.org/0000-0002-7129-3766

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Date deposited: 17 Jul 2017 13:30
Last modified: 16 Mar 2024 04:09

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Contributors

Author: Annelies Wassenaar
Author: Paul Rood
Author: Danielle Boelen
Author: Peter Pickkers
Author: Mark Van den Boogaard

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