Routine Therapy (Medical, environmental accodamation, face-to-face commucation): In the treatment of delirium, a treatment program will be implemented in line with the recommendations of international guidelines.
Biopsychosocial-Based Multimodal Approach: Delirium treatment will be implemented in accordance with international guidelines. Additionally, a basic body awareness therapy and communication program will be implemented.
Study summary
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.
Eligibility
Sex
ALL
Min age
18 Years
Max age
85 Years
Healthy volunteers
No
Inclusion Criteria:
* Aged 18-85,
* Patients scheduled for intensive care for at least 15 days due to SAH, unruptured intracranial aneurysm, and/or Arterovenous Malformation,
* Those with a Mini Mental State Examination score of \> 24,
* Those with a Glasgow Coma Score of 15,
* Those with motor function in at least one extremity,
* Those with pain \< 5/10 (according to the NRS)
Exclusion Criteria:
* Patients whose GCS fell to 14 or below for any reason during the study period;
* Patients who developed septic shock and MODS;
* Patients requiring endotrachial intubation and mechanical ventilation due to ARDS;
* Those requiring vasopressors such as NE at a rate of \>0.25 mcg/kg/min;
* Terminal cancer cases;
* Patients with advanced chronic heart and lung failure and COPD;
* Those with a METS (exercise capacity) of \<4;
* Those with a history of dementia, Alzheimer's disease, or psychiatric illness;
* Those with vision, hearing, or speech problems that would interfere with communication;
* Those with a history of epilepsy;
Primary outcome measure(s)
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 — Baseline
Modified Rankin Scale — 8th day after admission to ICU
Modified Rankin Scale — 15th day after admission to ICU
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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