Non-Pharmacological Nursing Interventions to Prevent Delirium in ICU Patients-An Umbrella Review with Implications for Evidence-Based Practice.
Non-Pharmacological Nursing Interventions to Prevent Delirium in ICU Patients-An Umbrella Review with Implications for Evidence-Based Practice.
复制标题
DOI：
10.3390/jpm12050760
复制
发表时间：
2022-05-07
影响因子：
--
通讯作者：
Krupa S
中科院分区：
文献类型：
--
作者：
Lange S;Mędrzycka-Dąbrowska W;Friganovic A;Oomen B;Krupa S
ICU患者的谵妄是一种与许多不良后果相关的并发症。鉴于这种并发症在危重患者中的高患病率，制定和实施有效的管理方案以预防谵妄是至关重要的。由于谵妄的病因是多因素的，非药物多组分干预是预防谵妄的有希望的策略。(1)背景资料：识别和评价已发表的关于预防重症监护病房患者谵妄的非药物护理干预的系统综述。(2)方法：采用由Joanna Briggs研究所指导的伞形综述。数据来自PubMed、Scopus、EBSCO、Web of Science、科克伦图书馆和谷歌学术。最后一次检索于2022年5月1日进行。(3)结果：14篇综述符合纳入标准。多组分干预是对抗谵妄最有前途的方法。患者家属是这一过程的重要组成部分，应纳入谵妄预防计划。光疗法可以改善患者的昼夜节律，从而有助于减少谵妄的发生率。(4)结论：非药物护理干预可有效预防ICU患者谵妄发生，缩短谵妄持续时间。
Delirium in ICU patients is a complication associated with many adverse consequences. Given the high prevalence of this complication in critically ill patients, it is essential to develop and implement an effective management protocol to prevent delirium. Given that the cause of delirium is multifactorial, non-pharmacological multicomponent interventions are promising strategies for delirium prevention. (1) Background: To identify and evaluate published systematic review on non-pharmacological nursing interventions to prevent delirium in intensive care unit patients. (2) Methods: An umbrella review guided by the Joanna Briggs Institute was utilized. Data were obtained from PubMed, Scopus, EBSCO, Web of Science, Cochrane Library, and Google Scholar. The last search was conducted on 1 May 2022. (3) Results: Fourteen reviews met the inclusion criteria. Multicomponent interventions are the most promising methods in the fight against delirium. The patient’s family is an important part of the process and should be included in the delirium prevention scheme. Light therapy can improve the patient’s circadian rhythm and thus contribute to reducing the incidence of delirium. (4) Conclusions: Non-pharmacological nursing interventions may be effective in preventing and reducing the duration of delirium in ICU patients.
登录
查看更多内容
DOI：
10.5492/wjccm.v8.i3.18
发表时间：
2019-06-12
期刊：
World journal of critical care medicine
影响因子：
--
作者：
Cascella, Marco;Fiore, Marco;Di Napoli, Raffaela
通讯作者：
Di Napoli, Raffaela
影响因子：
8.8
作者：
Hayhurst CJ;Pandharipande PP;Hughes CG
通讯作者：
Hughes CG
影响因子：
8.8
作者：
Devlin, John W.;Skrobik, Yoanna;Alhazzani, Waleed
通讯作者：
Alhazzani, Waleed
影响因子：
8.8
作者：
Ely EW
通讯作者：
Ely EW
影响因子：
5.3
作者：
Engwall, Marie;Fridh, Isabell;Lindahl, Bent
通讯作者：
Lindahl, Bent