A Review: Nursing of Intensive Care Unit Delirium

被引:13
作者
Fan, Yuying [1 ]
Guo, Ying [2 ]
Li, Qiujie [1 ]
Zhu, Xuemei [1 ]
机构
[1] Harbin Med Univ, Dept Coll Nursing, Harbin, Heilongjiang, Peoples R China
[2] Harbin Med Univ, Affiliated Hosp 2, Harbin, Heilongjiang, Peoples R China
关键词
delirium; ICU; ICU psychosis; nursing; psychosis; AGITATION-SEDATION SCALE; SCREENING CHECKLIST; HOSPITAL MORTALITY; ASSESSMENT TOOLS; ACUTE CONFUSION; OLDER-ADULTS; HALOPERIDOL; RELIABILITY; VALIDITY; ICU;
D O I
10.1097/JNN.0b013e3182682f7f
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The aim of this article was to review the current literature in relation to the nursing of intensive care unit (ICU) delirium. In particular, we discuss the definition and frequency, clinical features, risk factors, the adverse effects associated with instruments for assessing delirium, as well as prevention and nursing for delirium patients. Critically ill patients are at a greater risk of developing delirium, and delirium is a growing problem in the ICU. Most physicians and nurses regarded delirium as an inconvenient problem, both for patient and for personnel. Routine screening of all patients in the ICU for the presence of delirium is crucial to its successful management. Nurses are on the front line to detect, manage, and even prevent ICU delirium.
引用
收藏
页码:307 / 316
页数:10
相关论文
共 59 条
[1]   Delirium in the Intensive Care Unit: Medications as Risk Factors [J].
Alexander, Earnest .
CRITICAL CARE NURSE, 2009, 29 (01) :85-87
[2]   Delirium in the intensive care unit: a review [J].
Arend, Emma ;
Christensen, Martin .
NURSING IN CRITICAL CARE, 2009, 14 (03) :145-154
[3]   Free your MIND and the rest will follow: Decoding delirium in the intensive care unit [J].
Balas, Michele C. .
CRITICAL CARE MEDICINE, 2010, 38 (02) :697-698
[4]   Delirium in Critical Care: Recognizing and Managing to Improve Patient Outcomes [J].
Bassett, Rick .
CLINICAL NURSE SPECIALIST, 2010, 24 (02) :92-93
[5]   Intensive Care Delirium Screening Checklist: evaluation of a new screening tool [J].
Bergeron, N ;
Dubois, MJ ;
Dumont, M ;
Dial, S ;
Skrobik, Y .
INTENSIVE CARE MEDICINE, 2001, 27 (05) :859-864
[6]   ABC of psychological medicine - Delirium [J].
Brown, TM ;
Boyle, MF .
BMJ-BRITISH MEDICAL JOURNAL, 2002, 325 (7365) :644-647
[7]   Intensive Care Unit Delirium [J].
Bruno, Jeffrey J. ;
Warren, Mary Lou .
CRITICAL CARE NURSING CLINICS OF NORTH AMERICA, 2010, 22 (02) :161-+
[8]   Assessment of acute confusion: Use of the NEECHAM confusion scale [J].
Csokasy, J .
APPLIED NURSING RESEARCH, 1999, 12 (01) :51-55
[9]   Caring for hospitalized older adults at risk for delirium - The silent, unspoken piece of nursing practice [J].
Dahlke, Sherry ;
Phinney, Alison .
JOURNAL OF GERONTOLOGICAL NURSING, 2008, 34 (06) :41-47
[10]  
Devlin J. W., 2010, CRITICAL CARE MED, V38, P331