Nonpharmacological Interventions to Prevent Delirium: An Evidence-Based Systematic Review

被引：57

作者：

Rivosecchi, Ryan M. ^{[1
]}

Smithburger, Pamela L. ^{[2
,3
]}

Svec, Susan ^{[3
,4
]}

Campbell, Shauna ^{[3
]}

Kane-Gill, Sandra L. ^{[5
]}

机构：

[1] Univ Pittsburgh, Med Ctr, Presbyterian Hosp, Crit Care, Pittsburgh, PA USA

[2] Univ Pittsburgh, Sch Pharm, Pharm & Therapeut, Pittsburgh, PA USA

[3] Univ Pittsburgh, Med Ctr, Presbyterian Hosp, Med Intens Care Unit, Pittsburgh, PA USA

[4] Calif Univ Penn, Leadership & Adm Program, California, PA USA

[5] Univ Pittsburgh, Sch Pharm, Pharm & Therapeut, Pittsburgh, PA 15260 USA

来源：

CRITICAL CARE NURSE | 2015年 / 35卷 / 01期

关键词：

INTENSIVE-CARE-UNIT; RANDOMIZED CONTROLLED-TRIAL; REDUCING DELIRIUM; CLINICAL-PRACTICE; ELDERLY-PATIENTS; HIP-FRACTURE; OLDER-ADULTS; ICU; SURGERY; HOSPITALIZATION;

D O I：

10.4037/ccn2015423

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Development of delirium in critical care patients is associated with increased length of stay, hospital costs, and mortality. Delirium occurs across all inpatient settings, although critically ill patients who require mechanical ventilation are at the highest risk. Overall, evidence to support the use of antipsychotics to either prevent or treat delirium is lacking, and these medications can have adverse effects. The pain, agitation, and delirium guidelines of the American College of Critical Care Medicine provide the strongest level of recommendation for the use of nonpharmacological approaches to prevent delirium, but questions remain about which nonpharmacological interventions are beneficial. (Critical Care Nurse. 2015; 35[1]: 39-51)

引用

页码：39 / 51

页数：13

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