在急性情形下,中风后妄想的发生率:系统性审查和元分析
Fen Ye1, Mu-Hsing Ho1, Jung Jae Lee1
1School of Nursing, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
International journal of nursing studies
|March 29, 2024
概括
脑卒中后妄想会影响急性护理机构中25%的患者,老年人的发病率更高. 早期检测和护士的管理对于预防长期并发症至关重要.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 精神病学是一个精神病学.
- 护理科学 护理科学
背景情况:
- 脑卒中后妄是急性护理机构中常见且具有影响力的并发症.
- 通过黄金标准标准诊断的中风后妄的确切患病率需要更新的证据.
- 了解患病率变化是针对性干预和改善患者治疗结果的关键.
研究的目的:
- 为了准确估计急性中风后患者的狂妄发病率.
- 调查研究特征和患者人口统计学如何影响报告的妄想患病率.
- 为临床实践和未来关于中风后痴呆症管理的研究提供信息.
主要方法:
- 进行了系统性审查和元分析.
- 数据来源于多个数据库 (英语和中文) 到2023年6月.
- 包括符合DSM妄想标准的研究,没有干预;元分析使用随机效应模型.
主要成果:
- 脑卒中后痴呆症的总体加权患病率为25% (95% CI,20-30%).
- 患病率随年龄增加 (75-79岁人群中为34%),并因评估持续时间和查方法而异.
- 参与评估的护士与较低的 Delirium 患病率 (13%对 29%) 有关.
结论:
- 脑卒中后痴呆症的显著流行需要加强临床关注.
- 护士在预防,早期发现和治疗中风幸存者的妄想症方面发挥着关键作用.
- 建议进行专门的护理培训,以有效管理妄症,特别是在老年患者中.
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