在接受头部和部手术的患者中管理术后妄想:教育概述
Saumya Babu1, Bilja Kurian Sajith1
1University of Texas MD Anderson Cancer Center.
Clinical journal of oncology nursing
|July 23, 2024
概括
手术后妄想会影响11-26%的头手术患者. 管理需要解决原因,早期动员,以及专业间的合作,以减少风险.
科学领域:
- 麻醉学 麻醉学
- 老年病的医生 老年病的医生
- 在瘤学瘤学.
背景情况:
- 手术后妄想是头部和部手术后的一个重大问题,影响患者的治疗结果和医疗费用.
- 头部和部癌症手术很常见,即使在老年人中也是如此,这凸显了需要有效的妄想管理策略的需要.
研究的目的:
- 提供头手术患者手术后痴呆症管理的教育概述.
- 总结关键方面,包括发病率,病因学,病理生理学,诊断,治疗,并发症和危险因素.
主要方法:
- 进行了叙事文学评论.
- 分析了过去10年内发表的文章.
主要成果:
- 手术后妄呈现为急性认知功能障碍在手术后30天内,发生率为11-26% .
- 病理生理学复杂,药物治疗有局限性; 非药物治疗方法包括解决潜在原因和早期动员.
- 降低妄想风险需要一个协作性的,全系统的方法,涉及多个医疗保健专业人员.
结论:
- 在头部和部手术患者中,术后妄想的有效管理至关重要.
- 跨专业的合作和非药物干预是减轻妄想风险和改善患者护理的关键.
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