非药物干预预防术后妄想的临床价值:叙述性综述
Ting Li1, Zhen Feng1, Yan Hou1
1Department of Anesthesiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Minerva anestesiologica
|September 16, 2024
概括
不药物干预正在越来越多地探索预防老年患者的手术后妄 (POD). 单一组件策略,如认知训练和感官刺激,显示出对简单,经济有效的POD预防的希望.
科学领域:
- 老年学是一门学科.
- 麻醉学 麻醉学
- 神经科学是一个神经科学.
背景情况:
- 手术后痴呆症 (POD) 是老年患者常见的并发症,导致严重后果.
- 药理性POD预防具有有争议的疗效和潜在的副作用.
- 推非药理学多组分干预措施,但很少在学术中心之外实施.
研究的目的:
- 审查最近的非药理学单组分干预措施,以预防手术后妄想.
- 评估这些单组件策略的临床价值和可行性.
主要方法:
- 关于预防POD的非药物干预研究的综合文献综述.
- 将干预分为认知类型和非认知类型.
- 对干预特征的分析,包括易于应用,成本效益和患者接受度.
主要成果:
- 非药物单组分干预由于其实际优势而引起人们的兴趣.
- 认知训练旨在增强认知储备.
- 非认知干预包括感官刺激,改善睡眠,身体活动,针和大脑刺激技术.
结论:
- 非药理学单组分干预措施为POD预防提供了一种实用,具有成本效益和患者友好的方法.
- 这些干预措施针对特定的风险因素,旨在减少POD发病率.
- 需要进一步的研究才能充分确定这些策略的临床实用性.
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