在接受心脏手术的患者中对术后妄想的视觉材料的投影:双盲随机临床试验
Carlos Méndez-Martínez1,2, Inés Casado-Verdejo1,3, Jesús Antonio Fernández-Fernández1,3
1Health Research Nursing Group (GREIS), University of León, León, Spain.
Medicine
|October 28, 2024
概括
亲人的视觉投影在心脏手术患者中减少了术后妄想. 这种干预措施降低了妄想的发生率,特别是在女性中,但其作为治疗已确定的妄想的有效性尚未得到证实.
科学领域:
- 心脏病学 心脏病学
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 手术后痴呆症是手术后常见的一种神经行为障碍.
- 它表现为意识改变和认知障碍.
- 心脏手术患者特别容易患上这种疾病.
研究的目的:
- 评估亲属视觉投影对术后妄想发病率的影响.
- 评估这种干预对心脏手术患者的影响.
- 为了确定视觉刺激是否可以减轻妄想的发展.
主要方法:
- 进行了一项随机的双盲临床试验.
- 成年心脏手术患者被分配到对照组或干预组.
- 干预组接受视觉投影;对照组接受标准护理.
主要成果:
- 在干预组中, Delirium 发病率从 5.77% 降至 1.92% .
- 对照组的 Delirium 发病率从 19.23% 增加到 25%.
- 女性的性别和干预小组成员资格显著减少了妄想的存在.
结论:
- 对亲人图像的视觉投影有效地减少了心脏手术患者的术后妄想发病率.
- 这种干预措施在预防妄想方面表现有前途.
- 需要进一步的研究来证实其作为治疗已确定的妄想症的疗效.
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