老年骨科和创伤患者的术后妄想:治疗开始于手术前!
Lynn Haslam-Larmer1, Shirin Vellani2
1George Brown College, Toronto, Ontario, Canada.
International journal of orthopaedic and trauma nursing
|November 24, 2024
概括
手术后老年人 Delirium 经常错过,特别是低活性形式. 早期检测和非药物干预是改善患者结果和康复的关键.
科学领域:
- 老年医学 老年医学
- 神经精神病学是一种神经精神病学.
- 术后护理 术后护理
背景情况:
- 痴呆症是老年患者手术后经常发生的严重神经精神疾病.
- 它呈现为低活性,高活性或混合,往往导致误诊,特别是低活性亚型.
- 鉴于痴呆症的潜在可逆性,区分痴呆症和痴呆症至关重要.
研究的目的:
- 探索手术后老年人痴呆症的评估和管理.
- 强调验证的工具在识别有风险的患者中的作用.
- 突出非药物干预和护理角色的重要性.
主要方法:
- 案例研究格式.
- 使用了经过验证的查工具,如 Delirium Elderly at Risk (DEAR) 和混评估方法 (CAM).
- 专注于非药理学策略和多学科方法.
主要成果:
- 早期识别和查对于更好的结果至关重要.
- 非药物干预 (重新定位,睡眠卫生,感官辅助,早期动员,家庭参与) 是至关重要的.
- 护士在早期发现和预防中发挥着关键作用.
结论:
- 结合查,以患者为中心的护理和非药物战略的多学科方法是必不可少的.
- 减少妄想的发生率和严重程度可以改善患者的康复,并减少并发症.
- 及时治疗显著提高了老年手术患者的治疗结果.
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