运动疗法用于治疗重症监护病房中的妄想症
Luis Garegnani1, Diego Ivaldi1, Mariana Andrea Burgos1
1Cochrane Associate Centre, Universidad Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
The Cochrane database of systematic reviews
|August 12, 2025
概括
运动疗法可以减少痴呆的持续时间和重症监护室停留的长度在严重疾病的成年人. 虽然通常是安全的,但需要更多的研究来证实其有效性和对生活质量的影响.
科学领域:
- 关键护理医学 关键护理医学
- 康复 康复 康复 康复
- 神经学 神经学
背景情况:
- 痴呆症在重病成年人中很常见,影响恢复.
- 运动治疗是一种潜在的非药物干预.
- 对像运动疗法这样的单个组件的证据是不确定的.
研究的目的:
- 评估ICU痴呆症运动治疗的益处和危害.
- 与没有干预,常规护理或药物治疗进行比较.
主要方法:
- 搜索了多个数据库,直到2024年7月.
- 包括随机对照试验 (RCT) 和集群RCT.
- 使用Cochrane的RoB 2工具和GRADE来确定证据的确定性.
主要成果:
- 包括四个RCT (491名参与者).
- 运动治疗可以减少妄想持续时间 (低确定性证据).
- 运动疗法可能会减少ICU停留时间 (中度确定性证据).
- 运动治疗没有报告任何不良事件 (低确定性证据).
结论:
- 运动疗法对ICU痴呆症有潜在的益处.
- 低至中等确定性证据需要进一步研究.
- 未来的研究应该侧重于生活质量,严重程度和药理学比较.
更多相关视频
07:35Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
Published on: December 29, 2023
1.4K
08:53Randomized, Triple-Blind, and Parallel-Controlled Trial of Transcranial Direct Current Stimulation for Cognitive Rehabilitation after Stroke
Published on: June 6, 2025
595
相关概念视频
01:30Electroconvulsive Therapy
189
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
189
01:22Alzheimer's Disease: Treatment
261
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
261
01:26Psychosis: Goals of Pharmacotherapy
209
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
209
01:28Drug Therapy
98
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
98
01:24Treatment Strategies for Psychological Disorders
270
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
270
01:22Heart Failure VI: Adjunct Therapies
27
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
27