临界护理狂妄症:预防,鉴定和管理:叙述性综述
Stephanie Kieswick1, Ben Gibbison1,2
1Department of Anaesthesia and Intensive Care, University Hospitals Bristol and Weston NHS Foundation Trust.
Anaesthesia
|March 11, 2026
概括
狂妄症在重症监护室 (ICU) 很常见,影响到三分之一的患者. 非药物干预是最有效的预防和管理,改善患者的结果.
科学领域:
- 关键护理医学 关键护理医学
- 神经科学是一个神经科学.
- 老年病的医生 老年病的医生
背景情况:
- 痴呆症是重症病的常见并发症,导致长时间的ICU住院和长期的发病率.
- 导致妄想的因素包括患者的精神障碍,镇静和环境干扰,如睡眠剥夺.
研究的目的:
- 为了概述目前对ICU痴呆症的理解.
- 综合流行病学,病理生理学,风险因素,诊断和管理策略的证据.
- 为管理ICU Delirium的临床医生开发一个实用的资源.
主要方法:
- 进行了对当代文学的叙事审查.
- 综合了关于妄想的流行病学,病理生理学,危险因素,诊断工具和治疗策略的证据.
主要成果:
- 大约三分之一的ICU患者患有痴呆症,老年人和机械通风患者的发病率更高.
- 非药物,多组分策略 (例如,最佳镇静,早期动员,重新定位,睡眠卫生,家庭参与) 减少妄想的发生率并改善结果.
- 药理干预措施在预防或治疗狂妄症方面并未始终显示出益处.
结论:
- 病房狂妄是普遍存在的,对患者和医疗保健提供者来说是显著的.
- 有效的妄想预防和管理依赖于协调的,多学科的,非药理学的方法.
- 持续改善结果需要基于证据的护理包和为幸存者提供综合后续服务.
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