[Evaluation of the implementation of non-pharmacological measures for the prevention and treatment of delirium: A retrospective cohort study].

IF 0.8 4区医学 Q4 NURSING

Pflege Pub Date : 2023-08-01 DOI:10.1024/1012-5302/a000932

Nadia Blättler, Bianca Schaffert, Maria Schubert

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引用次数: 1

Abstract

Evaluation of the implementation of non-pharmacological measures for the prevention and treatment of delirium: A retrospective cohort study Abstract. Background: Delirium is burdensome for the affected patients, their relatives, hospital staff and the health care system. Preventing delirium with targeted multicomponent interventions is therefore essential. Aim: To investigate the implementation of defined non-pharmacological, preventive, and supportive measures in patients with an increased risk of delirium and/or delirium by the hospital's directions. Methods: In this observational study, routine data from 175 hospitalized patients were included. Data on delirium prevention, treatment and presence of delirium were extracted from the patient records and analyzed using appropriate statistical methods. Group comparisons were made between the medical/surgical clinic and the delirium/no delirium group. Results: Of the 175 patients, 31 had delirium. For delirium prevention, measures to improve oxygen supply, excretion, pain and mobility were most frequently implemented and measures such as improving cognition and communication were least frequently implemented. In the case of delirium, measures to modify risk factors, ensure safety, as well as prophylaxis were applied most frequently. Between the two clinics and between the delirium/no delirium group significant differences in the frequency of these measures were shown. Conclusion: The differences in frequency of implementation provide preliminary evidence that clinic-specific delirium prevention, early detection, and treatment may be needed.

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[评价预防和治疗谵妄的非药物措施的实施:回顾性队列研究]。

评价预防和治疗谵妄的非药物措施的实施:一项回顾性队列研究摘要。背景:谵妄对患者、其亲属、医院工作人员和卫生保健系统都是沉重的负担。因此，通过有针对性的多组分干预措施预防谵妄是必不可少的。目的:调查在医院指示下谵妄和/或谵妄风险增加的患者中，明确的非药物、预防和支持措施的实施情况。方法:本观察性研究纳入175例住院患者的常规资料。从患者记录中提取有关谵妄预防、治疗和谵妄存在的数据，并采用适当的统计方法进行分析。将内科/外科门诊与谵妄/无谵妄组进行组间比较。结果:175例患者中有谵妄31例。对于谵妄的预防，改善供氧、排泄、疼痛和活动能力的措施最常被实施，而改善认知和沟通等措施最不常被实施。在谵妄的情况下，最常用的措施是改变危险因素，确保安全，以及预防。在两个诊所之间以及谵妄/无谵妄组之间，这些测量的频率显示出显着差异。结论:实施频率的差异提供了初步证据，表明可能需要临床特异性谵妄预防，早期发现和治疗。

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来源期刊

Pflege NURSING-

CiteScore

1.40

自引率

20.00%

发文量

审稿时长

>12 weeks

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