摘要
目的:总结成人危重患者谵妄和亚谵妄综合征非药物管理相关证据,以促进知识转化,优化ICU患者谵妄管理。方法:根据知识转化项目组发布的证据总结流程对证据进行检索、筛选、评价、提取和综合。检索和筛选各数据库、指南网、协会网和临床试验注册网站等符合纳入标准的文献,进行质量评价,剔除质量低者后进行证据提取,结合JBI证据预分级和推荐级别系统确定证据分级和推荐级别,形成成人危重患者谵妄与亚谵妄综合征非药物管理证据总结。结果:共纳入47篇文献进行证据综合,总结出包括谵妄风险预测、筛查、预防和治疗等证据和推荐意见47条。结论:本研究综合和完善现有证据,后续可尝试构建临床实践方案以验证效果。
Objective:To summarize the evidence related to non-drug management of delirium and Subsyndromal Delirium in ICU,in order to promote knowledge translation,optimize delirium management and improve patient outcome.Methods:According to the evidence summary process issued by the Knowledge To Action project team,the evidence was retrieved,screened,evaluated,extracted and integrated.We searched and selected articles in both Chinese and English databases,websites of guidelines,related societies and clinical trial registration websites.After screening the articles,three researchers independently appraisal articles using validated tools.Qualitative evidence synthesis was formed to implicated the best practice of non-drug management of delirium and Subsyndromal Delirium in adult ICU patients.Results:Totally 47 articles were included for the evidence synthesis,47 pieces of evidences including risk prediction,screening,prevention and treatment in delirium and Subsyndromal Delirium were summerized.Conclusion:The evidence for non-drug management of delirium and Subsyndromal Delirium is feasible,which could be translated to clinical practice to further verification.
作者
刘桂英
徐克珮
王阳阳
李杨
刘华平
LIU Guiying;XU Kepei;WANG Yangyang;LI Yang;LIU Huaping(Department of Cardiology,Peking University Shenzhen Hospital,Guangdong province,518036,China)
出处
《中国护理管理》
CSCD
2021年第6期880-886,共7页
Chinese Nursing Management
关键词
谵妄
亚谵妄综合征
重症监护室
非药物管理
delirium
Subsyndromal Delirium
Intensive Care Unit
non-drug management
