Tropea Joanne, Slee Jo-Anne, Brand Caroline A, Gray Len, Snell Tony
Clinical Epidemiology and Health Service Evaluation Unit, Royal Melbourne Hospital, Parkville, Victoria, Australia.
Australas J Ageing. 2008 Sep;27(3):150-6. doi: 10.1111/j.1741-6612.2008.00301.x.
Delirium is a common and serious condition which is often overlooked or misdiagnosed in older people. In 2006, the first set of national clinical practice guidelines for the management of delirium in older people were developed. This paper provides an abbreviated version of the guideline document which includes recommendations for the detection of delirium (diagnosis and screening), assessment and prediction of risk factors for delirium, prevention of delirium and interventions to manage people with delirium. The guidelines reflect the available evidence base and highlight the limited high level research in delirium care, particularly in the areas of symptom management and screening for delirium.
谵妄是一种常见且严重的病症,在老年人中常常被忽视或误诊。2006年,制定了第一套关于老年人谵妄管理的国家临床实践指南。本文提供了该指南文件的简略版本,其中包括谵妄检测(诊断和筛查)、谵妄风险因素评估与预测、谵妄预防以及谵妄患者管理干预措施的建议。这些指南反映了现有的证据基础,并突出了谵妄护理方面高水平研究的局限性,尤其是在症状管理和谵妄筛查领域。