Steis Melinda R, Fick Donna M
School of Nursing, College of Health and Human Development, The Pennsylvania State University, University Park, PA 16802, USA.
J Gerontol Nurs. 2008 Sep;34(9):40-8. doi: 10.3928/00989134-20080901-12.
Delirium is a prevalent, costly, and global problem in older adults. This article is a systematic review of the literature on nurse recognition of delirium. Ten articles, reporting rates of nurse recognition ranging from 26% to 83%, were included in the review. The most compelling finding is that although related, the notions of nurse knowledge of delirium, nurse recognition of delirium, and nurses' assessment and documentation of delirium in older adults are different. Recommendations for practice are suggested at several levels, including education, guidelines, communication, health care system, and use of informatics.
谵妄在老年人中是一个普遍存在、代价高昂的全球性问题。本文是对护士识别谵妄相关文献的系统综述。该综述纳入了10篇文章，报告的护士识别率在26%至83%之间。最引人注目的发现是，尽管相互关联，但护士对谵妄的认识、护士对谵妄的识别以及护士对老年人谵妄的评估和记录等概念是不同的。文章从教育、指南、沟通、医疗保健系统和信息学应用等多个层面提出了实践建议。
