Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
Gen Hosp Psychiatry. 2011 Nov-Dec;33(6):637-9. doi: 10.1016/j.genhosppsych.2011.07.009. Epub 2011 Sep 9.
Very few studies have evaluated the level of distress due to the experience of delirium in patients who have recovered from delirium.
Fifty-three patients were rated on Delirium Rating Scale-Revised-98 at baseline and were again evaluated on Delirium Experience Questionnaire after recovery for level of distress due to the experience of delirium.
The mean age of patients was 45.58 (S.D. 19.06) years. Only 15 patients (28.3%) remembered themselves to be confused and rest had no recollection of the same. Those who could remember their experience had moderate (n = 4; 26.7%), severe (n = 6; 40.0%) and very severe (n = 5; 33.3%) level of distress. Of those who could not remember their delirium experience, most of them had moderate (n = 17; 44.7%) to severe (n = 10; 26.3%) distress. Those who remembered their experience in general described it as a state of fearfulness (n = 8), anxiety (n = 4) confusion and feeling strange (n = 7). Other experiences which were recollected were those of visual hallucinations and illusions.
Overall experience of delirium is distressing for the patients. Most of the patients (those who remembered or who were not able to remember) experienced at least moderate level of distress.
很少有研究评估过从谵妄中恢复的患者因谵妄体验而感到困扰的程度。
53 名患者在基线时使用修订后的 98 项谵妄评定量表（Delirium Rating Scale-Revised-98）进行评分，在恢复后再次使用谵妄体验问卷（Delirium Experience Questionnaire）评估他们因谵妄体验而感到困扰的程度。
患者的平均年龄为 45.58 岁（标准差 19.06）。只有 15 名患者（28.3%）记得自己曾经感到困惑，其余患者则没有相关记忆。那些能记得自己经历的患者中有中度（n=4；26.7%）、重度（n=6；40.0%）和极重度（n=5；33.3%）程度的困扰。那些不记得自己谵妄经历的患者中，大多数人有中度（n=17；44.7%）至重度（n=10；26.3%）的困扰。那些能记得自己经历的患者通常将其描述为一种恐惧（n=8）、焦虑（n=4）、困惑和感觉陌生（n=7）的状态。其他回忆起的体验包括视幻觉和错觉。
总体而言，谵妄体验对患者来说是困扰的。大多数患者（那些能记得或不记得的患者）都经历了至少中度程度的困扰。
