提高临床实践中对谵妄的识别率：行动呼吁。
Improving recognition of delirium in clinical practice: a call for action.
机构信息
Institute for Ageing and Health, Campus for Vitality, Newcastle University, Newcastle Tyne, England, UK.
出版信息
BMC Geriatr. 2012 Sep 14;12:55. doi: 10.1186/1471-2318-12-55.
Abstract
The purpose of this correspondence article is to report opinion amongst experts in the delirium field as to why, despite on-going training for all health professionals, delirium continues to be under recognised. Consensus was obtained by means of two conference workshops and an online survey of members of the European Delirium Association.Major barriers to recognition at an individual level include ignorance about the benefit of treating delirium. At an organisational level, reflecting socio-cultural attitudes, barriers include a low strategic and financial priority and the fact that delirium is an orphan condition falling between specialties.
摘要
这封通信文章的目的是报告谵妄领域的专家们的意见，即尽管一直在对所有卫生专业人员进行培训，但谵妄仍然未被识别的原因。通过两次会议研讨会和对欧洲谵妄协会成员的在线调查获得了共识。在个人层面上，主要的识别障碍包括对治疗谵妄的益处的无知。在组织层面上，反映社会文化态度，障碍包括战略和财务优先级低，以及谵妄是一种介于专业之间的孤儿病的事实。
相似文献
1
Improving recognition of delirium in clinical practice: a call for action.提高临床实践中对谵妄的识别率：行动呼吁。
BMC Geriatr. 2012 Sep 14;12:55. doi: 10.1186/1471-2318-12-55.
2
Increasing delirium skills at the front door: results from a repeated survey on delirium knowledge and attitudes.提高前门处的谵妄识别能力：一项关于谵妄知识与态度的重复调查结果
Age Ageing. 2016 Jul;45(4):517-22. doi: 10.1093/ageing/afw066. Epub 2016 Apr 26.
3
Delirium the under-recognised syndrome: survey of healthcare professionals' awareness and practice in the intensive care units.谵妄：未被充分认识的综合征——重症监护病房医护人员的认知与实践调查
J Clin Nurs. 2017 Mar;26(5-6):813-824. doi: 10.1111/jocn.13517. Epub 2016 Dec 9.
4
Understanding barriers to delirium care: a multicentre survey of knowledge and attitudes amongst UK junior doctors.了解谵妄护理的障碍：对英国初级医生知识与态度的多中心调查
Age Ageing. 2009 Sep;38(5):559-63. doi: 10.1093/ageing/afp099. Epub 2009 Jul 10.
5
Identifying the barriers and enablers to palliative care nurses' recognition and assessment of delirium symptoms: a qualitative study.识别姑息治疗护士识别和评估谵妄症状的障碍与促进因素：一项定性研究
J Pain Symptom Manage. 2014 Nov;48(5):815-30. doi: 10.1016/j.jpainsymman.2014.01.008. Epub 2014 Apr 12.
6
Limitations and practicalities of CAM-ICU implementation, a delirium scoring system, in a Dutch intensive care unit.在荷兰一家重症监护病房实施谵妄评分系统CAM-ICU的局限性与实际情况
Intensive Crit Care Nurs. 2009 Oct;25(5):242-9. doi: 10.1016/j.iccn.2009.04.001. Epub 2009 Jun 21.
7
Development of an international undergraduate curriculum for delirium using a modified delphi process.运用改良德尔菲法制定国际本科谵妄课程。
Age Ageing. 2018 Jan 1;47(1):131-137. doi: 10.1093/ageing/afx133.
8
Survey of attitudes and behaviors of healthcare professionals on delirium in ICU.重症监护病房医护人员对谵妄的态度和行为调查
Chin J Traumatol. 2009 Dec;12(6):328-33.
9
Delirium care: Real-world solutions to real-world problems.谵妄护理：解决现实世界问题的现实世界解决方案。
Australas J Ageing. 2017 Dec;36(4):E64-E69. doi: 10.1111/ajag.12461. Epub 2017 Oct 13.
10
Nursing perspectives on the confusion assessment method: a qualitative focus group study.护理视角下的意识评估方法：一项定性焦点小组研究。
Age Ageing. 2018 Nov 1;47(6):880-886. doi: 10.1093/ageing/afy107.
引用本文的文献
1
Real-World Adherence to a Delirium Screening Test Administered by Nurses and Medical Staff during Routine Patient Care.护士和医务人员在日常患者护理期间对谵妄筛查测试的实际依从情况。
Brain Sci. 2024 Aug 27;14(9):862. doi: 10.3390/brainsci14090862.
2
Effectiveness of a Multi-component Delirium Prevention Program Implemented on General Medicine Hospital Units: an Interrupted Time Series Analysis.多组分谵妄预防方案在综合医院病房中的有效性：一项中断时间序列分析。
J Gen Intern Med. 2023 Oct;38(13):2936-2944. doi: 10.1007/s11606-023-08238-9. Epub 2023 Jul 10.
3
Characterizing and detecting delirium with clinical and computational measures of speech and language disturbance.使用言语和语言障碍的临床和计算测量来描述和检测谵妄。
J Psychiatry Neurosci. 2023 Jul 4;48(4):E255-E264. doi: 10.1503/jpn.230026. Print 2023 Jul-Aug.
4
Improving Nurses Knowledge and Practices of Delirium Assessment at Mbarara Regional Referral Hospital: A Quasi Experimental Study.提高姆巴拉拉地区转诊医院护士对谵妄评估的知识与实践：一项准实验研究。
Adv Med Educ Pract. 2023 Mar 30;14:313-322. doi: 10.2147/AMEP.S398606. eCollection 2023.
5
Boosting Delirium Identification Accuracy With Sentiment-Based Natural Language Processing: Mixed Methods Study.基于情感的自然语言处理提高谵妄识别准确性：混合方法研究
JMIR Med Inform. 2022 Dec 20;10(12):e38161. doi: 10.2196/38161.
6
A Clinician's View of Wernicke-Korsakoff Syndrome.临床医生对韦尼克-科尔萨科夫综合征的看法。
J Clin Med. 2022 Nov 15;11(22):6755. doi: 10.3390/jcm11226755.
7
Comparative salary-related costs of a brief app-directed delirium identification protocol by hospitalists, nurses, and nursing assistants.医院医师、护士和护理助理使用简短的应用程序指导的谵妄识别协议的相关薪酬成本比较。
J Am Geriatr Soc. 2022 Aug;70(8):2371-2378. doi: 10.1111/jgs.17789. Epub 2022 Apr 20.
8
Mortality Rates during Hospitalization and Affecting Factors in Geriatric Delirium Patients: a Retrospective Cohort Study.老年谵妄患者住院期间死亡率及影响因素：一项回顾性队列研究
Dement Neurocogn Disord. 2021 Jul;20(3):19-27. doi: 10.12779/dnd.2021.20.3.19. Epub 2021 Jun 16.
9
Symptoms and Well-Being in Older Hospitalized Patients with Cognitive Impairment, As Self-Reported and Reported in Patient Records: A Quantitative Exploratory Subgroup Analysis.老年认知障碍住院患者的症状与幸福感：自我报告及病历记录情况——一项定量探索性亚组分析
Dement Geriatr Cogn Dis Extra. 2021 May 5;11(2):71-77. doi: 10.1159/000515822. eCollection 2021 May-Aug.
10
Retrospective delirium ascertainment from case notes: a retrospective cohort study.从病历中回顾性确定谵妄：一项回顾性队列研究。
BMJ Open. 2021 May 28;11(5):e042440. doi: 10.1136/bmjopen-2020-042440.
本文引用的文献
1
Preventing delirium in older adults with recent hip fracture through multidisciplinary geriatric consultation.通过多学科老年病会诊预防近期髋部骨折的老年患者发生谵妄。
J Am Geriatr Soc. 2012 Apr;60(4):733-9. doi: 10.1111/j.1532-5415.2012.03899.x. Epub 2012 Mar 16.
2
Who understands delirium?谁了解谵妄？
Age Ageing. 2011 Jul;40(4):412-4. doi: 10.1093/ageing/afr062. Epub 2011 Jun 1.
3
Diagnosing delirium.诊断谵妄。
JAMA. 2010 Nov 17;304(19):2125-6; author reply 2126-7. doi: 10.1001/jama.2010.1617.
4
Does this patient have delirium?: value of bedside instruments.这个患者是否出现了意识混乱？：床边仪器的价值。
JAMA. 2010 Aug 18;304(7):779-86. doi: 10.1001/jama.2010.1182.
5
Delirium in elderly patients and the risk of postdischarge mortality, institutionalization, and dementia: a meta-analysis.老年患者谵妄与出院后死亡率、住院化和痴呆的风险：一项荟萃分析。
JAMA. 2010 Jul 28;304(4):443-51. doi: 10.1001/jama.2010.1013.
6
Delirium upon admission to Swiss nursing homes: a cross-sectional study.入住瑞士养老院时的谵妄：一项横断面研究。
Swiss Med Wkly. 2010 Jun 26;140(25-26):376-81. doi: 10.4414/smw.2010.12964.
7
Understanding barriers to delirium care: a multicentre survey of knowledge and attitudes amongst UK junior doctors.了解谵妄护理的障碍：对英国初级医生知识与态度的多中心调查
Age Ageing. 2009 Sep;38(5):559-63. doi: 10.1093/ageing/afp099. Epub 2009 Jul 10.
8
Education, hospital staff and the confused older patient.教育、医院工作人员与神志不清的老年患者。
Age Ageing. 2009 May;38(3):252-3. doi: 10.1093/ageing/afp007. Epub 2009 Feb 28.
9
The virtual gateway: opening doors in delirium teaching and learning.虚拟网关：开启谵妄教学之门。
Int Rev Psychiatry. 2009 Feb;21(1):15-9. doi: 10.1080/09540260802674752.
10
One-year health care costs associated with delirium in the elderly population.老年人群中与谵妄相关的一年医疗保健费用。
Arch Intern Med. 2008 Jan 14;168(1):27-32. doi: 10.1001/archinternmed.2007.4.
Zotero 插件