a College of Nursing , Rush University , Chicago , IL , USA.
Aging Ment Health. 2014 Mar;18(2):129-39. doi: 10.1080/13607863.2013.814102. Epub 2013 Jul 12.
The literature was reviewed to gather original research on a family approach to delirium and determine its applicability to current practice. The review had the following objectives: (1) evaluate the current state of research into delirium management (prevention, identification, or treatment of delirium) with family approaches or involvement, (2) identify gaps and areas that require investigation, and (3) determine a future course of research.
A comprehensive search of original research was conducted in six major databases using seven keywords in 2012.
The literature search yielded a total of 2160 articles. Criteria for eligibility were met by a total of 11 articles. The articles were evaluated in regards to purpose, sample, research design, level of evidence, variables, and results.
The literature review revealed that this topic is emergent and requires substantial additional research. The aspects of delirium care that researchers investigated were diverse and included bedside interventions (n = 3), screening strategies (n = 4), family education (n = 2), and care that employed multiple components (n = 2). Delirium outcomes improved significantly in two high-quality studies: one multi-component intervention and one bedside intervention program. Other noteworthy findings of lower quality studies warrant further examination. The review of the articles did not determine if the involvement of families in delirium management improves patient outcomes; however, the review revealed potential for program development and future courses of research.
本文综述了家庭为基础的谵妄管理方法的原始研究，旨在评估其对当前实践的适用性。该综述的目的如下：（1）评估目前以家庭为基础或涉及家庭的谵妄管理（预防、识别或治疗谵妄）的研究现状；（2）确定需要研究的空白和领域；（3）确定未来的研究方向。
2012 年，我们在六个主要数据库中使用七个关键词进行了全面的原始研究检索。
文献检索共产生了 2160 篇文章。符合入选标准的文章共有 11 篇。对这些文章从目的、样本、研究设计、证据水平、变量和结果等方面进行了评估。
文献综述表明，该主题具有新兴性，需要进行大量的额外研究。研究人员调查的谵妄护理方面多种多样，包括床边干预（n=3）、筛查策略（n=4）、家庭教育（n=2）和采用多种方法的护理（n=2）。两项高质量研究显示，两种干预措施均显著改善了谵妄结局：一种是多组分干预，另一种是床边干预方案。其他低质量研究的有价值发现需要进一步研究。本文并未确定家庭参与谵妄管理是否能改善患者结局，但综述显示出了开发方案和进一步研究的潜力。
