van der Weele Gerda M, Eizenga Wietze H, Dautzenberg Paul L J, Wiersma Tjerk, Burgers Jako S
Nederlands Huisartsen Genootschap, afd. Richtlijnontwikkeling en Wetenschap, Utrecht.
Ned Tijdschr Geneeskd. 2014;158:A7766.
The revised practice guideline 'Delirium' of the Dutch College of General Practitioners (NHG) provides recommendations about the prevention, early detection, diagnosis and treatment of delirium in elderly patients in general practice. The guideline now also offers tools for the treatment of delirium in terminally-ill patients. A patient with delirium can only be cared for at home if a safe environment and the continuous presence of carers can be guaranteed. This requires close cooperation between the care services and the home carers involved and good coordination with the general practice health centre. The discharge from hospital of patients with persistent symptoms of delirium to their homes requires optimal transfer from the specialist/nursing staff to the general practitioner and home carers involved. The NHG guideline therefore pays considerable attention to collaboration and transfer in the care of patients with delirium. The revised version of this guideline was developed in close collaboration with the revision of the multidisciplinary guideline on delirium produced by the Dutch Order of Medical Specialists.
荷兰全科医生学院（NHG）修订后的“谵妄”实践指南针对全科医疗中老年患者谵妄的预防、早期发现、诊断及治疗给出了建议。该指南现在还提供了针对临终患者谵妄治疗的工具。只有在能够确保安全环境且有护理人员持续在场的情况下，谵妄患者才能在家中得到照料。这需要护理服务机构与相关家庭护理人员密切合作，并与全科医疗健康中心做好协调。将仍有持续性谵妄症状的患者从医院送回家，需要专科医生/护理人员向相关全科医生和家庭护理人员进行优化交接。因此，NHG指南相当重视谵妄患者护理中的协作与交接。本指南的修订版是与荷兰医学专家协会制定的多学科谵妄指南的修订版密切合作完成的。
