谵妄护理：解决现实世界问题的现实世界解决方案。

Delirium care: Real-world solutions to real-world problems.

作者信息

Eeles Eamonn, McCrow Judy, Teodorczuk Andrew, Caplan Gideon A

机构信息

Prince Charles Hospital Northside Clinical Unit, University of Queensland, Brisbane, Queensland, Australia.

Queensland Health, The Prince Charles Hospital, Brisbane, Queensland, Australia.

出版信息

Australas J Ageing. 2017 Dec;36(4):E64-E69. doi: 10.1111/ajag.12461. Epub 2017 Oct 13.

DOI:10.1111/ajag.12461

PMID:29028151

Abstract

OBJECTIVES

Implementation research into delirium care is lacking. Exploiting known practice barriers to understand what management strategies work best in delirium is a means of prioritising care interventions. A consensus approach to determining priority interventions in delirium was derived and related to reference standards in health-care practice.

METHODS

A workshop of 20 experts was held at the Australasian Delirium Association conference 2016. Structured small group work, iterative ranking and a 21-member check were undertaken to (i) explore research barriers in delirium care; (ii) explore how barriers related to individual items of multicomponent interventions; and (iii) rank multicomponent interventions in relation to each statement within the newly released Australian Commission on Safety and Quality in Health Care delirium standard.

RESULTS

Top-ranking interventions included the following: education and training, comprehensive geriatric assessment, family partnerships, individualised care and multidisciplinary engagement.

CONCLUSION

Delirium experts identified a minimum standard of any care intervention for delirium.

摘要

目的

目前缺乏关于谵妄护理的实施研究。利用已知的实践障碍来了解哪些管理策略在谵妄护理中效果最佳，是确定护理干预重点的一种方法。我们得出了一种确定谵妄优先干预措施的共识方法，并将其与医疗保健实践中的参考标准相关联。

方法

在2016年澳大拉西亚谵妄协会会议上举办了一次由20名专家参加的研讨会。开展了结构化小组工作、迭代排序以及由21名成员进行的核查，以（i）探讨谵妄护理中的研究障碍；（ii）探讨障碍与多组分干预各个项目的关系；（iii）根据新发布的澳大利亚医疗保健安全与质量委员会谵妄标准中的各项声明对多组分干预措施进行排序。