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围麻醉期护理中的循证实践:美国老年医学会老年人术后谵妄临床实践指南的应用

Evidence-Based Practice in Perianesthesia Nursing: Application of the American Geriatrics Society Clinical Practice Guideline for Postoperative Delirium in Older Adults.

作者信息

Hebert Catherine

出版信息

J Perianesth Nurs. 2018 Jun;33(3):253-264. doi: 10.1016/j.jopan.2016.02.011. Epub 2017 Apr 15.

Abstract

Delirium is a pervasive and dangerous syndrome for older adults in the perianesthesia setting, occurring in up to 60% of surgical cases. The American Geriatrics Society performed a systematic review to develop recommendations for the prevention and management of postoperative delirium in older adults. The recommendations emphasize nonpharmacologic interventions with a strong focus on reducing the use of psychoactive medication. Perianesthesia nurses can serve as leaders in translating these recommendations into evidence-based practice at the bedside for older adults.

摘要

谵妄对于围麻醉期的老年人来说是一种普遍且危险的综合征,在高达60%的外科手术病例中都会出现。美国老年医学会进行了一项系统综述,以制定针对老年人术后谵妄预防和管理的建议。这些建议强调非药物干预,特别注重减少精神活性药物的使用。围麻醉期护士可以成为将这些建议转化为针对老年人床边循证实践的引领者。

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