Faculty of Health, Universidad Surcolombiana, Neiva, Colombia (Ms Gómez Tovar); and Faculty of Nursing, Universidad Nacional de Colombia, Bogotá, Colombia (Dr Henao Castaño).
Crit Care Nurs Q. 2020 Jul/Sep;43(3):312-336. doi: 10.1097/CNQ.0000000000000316.
Delirium is a manifestation of brain injury or acute and generalized dysfunction of the upper cerebral cortical processes. In this way, it is important to analyze delirium more broadly as a symptom to understand and intervene taking into account that it is manifesting the presence of brain lesions whose consequences are deleterious to the neurological performance of patients. This article is intended to present a comprehensive approach of delirium analyzed from a symptom perspective and from theoretical and conceptual structure, such as the Dynamic Symptoms Model, specific to the nursing practice. A literature review related to delirium and components of Dynamic Symptoms Model was carried out. We searched the MEDLINE, ScienceDirect, SciELO, and Scopus databases using the terms Delirium, Intensive Care Units, Nursing, and Risk Factor. The existing literature provides evidence of the antecedents, experience, interventions, interactions, and consequences of delirium, which are components of the Model. Thus, the analysis from the Dynamic Symptoms Model perspective bears relevance and contributes to the understanding and approach of delirium.
谵妄是脑损伤或大脑皮质高级过程急性和广泛性功能障碍的表现。因此,重要的是要更广泛地分析谵妄作为一种症状,考虑到它表现出存在脑损伤,其后果对患者的神经功能有害,以便理解和干预。本文旨在从症状角度和从理论和概念结构(如护理实践特有的动态症状模型)全面分析谵妄。对与谵妄和动态症状模型的组成部分相关的文献进行了综述。我们使用了术语谵妄、重症监护病房、护理和危险因素,在 MEDLINE、ScienceDirect、SciELO 和 Scopus 数据库中进行了搜索。现有文献提供了谵妄的前因、经历、干预措施、相互作用和后果的证据,这些都是该模型的组成部分。因此,从动态症状模型的角度进行分析具有相关性,并有助于理解和处理谵妄。