Acute Medical Unit, University College London Hospitals NHS Foundation Trust, 1-19 Torrington Place, London, WC1E 7HB, UK.
University College London Medical School, London, UK.
Eur Geriatr Med. 2021 Jun;12(3):643-651. doi: 10.1007/s41999-020-00443-7. Epub 2021 Feb 5.
To explore the recognition, response and understanding of delirium in families and carers of hospitalised patients.
All adults with delirium admitted to an acute medical unit were included. Delirium was diagnosed by a specialist geriatrician. The responder who sought medical advice for each patient was interviewed using a delirium recognition questionnaire. Vital status was ascertained at four months.
Sixty patients were included (mean age 85, SD 6.8 years). Reported symptoms included drowsiness and lack of responsiveness, though these were less commonly recognised as being due to delirium. 76% received medical advice within 24 h, although two responders took > 1 week. One-third of responders had never heard of delirium. Delirium knowledge among responders was variable.
Overall awareness and knowledge of delirium was poor. Community delirium education and public health initiatives may improve rapidity of recognition, delirium assessment, and potentially health outcomes.
探讨住院患者的家属和照护者对谵妄的认识、反应和理解。
纳入所有入住急性内科病房的谵妄患者。谵妄由老年病专家诊断。使用谵妄识别问卷对每位患者的求助者进行访谈。在四个月时确定存活状态。
共纳入 60 例患者（平均年龄 85 岁，标准差 6.8 岁）。报告的症状包括嗜睡和反应迟钝，但这些症状不太可能被认为是谵妄引起的。76%的患者在 24 小时内得到了医疗建议，尽管有两名求助者花费了超过 1 周的时间。三分之一的求助者从未听说过谵妄。求助者对谵妄的了解程度各不相同。
总体而言，对谵妄的认识和了解程度较差。社区谵妄教育和公共卫生措施可能会提高识别、评估谵妄的速度，并有可能改善健康结果。
