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肿瘤医院服务中谵妄的药物和非药物治疗:一项综合综述。

Pharmacological and non-pharmacological treatment of delirium in an oncological hospital service: an integrative review.

作者信息

Louro Luciana Aparecida Vieira, Possari João Francisco, Lima Antônio Fernandes Costa

机构信息

Instituto do Câncer do Estado de São Paulo - Octávio Frias de Oliveira. São Paulo, São Paulo, Brazil.

Universidade de São Paulo. São Paulo, São Paulo, Brazil.

出版信息

Rev Bras Enferm. 2021 Mar 24;74(1):e20200200. doi: 10.1590/0034-7167-2020-0200. eCollection 2021.

DOI:10.1590/0034-7167-2020-0200
PMID:33787792
Abstract

OBJECTIVES

to analyze the production of scientific articles about the pharmacological and non-pharmacological management of delirium in adult hospitalized cancer patients.

METHODS

integrative review whose sample was obtained from the databases Scopus, Cumulative Index to Nursing and Allied Health Literature, EMBASE, Web of Science, and from the portals Biblioteca Virtual em Saúde, and PubMed.

RESULTS

among the ten studies analyzed, 80% described exclusively the pharmacological management, especially with regard to the use of haloperidol; 20% mentioned, superficially, non-pharmacological interventions/actions (educational actions) associated to pharmacological management, and adjusting them could result in the diminution and control of psychomotor agitation, contributing for the safety and comfort of the patient.

CONCLUSIONS

there are few studies addressing pharmacological and non-pharmacological interventions/actions to manage delirium. As a result, it is essential to develop studies focused on increasing and advancing scientific knowledge with regard to the theme, especially in the national context.

摘要

目的

分析关于成年住院癌症患者谵妄的药物和非药物管理的科学文章的产出情况。

方法

采用综合综述,其样本取自Scopus、护理及相关健康文献累积索引、EMBASE、科学网数据库,以及虚拟健康图书馆和PubMed等门户网站。

结果

在分析的十项研究中,80%仅描述了药物管理,特别是关于氟哌啶醇的使用;20%表面上提到了与药物管理相关的非药物干预/行动(教育行动),调整这些措施可能会减少和控制精神运动性激越,有助于患者的安全和舒适。

结论

针对谵妄管理的药物和非药物干预/行动的研究较少。因此,开展专注于增加和推进该主题科学知识的研究至关重要,尤其是在国内背景下。

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