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多组分非药物护理干预对预防谵妄的作用:一项随机对照研究。

Role of multicomponent non-pharmacological nursing interventions on delirium prevention: A randomized controlled study.

机构信息

Department of Elderly Care, Vocational College of Health Services, Bartın University, Agdaci Campus, Bartın 74100, Turkey.

Department of Internal Medicine Nursing, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, Istanbul, Turkey.

出版信息

Geriatr Nurs. 2022 Mar-Apr;44:207-214. doi: 10.1016/j.gerinurse.2022.02.015. Epub 2022 Feb 26.

Abstract

Multicomponent-Non-PharmacologicalNursingInterventions (Multi-Non-PharmaNIs) are evidence-based recommendations for the prevention of delirium. Purpose of this randomized controlled trial was to compare the effects of Multi-Non-PharmaNIs on delirium. The Multi-Non-PharmaNIs included orientation strategies (playing audio recordings of a non-family/family member), reading a daily newspaper, andwearing an eye patch at night. The absence/presence of delirium was assessed two times a day for three consecutive days. The patients in Group1 were made to listen to the orientation messages recorded in a non-family member's voice (10 min), was read newspaper, and wore an eye patch at night. Group2 received the same interventions as Group1, only the orientation messages were recorded in a family member's voice. The control group received standard nursing-care. There was a significant difference between 3 groups. When Group1 and Group2 were compared with the control group, it was found that there was a significant difference between Group2 and control group (p<0.05). Multi-Non-PharmaNIs were found to reduce delirium in critically ill patients.

摘要

多组分非药物性护理干预(Multi-Non-PharmaNIs)是预防谵妄的循证推荐。本随机对照试验的目的是比较 Multi-Non-PharmaNIs 对谵妄的影响。Multi-Non-PharmaNIs 包括定向策略(播放非家庭成员/家庭成员的录音)、阅读日报和夜间戴眼罩。连续三天每天两次评估有无谵妄。第 1 组患者听非家庭成员录制的定向信息(10 分钟),阅读报纸,夜间戴眼罩。第 2 组接受与第 1 组相同的干预措施,只是定向信息是由家庭成员录制的。对照组接受标准护理。三组之间有显著差异。当第 1 组和第 2 组与对照组进行比较时,发现第 2 组与对照组之间存在显著差异(p<0.05)。多组分非药物性护理干预措施可减少重症患者的谵妄。

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