Faculty of Health, Gold Coast Campus, Southern Cross University, Bilinga, Queensland, Australia.
Caboolture Campus, University of Sunshine Coast, Caboolture, Queensland, Australia.
Australas J Ageing. 2023 Dec;42(4):638-648. doi: 10.1111/ajag.13229. Epub 2023 Aug 1.
Delirium is a common, preventable condition. However, delirium is poorly recognised and often missed because symptoms are misinterpreted, and risk factors overlooked by health-care professionals. Carers usually have intimate knowledge about the person they care for. Therefore, they are well placed within care teams to implement delirium prevention strategies, identify symptoms and support the early diagnosis of delirium. The aim of this integrative review was to synthesise findings from the published research reporting on partnering with carers in the management of delirium in general acute care settings.
Five databases (Medline-EBSCO, PubMed, PsycINFO, ProQuest, CINAHL and SCOPUS) were searched to identify primary research regarding partnering with carers in the management of delirium in acute care settings, and results were synthesised. PRISMA guidelines were adhered to, and quality appraisal was conducted using the Mixed Methods Appraisal Tool.
All seven studies reported that partnering with carers was a viable strategy in the management of delirium to maximise outcomes for people at risk of or experiencing delirium and that increasing carers' knowledge of delirium was key. The synthesis of findings also identified two themes: Increasing knowledge and Effective partnerships.
A collaborative approach to increasing carers' and nurses' knowledge about the management of delirium, coupled with education on how to develop therapeutic nurse-carer relationships, is important for ongoing effective partnerships in the management of delirium. Good communication supported effective partnerships, which enabled both nurses and carers the opportunity to express their needs and concerns and negotiate collaborative involvement in the management of delirium.
谵妄是一种常见且可预防的疾病。然而，由于医护人员对症状的误解和对风险因素的忽视，谵妄的识别和诊断率都很低。护理人员通常对他们所照顾的人有着深入的了解。因此，他们在护理团队中处于有利地位，可以实施谵妄预防策略，识别症状，并支持早期诊断谵妄。本综述的目的是综合已发表的研究报告，以评估在一般急性护理环境中与护理人员合作管理谵妄的研究结果。
为了识别关于在急性护理环境中与护理人员合作管理谵妄的初步研究，我们检索了五个数据库（Medline-EBSCO、PubMed、PsycINFO、ProQuest、CINAHL 和 SCOPUS），并对结果进行了综合分析。我们遵循 PRISMA 指南，并使用混合方法评估工具进行质量评估。
所有七项研究均报告称，与护理人员合作是管理谵妄的可行策略，可最大程度地改善有谵妄风险或正在经历谵妄的患者的结局，并且增加护理人员对谵妄的了解是关键。研究结果的综合分析还确定了两个主题：增加知识和建立有效的伙伴关系。
在管理谵妄方面，采取协作方法增加护理人员和护士对谵妄管理的了解，以及关于如何建立治疗性护士-护理人员关系的教育，对于持续有效的谵妄管理伙伴关系至关重要。良好的沟通支持有效的伙伴关系，使护士和护理人员都有机会表达他们的需求和关注点，并协商在谵妄管理方面进行合作。
