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护士对重症监护患者实施的非药物干预对谵妄持续时间的影响:一项荟萃分析研究。

The effect of nonpharmacological interventions applied by nurses to intensive care patients on the duration of delirium: a meta-analysis study.

机构信息

Nursing Department, Faculty of Health Sciences, Hatay Mustafa Kemal University, Hatay, Turkey.

Department of Nursing, Gümüşhane University Faculty of Health Sciences, Gumushane, Turkey.

出版信息

Ir J Med Sci. 2024 Apr;193(2):865-873. doi: 10.1007/s11845-023-03504-5. Epub 2023 Aug 25.

Abstract

OBJECTIVE

It was aimed to determine the effect level of nonpharmacological methods applied by nurses to patients hospitalized in the intensive care unit on the duration of delirium.

MATERIALS AND METHODS

For this study, relevant studies were accessed by searching in July-October 2022. After the necessary exclusions were made, 14 studies were included in the study. The total sample size of the studies was 1123.

RESULTS

According to the results, nonpharmacological interventions applied by nurses to intensive care patients were found to reduce the duration of delirium (SMD: - 0.625, 95% CI: - 1.1040-0.210; Z =  - 2.950, p = 0.003, I = 93.119%). The country of the study (SMD: - 0.047, p = 0.001) and the types of nonpharmacological interventions used (SMD: - 0.062, p = 0.000) influenced the effect size of modulators on the duration of delirium in ICU patients.

CONCLUSION

Nonpharmacological interventions applied by nurses, who have significant responsibilities in the protection and promotion of health, were found to reduce the duration of delirium in intensive care patients. This study shows that nurses, one of the main components of the multidisciplinary team in intensive care, are successful when they apply nonpharmacological interventions well.

摘要

目的

旨在确定护士对重症监护病房住院患者实施的非药物方法的作用水平对谵妄持续时间的影响。

材料和方法

为此研究,于 2022 年 7 月至 10 月进行了相关研究检索。在进行必要的排除后,纳入了 14 项研究。这些研究的总样本量为 1123 例。

结果

根据结果,发现护士对重症监护患者实施的非药物干预措施可缩短谵妄持续时间(SMD:-0.625,95%CI:-1.1040-0.210;Z=-2.950,p=0.003,I=93.119%)。研究所在国(SMD:-0.047,p=0.001)和使用的非药物干预类型(SMD:-0.062,p=0.000)影响了调节因素对 ICU 患者谵妄持续时间的效应大小。

结论

具有保护和促进健康重要职责的护士实施的非药物干预措施,可缩短重症监护患者的谵妄持续时间。这项研究表明,护士作为重症监护多学科团队的主要组成部分之一,当他们很好地实施非药物干预措施时,是成功的。

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