Department of Critical Care Medicine, CRISMA Center, University of Pittsburgh, Pittsburgh, PA, USA.
Department of Medicine, Pulmonary and Critical Care, Critical Illness, Brain Dysfunction, and Survivorship Center, Vanderbilt University Medical Center, Nashville, TN, USA.
Crit Care Nurs Clin North Am. 2024 Sep;36(3):415-426. doi: 10.1016/j.cnc.2023.12.003. Epub 2024 Jan 2.
During the coronavirus disease 2019 pandemic, crisis changes in clinical care increased rates of delirium in the intensive care unit (ICU). Deep sedation, unfamiliar environments with visitor restrictions, and such factors due to high workload and health system strain contributed to the occurrence of delirium doubling in the ICU. As the pandemic wanes, health care systems and ICU leadership must emphasize post-pandemic recovery, integrating lessons learned about delirium management, evidence-based care, and family involvement. Strategies to empower clinicians, creatively deliver care, and integrate families pave the way forward for a more holistic approach to patient care in the post-pandemic era.
在 2019 冠状病毒病大流行期间,临床护理的危机变化导致重症监护病房(ICU)中谵妄的发生率增加。深度镇静、访客限制的陌生环境以及由于工作量大、卫生系统紧张等因素导致 ICU 中谵妄发生率增加了一倍。随着大流行的消退,医疗保健系统和 ICU 领导层必须强调大流行后的恢复,整合有关谵妄管理、基于证据的护理和家庭参与的经验教训。赋予临床医生权力、创造性地提供护理以及整合家庭的策略为后大流行时代更全面的患者护理方法铺平了道路。