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谵妄与 2019 年冠状病毒病:回顾过去,展望未来。

Delirium and Coronavirus Disease 2019: Looking Back, Moving Forward.

机构信息

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.

出版信息

Crit Care Nurs Clin North Am. 2024 Sep;36(3):415-426. doi: 10.1016/j.cnc.2023.12.003. Epub 2024 Jan 2.

Abstract

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.

摘要

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。

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本文引用的文献

1
The Role of Data Science in Closing the Implementation Gap.
Crit Care Clin. 2023 Oct;39(4):701-716. doi: 10.1016/j.ccc.2023.03.005. Epub 2023 Apr 7.
2
A voice-based digital assistant for intelligent prompting of evidence-based practices during ICU rounds.
J Biomed Inform. 2023 Oct;146:104483. doi: 10.1016/j.jbi.2023.104483. Epub 2023 Aug 30.
3
Factors related to intensive care unit Nurses' work engagement: A web-based survey.
Nurs Health Sci. 2023 Sep;25(3):445-455. doi: 10.1111/nhs.13041. Epub 2023 Aug 10.
4
Digital Education for the Deployment of Artificial Intelligence in Health Care.
J Med Internet Res. 2023 Jun 22;25:e43333. doi: 10.2196/43333.
5
Evolution of Visiting the Intensive Care Unit.
Crit Care Clin. 2023 Jul;39(3):541-558. doi: 10.1016/j.ccc.2023.01.005. Epub 2023 Feb 26.
6
Post-intensive care syndrome (PICS): recent updates.
J Intensive Care. 2023 May 23;11(1):23. doi: 10.1186/s40560-023-00670-7.
7
Incidence of Delirium in Critically Ill Patients With and Without COVID-19.
J Intensive Care Med. 2023 Aug;38(8):751-759. doi: 10.1177/08850666231162805. Epub 2023 Mar 20.
9
Interdisciplinary Treatment for Survivors of Critical Illness due to COVID-19: Expanding the Post-Intensive Care Recovery Model and Impact on Psychiatric Outcomes.
J Acad Consult Liaison Psychiatry. 2023 May-Jun;64(3):226-235. doi: 10.1016/j.jaclp.2023.01.009. Epub 2023 Jan 30.
10
Predisposing and Precipitating Factors Associated With Delirium: A Systematic Review.
JAMA Netw Open. 2023 Jan 3;6(1):e2249950. doi: 10.1001/jamanetworkopen.2022.49950.

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