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促进家庭参与重症监护中谵妄的管理:范围综述

Promoting Family Involvement in the Management of Delirium in Intensive Care: Scoping Review.

作者信息

Lange Sandra, Mędrzycka-Dąbrowska Wioletta

机构信息

Department of Internal and Pediatric Nursing, Faculty of Health Sciences, Medical University of Gdańsk, Dębinki 7, 80-211 Gdańsk, Poland.

Department of Anaesthesiology Nursing & Intensive Care, Faculty of Health Sciences, Medical University of Gdansk, Dębinki 7, 80-211 Gdańsk, Poland.

出版信息

Medicina (Kaunas). 2024 Nov 24;60(12):1934. doi: 10.3390/medicina60121934.

DOI:10.3390/medicina60121934
PMID:39768816
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11676385/
Abstract

: In recent years, family involvement in ICU patient care has become increasingly significant. Family involvement in delirium management, while desirable, can be difficult for loved ones. Therefore, every attempt should be made and interventions developed to promote and support the family in this process. The aim of this review was to analyze the available literature on interventions and strategies used by ICU staff to support and promote family involvement in the management of delirium in critically ill patients. : The databases searched included the following: MEDLINE, CINAHL, and the Cochrane Library. Studies were included in the review if they were conducted in adult intensive care units and/or addressed interventions to support and promote family/relatives' involvement in delirium management. : A total of 368 database articles were reviewed. After removing duplicates and checking for inclusion and exclusion criteria, four articles were finally included in the analysis. Research gaps and content analysis identified promotional and supportive interventions for family involvement in delirium management: (I) Education; (II) Mentoring; (III) Partnership. : Research gaps to be filled are as follows: (I) the scope of interventions that support and promote family involvement in delirium management; (II) interventions that enhance feelings of efficacy among family members and reduce symptoms of anxiety and depression; and (iii) the impact of specific interventions on patients' delirium outcomes.

摘要

近年来,家庭参与重症监护病房(ICU)患者护理变得越来越重要。虽然家庭参与谵妄管理是理想的,但对于亲人来说可能会很困难。因此,应尽一切努力并制定干预措施,以在这一过程中促进和支持家庭。本综述的目的是分析现有文献中关于ICU工作人员用于支持和促进家庭参与重症患者谵妄管理的干预措施和策略。

检索的数据库包括

医学文献数据库(MEDLINE)、护理及健康照护领域数据库(CINAHL)和考科蓝图书馆。如果研究是在成人重症监护病房进行的,和/或涉及支持和促进家庭/亲属参与谵妄管理的干预措施,则纳入本综述。

共审查了368篇数据库文章。在去除重复项并检查纳入和排除标准后,最终有4篇文章纳入分析。研究空白和内容分析确定了促进家庭参与谵妄管理的支持性干预措施:(I)教育;(II)指导;(III)伙伴关系。

有待填补的研究空白如下

(I)支持和促进家庭参与谵妄管理的干预措施范围;(II)增强家庭成员效能感并减轻焦虑和抑郁症状的干预措施;以及(iii)特定干预措施对患者谵妄结局的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d469/11676385/c7482cbee5c1/medicina-60-01934-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d469/11676385/c7482cbee5c1/medicina-60-01934-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d469/11676385/c7482cbee5c1/medicina-60-01934-g001.jpg

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本文引用的文献

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A Toolkit for Delirium Identification and Promoting Partnerships Between Carers and Nurses: A Pilot Pre-Post Feasibility Study.用于识别谵妄并促进护理人员和护士之间合作的工具包:一项试点预-后可行性研究。
J Gen Intern Med. 2024 Aug;39(11):2001-2008. doi: 10.1007/s11606-024-08734-6. Epub 2024 Apr 22.
2
The spectrum of psychological disorders in family members of patients suffering from delirium associated with critical illness: a prospective, observational study.谵妄相关危重症患者家属心理障碍谱:一项前瞻性观察研究。
Sci Rep. 2024 Feb 24;14(1):4562. doi: 10.1038/s41598-024-53968-3.
3
Understanding family carer experiences and perceptions of engagement in delirium prevention and care for adults in hospital: Qualitative systematic review.
理解家庭护理人员在预防和护理成人谵妄方面的体验和看法:定性系统评价。
J Clin Nurs. 2024 Apr;33(4):1320-1345. doi: 10.1111/jocn.16990. Epub 2024 Jan 29.
4
Exploring patients' and families' preferences for auditory stimulation in ICU delirium prevention: A qualitative study.探索患者及其家属对重症监护病房谵妄预防中听觉刺激的偏好:一项定性研究。
Intensive Crit Care Nurs. 2024 Jun;82:103629. doi: 10.1016/j.iccn.2024.103629. Epub 2024 Jan 21.
5
Diagnostic accuracy of the Family Confusion Assessment Method for delirium detection: A systematic review and meta-analysis.用于谵妄检测的家庭混乱评估方法的诊断准确性:一项系统评价和荟萃分析。
J Am Geriatr Soc. 2024 Mar;72(3):892-902. doi: 10.1111/jgs.18692. Epub 2023 Nov 29.
6
Risk factors associated with post-intensive care syndrome in family members (PICS-F): A prospective observational study.家庭成员重症监护后综合征(PICS-F)的相关危险因素:一项前瞻性观察研究。
J Intensive Care Soc. 2023 Aug;24(3):247-257. doi: 10.1177/17511437221108904. Epub 2022 Jun 15.
7
Partnering with carers in the management of delirium in general acute care settings: An integrative review.在普通急性护理环境中与护理人员合作管理谵妄:综合评价。
Australas J Ageing. 2023 Dec;42(4):638-648. doi: 10.1111/ajag.13229. Epub 2023 Aug 1.
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Anxiety and Depression Symptoms of Family Members of Intensive Care Unit Patients: A Prospective Observational Study and the Lived Experiences of the Family Members.重症监护病房患者家属的焦虑和抑郁症状:一项前瞻性观察研究及家属的生活经历
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