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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.

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

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