老年谵妄患者的循证护理_West China Medical Journal

Authors：

 高浪丽 , 杨佳 ,  岳冀蓉

四川大学华西医院老年医学中心（成都 610041）;

Corresponding author：

高浪丽, Email: gaolangli@126.com; 岳冀蓉, Email: yuejirong11@hotmail.com

Keywords：

老年; 谵妄; 循证护理

DOI：

10.7507/1002-0179.201600348

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的为1例老年谵妄患者制定护理方案，检索当前最佳证据，使谵妄症状消失，促进患者早日康复。方法 2015年4月13日收治1例老年患者，入院诊断：①肺部感染，Ⅰ型呼吸衰竭；②原发性高血压3级，极高危；③意识障碍原因待查；④低蛋白血症。患者有原因不明的意识障碍，护士全面评估病情后，确定患者存在谵妄。针对患者的谵妄问题，检索数据库获得循证医学证据，制定最佳护理方案，住院始末均全面实施该方案，评价护理结局。结果检索纳入循证指南2篇，系统评价4篇，在对老年谵妄患者进行护理时，针对谵妄的危险因素提前进行预防，采用多学科合作的非药物干预手段，可以使老年患者的谵妄症状消失，改善护理质量。结论通过循证方法护理老年谵妄患者，更具有科学性和有效性。

Citation： 高浪丽, 杨佳, 岳冀蓉. 老年谵妄患者的循证护理. West China Medical Journal, 2016, 31(7): 1282-1284. doi: 10.7507/1002-0179.201600348 Copy

1.	Haynes RB. Of studies, syntheses, synopses, summaries, and systems:the "5S"evolution of information services for evidence-based health care decisions[J]. ACP J Club, 2006, 145(3):A8.
2.	Young J, Murthy L, Westby M, et al. Diagnosis, prevention, and management of delirium:summary of NICE guidance[J]. BMJ, 2010, 341:c3704.
3.	Rabinowitz T, Murphy KM, Nagle KJ, et al. Delirium:pathophysiology, recognition, prevention and treatment[J]. Expert Rev Neurother, 2003, 3(3):343-355.
4.	Lonergan E, Britton AM, Luxenberg J, et al. Antipsychotics for delirium[J]. Cochrane Database Syst Rev, 2007(2):CD005594.
5.	Flaherty JH, Gonzales JP, Dong B. Antipsychotics in the treatment of delirium in older hospitalized adults:a systematic review[J]. J Am Geriatr Soc, 2011, 59(Suppl 2):S269-S276.
6.	Hshieh TT, Yue J, Oh E, et al. Effectiveness of multicomponent nonpharmacological delirium interventions:a meta-analysis[J]. JAMA Intern Med, 2015, 175(4):512-520.
7.	Akunne A, Murthy L, Young J. Cost-effectiveness of multi-component interventions to prevent delirium in older people admitted to medical wards[J]. Age Ageing, 2012, 41(3):285-291.
8.	董碧蓉. 临床住院医师规范化培训系列-循证临床实践[M]. 北京:人民卫生出版社, 2008:63-67.
9.	Inouye SK, Westendorp RG, Saczynski JS. Delirium in elderly people[J]. Lancet, 2014, 383(9920):911-922.
10.	Inouye SK. Delirium in older persons[J]. N Engl J Med, 2006, 354(11):1157-1165.

1. Haynes RB. Of studies, syntheses, synopses, summaries, and systems:the "5S"evolution of information services for evidence-based health care decisions[J]. ACP J Club, 2006, 145(3):A8.
2. Young J, Murthy L, Westby M, et al. Diagnosis, prevention, and management of delirium:summary of NICE guidance[J]. BMJ, 2010, 341:c3704.
3. Rabinowitz T, Murphy KM, Nagle KJ, et al. Delirium:pathophysiology, recognition, prevention and treatment[J]. Expert Rev Neurother, 2003, 3(3):343-355.
4. Lonergan E, Britton AM, Luxenberg J, et al. Antipsychotics for delirium[J]. Cochrane Database Syst Rev, 2007(2):CD005594.
5. Flaherty JH, Gonzales JP, Dong B. Antipsychotics in the treatment of delirium in older hospitalized adults:a systematic review[J]. J Am Geriatr Soc, 2011, 59(Suppl 2):S269-S276.
6. Hshieh TT, Yue J, Oh E, et al. Effectiveness of multicomponent nonpharmacological delirium interventions:a meta-analysis[J]. JAMA Intern Med, 2015, 175(4):512-520.
7. Akunne A, Murthy L, Young J. Cost-effectiveness of multi-component interventions to prevent delirium in older people admitted to medical wards[J]. Age Ageing, 2012, 41(3):285-291.
8. 董碧蓉. 临床住院医师规范化培训系列-循证临床实践[M]. 北京:人民卫生出版社, 2008:63-67.
9. Inouye SK, Westendorp RG, Saczynski JS. Delirium in elderly people[J]. Lancet, 2014, 383(9920):911-922.
10. Inouye SK. Delirium in older persons[J]. N Engl J Med, 2006, 354(11):1157-1165.

West China Medical Journal

老年谵妄患者的循证护理

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content