中华护理杂志 ›› 2020, Vol. 55 ›› Issue (8): 1170-1174.DOI: 10.3761/j.issn.0254-1769.2020.08.009
收稿日期:2019-08-20
出版日期:2020-08-15
发布日期:2020-08-06
通讯作者:
作者简介:徐婷婷:女,本科(硕士在读),主管护师,护士长,E-mail: <email>xutt@shchildren.com.cn</email>
基金资助:
Received:2019-08-20
Online:2020-08-15
Published:2020-08-06
摘要:
谵妄是一种急性脑功能障碍综合征,儿童谵妄的发生率为4%~47%,谵妄既增加了儿童的住院时间及治疗费用,也会导致非计划拔管、坠床等意外事件的发生。谵妄的早期识别和及时处理可逆转住院患儿的负性结局。该文对早期识别儿童谵妄的危险因素、评估工具,以及个性化护理干预、医护协作下的药物管理及集束化护理方案的干预策略进行综述,以期为临床医护人员选择合适的儿童谵妄评估工具、采取有效的干预措施提供临床依据。
徐婷婷, 张伟英, 周如女. 儿童谵妄早期识别及护理干预的研究进展[J]. 中华护理杂志, 2020, 55(8): 1170-1174.
| [1] |
Turkel SB. Pediatric delirium:recognition,management,and outcome[J]. Curr Psychiatry Rep, 2017,19(12):101.
DOI URL PMID |
| [2] | Turkel SB, Hanft A. The pharmacologic management of delirium in children and adolescents[J]. Paediatr Drugs, 2014,16(4):267-274. |
| [3] |
Traube C, Silver G, Gerber LM, et al. Delirium and mortality in critically ill children:epidemiology and outcomes of pediatric delirium[J]. Crit Care Med, 2017,45(5):891-898.
URL PMID |
| [4] | Silver G, Traube C, Gerber LM, et al. Pediatric delirium and associated risk factors:a single-center prospective observational study[J]. Pediatr Crit Care Med, 2015,16(4):303-309. |
| [5] | Traube C, Mauer EA, Gerber LM, et al. Cost associated with pediatric delirium in the ICU[J]. Crit Care Med, 2016,44(12):e1175-e1179. |
| [6] |
Colville G, Pierce C. Patterns of post-traumatic stress symptoms in families after paediatric intensive care[J]. Intensive Care Med, 2012,38(9):1523-1531.
DOI URL PMID |
| [7] | Bettencourt A, Mullen JE. Delirium in children:identification,prevention,and management[J]. Crit Care Nurse, 2017,37(3):e9-e18. |
| [8] | 郭慧琦, 沈蕴之, 蒋红, 等. 危重症患者三级谵妄管理流程的制订及应用效果评价[J]. 中华护理杂志, 2019,54(3):332-337. |
| [9] | Norman S, Taha AA, Turner HN. Delirium in the critically ill child[J]. Clin Nurse Spec, 2017,31(5):276-284. |
| [10] | Franken A, Sebbens D, Mensik J. Pediatric delirium:early identification of barriers to optimize success of screening and prevention[J]. J Pediatri Heal Care, 2019,33(3):228-233. |
| [11] |
Patel AK, Biagas KV, Clarke EC, et al. Delirium in children after cardiac bypass surgery[J]. Pediatr Crit Care Med, 2017,18(2):165-171.
DOI URL PMID |
| [12] |
Traube C, Silver G, Kearney J, et al. Cornell assessment of pediatric delirium:a valid,rapid,observational tool for screening delirium in the PICU[J]. Crit Care Med, 2014,42(3):656-663.
DOI URL PMID |
| [13] | 许峰, 钱素云. 中国儿童重症监护病房镇痛和镇静治疗专家共识(2018版)解读[J]. 中华儿科杂志, 2019,57(5):336-337. |
| [14] |
Traube C, Silver G, Reeder RW, et al. Delirium in critically ill children:an international point prevalence study[J]. Crit Care Med, 2017,45(4):584-590.
DOI URL PMID |
| [15] |
Castro REV, Sousa CDC, de Magalhaes-Barbosa MC, et al. Ranitidine-induced delirium in a 7-year-old girl:a case report[J]. Pediatrics, 2019,143(2):e20182428.
DOI URL PMID |
| [16] |
Silver GH, Kearney JA, Kutko MC, et al. Infant delirium in pediatric critical care settings[J]. Am J Psychiatry, 2010,167(10):1172-1177.
DOI URL PMID |
| [17] |
Patel AK, Biagas KV, Clark EC, et al. Delirium in the pediatric cardiac extracorporeal membrane oxygenation patient population:a case series[J]. Pediatr Crit Care Med, 2017,18(12):e621-e624.
DOI URL PMID |
| [18] |
Nellis ME, Goel R, Feinstein S, et al. Association between transfusion of RBCs and subsequent development of delirium in critically ill children[J]. Pediatr Crit Care Med, 2018,19(10):925-929.
DOI URL PMID |
| [19] |
Battle DE. Diagnostic and statistical manual of mental disorders(DSM)[J]. Codas, 2013,25(2):191-192.
DOI URL PMID |
| [20] | Assessment and management of delirium across the life span[J]. Crit Care Nurse, 2017,37(2):112. |
| [21] | 孙建华, 郭海凌, 孙丹丹, 等. 重症患者谵妄评估的现状调查及影响因素分析[J]. 中华护理杂志, 2018,53(1):17-21. |
| [22] | Smith HA, Boyd J, Fuchs DC, et al. Diagnosing delirium in critically ill children:validity and reliability of the pediatric confusion assessment method for the intensive care unit[J]. Crit Care Med, 2011,39(1):150-157. |
| [23] | Smith HA, Gangopadhyay M, Goben CM, et al. The preschool confusion assessment method for the ICU:valid and reliable delirium monitoring for critically ill infants and children[J]. Crit Care Med, 2016,44(3):592-600. |
| [24] | Locatelli BG, Ingelmo PM, Emre S, et al. Emergence delirium in children:a comparison of sevoflurane and desflurane anesthesia using the Paediatric Anesthesia Emergence Delirium Scale[J]. Paediatr anaesth, 2013,23(4):301-308. |
| [25] | Malas N, Brahmbhatt K, McDermott C, et al. Pediatric delirium:evaluation,management,and special considerations[J]. Curr Psychiatry Rep, 2017,19(9):65. |
| [26] | Silver G, Traube C, Kearney J, et al. Detecting pediatric delirium:development of a rapid observational assessment tool[J]. Intensive Care Med, 2012,38(6):1025-1031. |
| [27] | Wassenaar A, Rood P, Schoonhoven L, et al. The impact of nursing Delirium Preventive Innterventions in the Intensive Care Unit(UNDERPIN-ICU):a study protocol for a multi-centre,stepped wedge randomized controlled trial[J]. Int J Nurs Stud, 2017,68:1-8. |
| [28] | Kawai Y, Weatherhead JR, Traube C, et al. Quality improvement initiative to reduce pediatric intensive care unit noise pollution with the use of a pediatric delirium bundle[J]. J Intensive Care Med, 2019,34(5):383-390. |
| [29] | Byun S, Song S, Kim JH, et al. Mother’s recorded voice on emergence can decrease postoperative emergence delirium from general anaesthesia in paediatric patients:a prospective randomised controlled trial[J]. Br J Anaesth, 2018,121(2):483-489. |
| [30] | Silver G, Traube C. A systematic approach to family engagement:feasibility pilot of a pediatric delirium management and prevention toolkit[J]. Palliat Suppor Care, 2019,17(1):42-45. |
| [31] | 朱明明, 刘芳, 王冉. 躁动镇静评分在重症患者中应用的研究进展[J]. 中华护理杂志, 2018,53(2):247-250. |
| [32] | Brahmbhatt K, Whitgob E. Diagnosis and management of delirium in critically ill infants:case report and review[J]. Pediatrics, 2016,137(3):e1940. |
| [33] | Balas M, Buckingham R, Braley T, et al. Extending the ABCDE bundle to the post-intensive care unit setting[J]. J Gerontol Nurs, 2013,39(8):39-51. |
| [34] | Bounds M, Kram S, Speroni KG, et al. Effect of ABCDE bundle implementation on prevalence of delirium in intensive care unit patients[J]. Am J Crit Care, 2016,25(6):535-544. |
| [35] | 李萌, 彭明琦, 陈清秀, 等. 集束干预策略在儿童机械通气镇静镇痛中的应用[J]. 安徽医药, 2015,19(11):2231-2233. |
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