doi:10.3761/j.issn.0254-1769.2019.09.027

Abstract

Abstract:

Key words: Delirium, Prognosis, Review

摘要：

回顾了谵妄的流行病学特征,阐述了谵妄对患者长期活动能力、认知功能、远期临床结局3个方面的影响,旨在引起医护人员对谵妄患者远期预后的关注,为相关干预措施的制订提供依据。

关键词: 谵妄, 预后, 综述

潘燕彬, 颜建龙, 骆谏英, 利雪燕, 童金燕, 高燕霞, 何青青. 谵妄患者远期预后的研究进展[J]. 中华护理杂志, 2019, 54(9): 1415-1418.

References 40

[1]	Arumugam S, El-Menyar A, Al-Hassani A , et al. Delirium in the intensive care unit[J]. J Emerg Trauma Shock, 2017,10(1):37-46.
[2]	Barr J, Fraser GL, Puntillo K , et al. Clinical practice guidelines for the management of pain,agitation,and delirium in adult patients in the intensive care unit:executive summary[J]. Am J Health Syst Pharm, 2013,70(1):53-58.
[3]	孙丹丹, 柴文昭, 郭海凌 , 等. 不同类型谵妄在机械通气患者中的发生现状及临床结局比较[J]. 中华护理杂志, 2018,53(7):778-782.
[4]	Ghaeli P, Shahhatami F, Mojtahed ZM , et al. Preventive intervention to prevent delirium in patients hospitalized in intensive care unit[J]. Iran J Psychiatry, 2018,13(2):142-147.
[5]	Haugen CE, Mountford A, Warsame F , et al. Incidence,risk factors,and sequelae of post-kidney transplant delirium[J]. J Am Soc Nephrol, 2018,29(6):1752-1759.
[6]	Inouye SK, Robinson T, Blaum C , et al. American Geriatrics So-ciety abstracted clinical practice guideline for postoperative delirium in older adults[J]. J Am Geriatr Soc, 2015,63(1):142-150.
[7]	Sharma A, Malhotra S, Grover S , et al. Incidence,prevalence,risk factor and outcome of delirium in intensive care unit:a study from India[J]. Gen Hosp Psychiatry, 2012,34(6):639-646.
[8]	吴琼, 江智霞, 潘燕彬 , 等. 机械通气患者发生谵妄的影响因素分析[J]. 中华护理杂志, 2018,53(5):543-548.
[9]	Anderson BJ, Chesley CF, Theodore M , et al. Incidence,risk factors,and clinical implications of post-operative delirium in lung transplant recipients[J]. J Heart Lung Transplant, 2018,37(6):755-762.
[10]	张海涛, 唐远志, 秦颖 . 60岁以上结直肠癌患者术后谵妄的危险因素和临床结局[J]. 中华胃肠外科杂志, 2017,20(11):1263-1268.
[11]	Yamada C, Iwawaki Y, Harada K , et al. Frequency and risk factors for subsyndromal delirium in an intensive care unit[J]. Intensive Crit Care Nurs, 2018,47:15-22.
[12]	Ha A, Krasnow RE, Mossanen M , et al. A contemporary population-based analysis of the incidence, cost, and outcomes of postoperative delirium following major urologic cancer surgeries[J]. Urol Oncol, 2018, 36(7):341.e15-341.e22.
[13]	Brummel NE, Jackson JC, Pandharipande PP , et al. Delirium in the ICU and subsequent long-term disability among survivors of mechanical ventilation[J]. Crit Care Med, 2014,42(2):369-377.
[14]	Rudolph JL, Inouye SK, Jones RN , et al. Delirium:an independent predictor of functional decline after cardiac surgery[J]. J Am Geriatr Soc, 2010,58(4):643-649.
[15]	Quinlan N, Rudolph JL . Postoperative delirium and functional decline after noncardiac surgery[J]. J Am Geriatr Soc, 2011,59(2):S301-304.
[16]	Herridge MS, Tansey CM, Matté A , et al. Functional disability 5 years after acute respiratory distress syndrome[J]. N Engl J Med, 2011,364(14):1293-1304.
[17]	Iwashyna TJ, Ely EW, Smith DM , et al. Long-term cognitive impairment and functional disability among survivors of severe sepsis[J]. JAMA, 2010,304(16):1787-1794.
[18]	Barnato AE, Albert SM, Angus DC , et al. Disability among elderly survivors of mechanical ventilation[J]. Am J Respir Crit Care Med, 2011,183(8):1037-1042.
[19]	Honda S, Nagai T, Sugano Y , et al. Prevalence,determinants,and prognostic significance of delirium in patients with acute heart failure[J]. Int J Cardiol, 2016,222:521-527.
[20]	Han JH, Vasilevskis EE, Chandrasekhar R , et al. Delirium in the emergency department and its extension into hospitalization (DELINEATE) study:effect on 6-month function and cog-nition[J]. J Am Geriatr Soc, 2017,65(6):1333-1338.
[21]	王春立, 吴瑛, 黄洁 , 等. ICU谵妄亚型发生率及风险因素分析[J]. 护理研究, 2011,25(11):3058-3061.
[22]	凌寿福 . 导致入住ICU的危重症患者发生谵妄的危险因素分析[J]. 当代医药论丛, 2017,15(12):95-96.
[23]	殷晓山, 金扬, 翁建龙 . 脑梗死后谵妄患者的危险因素及随访认知和功能状态的改变[J]. 浙江实用医学, 2012,17(4):245-247.
[24]	牛宝丰, 尹晓明, 周卫东 . 脑白质变性与认知障碍[J]. 中国神经免疫学和神经病学杂志, 2014,21(4):282-285.
[25]	Popp J . Delirium and cognitive decline:more than a coincidence[J]. Curr Opin Neurol, 2013,26(6):634-639.
[26]	Morandi A, Pandharipande PP, Jackson JC , et al. Understanding terminology of delirium and long-term cognitive impairment in critically ill patients[J]. Best Pract Res Clin Anaesthesiol, 2012,26(3):267-276.
[27]	Pandharipande PP, Girard TD, Jackson JC , et al. Long-term cog-nitive impairment after critical illness[J]. N Engl J Med, 2013,369(14):1306-1316.
[28]	Girard TD, Jackson JC, Pandharipande PP , et al. Delirium as a predictor of long-term cognitive impairment in survivors of critical illness[J]. Crit Care Med, 2010,38(7):1513-1520.
[29]	Saczynski JS, Marcantonio ER, Quach L , et al. Cognitive trajectories after postoperative delirium[J]. N Engl J Med, 2012,367(1):30-39.
[30]	Morandi A, Rogers BP, Gunther ML , et al. The relationship between delirium duration,white matter integrity,and cognitive impairment in intensive care unit survivors as determined by diffusion tensor imaging:the visions prospective cohort magnetic resonance imaging study[J]. Crit Care Med, 2012,40(7):2182-2189.
[31]	Witlox J , Eurelings LS,de Jonghe JF,et al. Delirium in elderly patients and the risk of postdischarge mortality,institutionalization,and dementia:a meta-analysis[J]. JAMA, 2010,304(4):443-451.
[32]	Davis DH, Muniz TG, Keage H , et al. Delirium is a strong risk factor for dementia in the oldest-old:a population-based cohort study[J]. Brain, 2012,135(9):2809-2816.
[33]	Eide LS, Ranhoff AH, Fridlund B , et al. Readmissions and mor-tality in delirious versus non-delirious octogenarian patients after aortic valve therapy:a prospective cohort study[J]. BMJ Open, 2016,6(10):e012683.
[34]	Huded CP, Huded JM, Sweis RN , et al. The impact of delirium on healthcare utilization and survival after transcatheter aortic valve replacement[J]. Catheter Cardiovasc Interv, 2017,89(7):1286-1291.
[35]	Pendlebury ST, AUID-Oho, Lovett NG , et al. Observational,longitudinal study of delirium in consecutive unselected acute medical admissions:age-specific rates and associated factors,mortality and re-admission[J]. BMJ Open, 2015,5(11):e007808.
[36]	Kennedy M, Enander RA, Tadiri SP , et al. Delirium risk prediction,healthcare use and mortality of elderly adults in the emergency department[J]. J Am Geriatr Soc, 2014,62(3):462-469.
[37]	Honda S, Furukawa K, Nishiwaki N , et al. Risk factors for postoperative delirium after gastrectomy in gastric cancer patients[J]. World J Surg, 2018,42(11):3669-3675.
[38]	Kim SY, Kim SW, Kim JM , et al. Differential associations between delirium and mortality according to delirium subtype and age:a prospective cohort study[J]. Psychosom Med, 2015,77(8):903-910.
[39]	Ahmed S, Leurent B, Sampson EL . Risk factors for incident delirium among older people in acute hospital medical units:a systematic review and meta-analysis[J]. Age Ageing, 2014,43(3):326-333.
[40]	Inouye SK, Westendorp RG, Saczynski JS . Delirium in elderly people[J]. Lancet, 2014,383(9920):911-922.

谵妄患者远期预后的研究进展

RichHTML

PDF

Knowledge

Abstract

Cite this article

share this article

References 40

Related Articles 15

Recommended Articles

Metrics

[1]	LI Tiantian, QU Nan, CUI Liping, WEI Ling, ZHANG Lifeng, CHENG Yiwei, SUN Shuang. Risk prediction models for thrombosis in autologous arteriovenous fistulas in hemodialysis patients：a Meta-analysis [J]. Chinese Journal of Nursing, 2026, 61(9): 1269-1276.
[2]	CAI Weixin, SUN Weige, ZHANG Ran, CHEN Weiqi, WANG Yuying, WANG Yilong. Research progress on supportive care needs of patients with amyotrophic lateral sclerosis [J]. Chinese Journal of Nursing, 2026, 61(9): 1277-1283.
[3]	ZHANG Shiyang, LIU Qiaoyu, LIN Xiaoling, AI Xingxing, CHEN Ciduan, HUANG Jiewei. Application progress of the symptom science model in symptom management of patients with type 2 diabetes mellitus [J]. Chinese Journal of Nursing, 2026, 61(9): 1284-1290.
[4]	HUANG Xuan, GUO Shuping, Caldenas Xiaodong, XIE Yunying, WANG Hanmin, ZHANG Yumei, LIU Taoli, LI Li. Systematic review of measurement properties of psoriasis patient specific self-reported outcome assessment tools and nursing implications [J]. Chinese Journal of Nursing, 2026, 61(8): 1117-1124.
[5]	LI Qiuhua, FU Guifen, JIANG Jianhua, YIN Dan, ZUO Jing, LIU Yanqun. The application of wearable devices in dynamic monitoring and management of patients with inflammatory bowel disease：a scoping review [J]. Chinese Journal of Nursing, 2026, 61(8): 1132-1140.
[6]	XIONG Lisha, YUAN Yue, WANG Sixue, WANG Yuncui. Research progress on fidelity of intervention programs for cognitive impairment patients from the perspective of implementation science [J]. Chinese Journal of Nursing, 2026, 61(8): 1141-1147.
[7]	LI Yan, XU Cuiping. Recent advances in the application of digital biomarkers for disease assessment and monitoring in cancer patients [J]. Chinese Journal of Nursing, 2026, 61(8): 1148-1152.
[8]	ZENG Jialin, FU Bing, YANG Lingyun, JIANG Qinghua. Evaluation of patient-reported outcome assessment tools for head and neck cancer patients and nursing implications [J]. Chinese Journal of Nursing, 2026, 61(7): 986-994.
[9]	WANG Xiuli, DAI Chunhao, XU Ziting, LI Haoyuan, LENG Minmin, ZHANG Haibo, LI Qing, YANG Lijuan. A scoping review on the application of exercise interventions in elderly patients with sarcopenic obesity [J]. Chinese Journal of Nursing, 2026, 61(7): 995-1001.
[10]	HE Jingting, YING Yanping, LU Qiufang, ZHAO Huihan, LIU Liying, MA Hanzhang, ZHANG Cheng. Scoping review on the application of multimodal data in the nursing field [J]. Chinese Journal of Nursing, 2026, 61(7): 1002-1008.
[11]	ZHENG Yan, ZENG Yongke, CHEN Jing, LUO Xiaoqin, XIA Liangxiang, ZHENG Silin. Application research of postoperative cardiac delirium patients risk prediction models [J]. Chinese Journal of Nursing, 2026, 61(6): 768-774.
[12]	WU Ling, WU Bo, CHEN Hong, GU Chenxi, LIU Yang, ZHANG Chunjin, CHEN Mengqi, ZHANG Qing. Machine learning-based prediction models for intraoperative hypothermia risk in adults：a scoping review [J]. Chinese Journal of Nursing, 2026, 61(6): 844-851.
[13]	GUO Xiaobei, WANG Ying, GUO Yue, CUI Mengying, LU Zhihui, HUANG Zijing. Research progress of square step exercise in the prevention of motor cognitive risk syndrome in the elderly [J]. Chinese Journal of Nursing, 2026, 61(6): 852-857.
[14]	CHEN Jing, WANG Junjun, WEI Xiaoqiong, HE Huan, SUN Qiuyi, TANG Ying, HAN Ying, HE Huayun. Exercise intervention in children with juvenile idiopathic arthritis：a scoping review [J]. Chinese Journal of Nursing, 2026, 61(6): 858-864.
[15]	WEN Jia, GUO Huifang, GUO Jingjing, TIAN Yunxia, YANG Yue, LIU Bo. Social isolation in maintenance hemodialysis patients：a scoping review [J]. Chinese Journal of Nursing, 2026, 61(5): 605-611.