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引用次数: 0
摘要
随着老年人口的爆炸性增长,神经精神综合征,尤其是谵妄的发病率在社区和医院环境中不断上升。谵妄是一种认知和注意力的急性障碍,可能预示着严重的医疗和生命危险,也可能模仿精神病-心理健康问题。虽然谵妄在社区的发病率较低,但却影响着高达 87% 的住院老年人,每年造成的损失高达 1,520 亿美元。尽管谵妄很常见,但在所有护理环境中,50% 至 60% 的谵妄患者往往未被发现,从而延误了治疗并导致不良的患者预后,如死亡率增加、住院时间延长、认知和功能障碍、生活质量下降和入院治疗。本文探讨了识别谵妄的策略,并介绍了循证方法和未来谵妄管理的注意事项。[社会心理护理和心理健康服务期刊》(Journal of Psychosocial Nursing and Mental Health Services),62(11),11-18。
Clear Minds: Unravelling Delirium in Older Adults.
With an explosive population growth of older adults, the incidence rates of neuropsychiatric syndromes, particularly delirium, are increasing in the community and hospital settings. Delirium is an acute disturbance in cognition and attention that may signify a serious medical, life-threatening condition and may mimic psychiatric-mental health issues. Although its prevalence rate is lower in the community, delirium affects up to 87% of hospitalized older adults and can cost up to $152 billion each year. Despite its common occurrence, delirium is often undetected in 50% to 60% across all care settings, delaying treatment and resulting in poor patient outcomes, such as increased mortality, prolonged hospital stays, cognitive and functional impairment, decreased quality of life, and institutionalization. The current article addresses strategies to recognize delirium and presents evidence-based approaches and future considerations for delirium management. [Journal of Psychosocial Nursing and Mental Health Services, 62(11), 11-18.].
期刊介绍:
The Journal of Psychosocial Nursing and Mental Health Services is a peer-reviewed, monthly journal for psychosocial and mental health nurses in a variety of community and institutional settings. For more than 50 years, the Journal has provided the most up-to-date, practical information available for today’s psychosocial-mental health nurse, including short contributions about psychopharmacology, mental health care of older adults, addictive behaviors and diagnoses, and child/adolescent disorders and issues. Begin to explore the Journal and all of its great benefits such as:
• Monthly feature, “Clip & Save: Drug Chart,” a one-page resource of up-to-date information on current medications for various psychiatric illnesses
• Access to current articles, as well as several years of archived content
• Articles posted online just 2 months after acceptance
• Continuing Nursing Education credits available each month