Evidenzbasierte nicht-pharmakologische Delirprävention im allgemeinstationären Bereich – Eine systematische Übersichtsarbeit

Hauß, Armin; Zilezinski, Max; Bergjan, Manuela

doi:10.1016/j.zefq.2020.11.007

Cited by 4 publications

(3 citation statements)

References 30 publications

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“…The results of previous studies confirmed non-pharmacological nursing interventions. One study confirmed the efficacy of a nonpharmacological intervention to prevent delirium in a general ward [3], and a narrative review [18] confirmed the efficacy of multicomponent programs as a nursing intervention to prevent delirium in hospitalized patients. Guidelines on the prevention and management of postoperative delirium in elderly patients [27] confirmed the efficacy of interventions using simulated family presence.…”

Section: Discussionmentioning

confidence: 85%

“…Delirium occurs in the acute phase and can lead to poor long-term outcomes [2]. To prevent these results, many studies have attempted to prevent and treat delirium using pharmacological and non-pharmacological interventions [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

“…Risk factors for delirium have been suggested to include older age; cognitive, functional, and sensory impairment; infection; illness severity; renal and electrolyte disturbances; living in an institution; diabetes; cerebral vascular diseases; pulmonary diseases; opioid use; length of surgery; blood loss; transfusion; albumin, hematocrit, and hemoglobin levels; Mini-Mental State Examination score; inability to ambulate, depression, number of medications, and treatment with multiple drugs [6,7]. Based on these risk factors, nonpharmacological interventions are being applied to reduce one or more risk factors to prevent or treat delirium [3].…”

Section: Introductionmentioning

confidence: 99%

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Non-Pharmacological Nursing Interventions for Prevention and Treatment of Delirium in Hospitalized Adult Patients: Systematic Review of Randomized Controlled Trials

Lee

Ishida

et al. 2021

IJERPH

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Delirium is a common neurobehavioral complication in hospitalized patients that can occur in the acute phase and lead to poor long-term outcomes. The purpose of this study was to identify non-pharmacological nursing interventions for the prevention and treatment of delirium in hospitalized adult patients. We conducted a systematic review to synthesize the findings of published studies. We searched the PubMed, EMBASE, CINAHL, and Cochrane Library CENTRAL databases for randomized controlled trials in January 2021. We report this systematic review according to the PRISMA 2009 checklist. The study was registered on PROSPERO (CRD42021226538). Nine studies were systematically reviewed for non-pharmacological nursing interventions for the prevention and treatment of delirium. The types of non-pharmacological nursing interventions included multicomponent intervention, multidisciplinary care, multimedia education, music listening, mentoring of family caregivers concerning delirium management, bright light exposure, ear plugs, and interventions for simulated family presence using pre-recorded video messages. These results could help nurses select and utilize non-pharmacological nursing interventions for the prevention and treatment of delirium in clinical nursing practice.

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Section: Discussionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Non-Pharmacological Nursing Interventions for Prevention and Treatment of Delirium in Hospitalized Adult Patients: Systematic Review of Randomized Controlled Trials

Lee

Ishida

et al. 2021

IJERPH

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Patientinnen- und patientenbezogene Auswirkungen von prozessverantwortlicher Pflege

Krüger

Mannebach

Zittermann

et al. 2023

Med Klin Intensivmed Notfmed

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Background Since January 2022, a primary nursing system called process-responsible nursing (PP) has substituted the standard room care system in an intensive care unit (ICU) at our institution. The process of the development and implementation of PP is already being evaluated in a separate study as an actual analysis prior to implementation, as well as after 6 and 12 months. Aim This pilot randomized controlled trial (RCT) aims to test the feasibility of an RCT. For this purpose, the duration of delirium, among other things, will be compared in the project ICU with the results of standard care in another ICU at the university hospital. As secondary aims, the incidence of delirium, anxiety, the satisfaction of relatives, and the effects of PP on nurses will be assessed. Methods It is planned to recruit about 400–500 patients over a period of one year. They will be allocated to PP or standard care. Delirium will be assessed using the Confusion Assessment Method for Intensive Care Units by specifically trained nurses three times a day. Anxiety in patients, the satisfaction of relatives, and the effects of PP on nurses will be evaluated using the numeric rating scale, a standardized questionnaire, and a focus group interview, respectively. Expected results The primary hypothesis is that compared to usual care PP reduces the duration of delirium by at least 8 h. Additional hypotheses are that PP reduces anxiety in patients and increases the satisfaction of relatives.

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Weiterentwicklung und Inhaltsvalidierung eines Fragebogens zur Erfassung des Wissens über das Delir

et al. 2022

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Zusammenfassung Hintergrund Das Delir ist ein neuropsychiatrisches Syndrom, welches häufig ältere Patient_innen betrifft und schwerwiegende Folgen haben kann. Oftmals wird es vom Gesundheitspersonal nicht erkannt. Der Wissensstand über das Delir ist beim pflegerischen und ärztlichen Personal häufig unzureichend ausgeprägt. Zum aktuellen Zeitpunkt fehlt im deutschsprachigen Raum ein Fragebogen zur Erfassung des Wissensstands. Ziel Weiterentwicklung eines Fragenbogens und Bewertung der Inhaltsvalidität. Methode Im Rahmen einer Literaturrecherche wurden mehrere Fragebögen identifiziert. Ein bereits publizierter Fragebogen mit den Dimensionen Grundlagenwissen über das Delir und Risikofaktoren ist übersetzt, angepasst und um die Dimension der nichtpharmakologischen Delirprävention erweitert worden. Die Bewertung der Fragebogenitems erfolgte durch Delirexpert_innen in 2 Runden. Die Inhaltsvalidität wurde anhand des Content Validity Index (CVI) auf Item(I-CVI)- und Skalen(S-CVI)-Level angegeben, zusätzlich wurde der „modified Kappa“ (κ*) mit der Untergrenze des 95 %igen Konfidenzintervalls (KI) berechnet. Ergebnisse Der 30 Items umfassende Originalfragebogen wurde um 18 Items der Delirprävention erweitert. Nach der ersten Bewertungsrunde durch 13 Expert_innen zeigten 30 von 48 Items gute bis exzellente I‑CVI-Werte (0,78–1,0). Unter Berücksichtigung der Kommentare wurden 6 Items verworfen und 12 Items sprachlich und inhaltlich adaptiert. In der finalen Version des Fragebogens verblieben 41 Items mit exzellenten Werten (1,0). Der Gesamtskalenwert hatte sich von 0,88 in der ersten Version auf 1,0 in der finalen Version erhöht. Als Zielgruppe wurden Pflegefachpersonen identifiziert, aber potenziell auch therapeutisches und ärztliches Personal. Schlussfolgerung Der Fragebogen zur Erfassung des Wissens über das Delir ist inhaltsvalide.

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Evidenzbasierte nicht-pharmakologische Delirprävention im allgemeinstationären Bereich – Eine systematische Übersichtsarbeit

Cited by 4 publications

References 30 publications

Non-Pharmacological Nursing Interventions for Prevention and Treatment of Delirium in Hospitalized Adult Patients: Systematic Review of Randomized Controlled Trials

Non-Pharmacological Nursing Interventions for Prevention and Treatment of Delirium in Hospitalized Adult Patients: Systematic Review of Randomized Controlled Trials

Patientinnen- und patientenbezogene Auswirkungen von prozessverantwortlicher Pflege

Weiterentwicklung und Inhaltsvalidierung eines Fragebogens zur Erfassung des Wissens über das Delir

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