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Nursing Intervention to Prevent and Manage Delirium in Critically Ill Patients: A Scoping Review

2024-06-01Journal article Open access
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dc.contributor.authorFernandes, Filipa
dc.contributor.authorSantos, Mariana
dc.contributor.authorAnacleto, Ana Margarida
dc.contributor.authorJerónimo, Cátia
dc.contributor.authorFerreira, Óscar
dc.contributor.authorBaixinho, Cristina Lavareda
dc.date.accessioned2024-09-09T12:58:34Z
dc.date.available2024-09-09T12:58:34Z
dc.date.issued2024-06-01
dc.descriptionThis article belongs to the Special Issue Symptoms and Experiences of Patients after Intensive Care.pt_PT
dc.descriptionFunding: The present study was funded by the Center for Research, Innovation, and Development in Nursing, in Portugal, by means of grants provided to some of the authors (CIDNUR, Psafe2transition_2021).pt_PT
dc.description.abstractDelirium is an acute neuropsychiatric syndrome of multifactorial etiology with a high incidence in people admitted to intensive care units. In addition to reversible impairment of cognitive processes, it may be associated with changes in thinking and perception. If, in the past, it was considered an expected complication of severe disease, nowadays, delirium is associated with a poor short-term and long-term prognosis. Knowing that its prevention and early identification can reduce morbidity, mortality, and health costs, it is vital to investigate nursing interventions focused on delirium in critically ill patients. This study aimed to identify nursing interventions in the prevention and management of delirium in critically ill adults. The method used to answer the research question was a scoping review. The literature search was performed in the Medline (via PubMed), CINAHL (via EBSCOhost), Scopus, Web of Science, and JBI databases. The final sample included 15 articles. Several categories of non-pharmacological interventions were identified, addressing the modifiable risk factors that contribute to the development of delirium, and for which nurses have a privileged position in their minimization. No drug agent can, by itself, prevent or treat delirium. However, psychoactive drugs are justified to control hyperactive behaviors through cautious use. Early diagnosis, prevention, or treatment can reduce symptoms and improve the individual’s quality of life. Therefore, nursing professionals must ensure harmonious coordination between non-pharmacological and pharmacological strategies.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFernandes, F.; Santos, M.; Anacleto, A.M.; Jerónimo, C.; Ferreira, Ó.; Baixinho, C.L. Nursing Intervention to Prevent and Manage Delirium in Critically Ill Patients: A Scoping Review. Healthcare 2024, 12, 1134. https://doi.org/10.3390/ healthcare12111134pt_PT
dc.identifier.doihttps://doi.org/10.3390/healthcare12111134pt_PT
dc.identifier.eissn2227-9032
dc.identifier.urihttp://hdl.handle.net/10400.8/10023
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPI (Multidisciplinary Digital Publishing Institute)pt_PT
dc.relation.publisherversionhttps://www.mdpi.com/2227-9032/12/11/1134pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAdultpt_PT
dc.subjectCritical carept_PT
dc.subjectCritically illpt_PT
dc.subjectDeliriumpt_PT
dc.subjectIntensive care unitpt_PT
dc.subjectNursing carept_PT
dc.titleNursing Intervention to Prevent and Manage Delirium in Critically Ill Patients: A Scoping Reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue11pt_PT
oaire.citation.startPage1134pt_PT
oaire.citation.titleHealthcarept_PT
oaire.citation.volume12pt_PT
person.familyNameLavareda Baixinho
person.givenNameCristina
person.identifier57203119057
person.identifier.ciencia-idBF1A-C950-8BEE
person.identifier.orcid0000-0001-7417-1732
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationb0ae74ed-abba-4718-88f8-9e5c8c8031b0
relation.isAuthorOfPublication.latestForDiscoveryb0ae74ed-abba-4718-88f8-9e5c8c8031b0

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