Delirium management in critically ill patients: an integrative review

Detalhes bibliográficos
Autor(a) principal: da Silva, Márcia Aurélia Cardoso Pereira
Data de Publicação: 2023
Outros Autores: Teixeira, Joana Moreira Ferreira, Durao, Maria Candida Rama da Costa Pinheiro Palmeiro
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Health Review
Texto Completo: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/57461
Resumo: Introduction: The critically ill patient is at high risk of developing delirium, which is an independent predictor of mortality, morbidity, increased length of stay, health costs and safety incidents. The incidence of this disturbance can reach 80% in this population, with severe impact on short and long-term outcomes of patients and family. Objectives: To analyse and summarise evidence regarding nursing interventions that are effective on delirium management in critically ill patients. Methodology: For this integrative review, literature research was conducted in electronic databases MEDLINE, CINAHL and Cochrane Database of Systematic, as well as other sources, from January 2013 to September 2021. Results and Discussion: The search retrieved 140 documents, 135 obtained from electronic databases and five from other sources. After assessing eligibility, 22 final documents were obtained for data extraction and analysis. The results show that the implementation of multicomponent interventions have greater benefits in reducing delirium incidence and duration. Non-pharmacological interventions, like early mobilization and family participation, also stand out. Nurses play a significant role in delirium management, and this review can help nurses to choose interventions based on clinical evidence, improving the outcomes of the critically ill patient. Conclusion: The implementation of multicomponent interventions demonstrates greater benefits in reducing delirium incidence and duration, with impact on other person-centred outcomes. Further multicentric studies are needed to prove unequivocal benefits of engaging the family of critically ill adults with delirium, and its benefits in their outcomes.
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spelling Delirium management in critically ill patients: an integrative reviewdeliriumcritical carecritically ill patientsnursing researchdelirium managementIntroduction: The critically ill patient is at high risk of developing delirium, which is an independent predictor of mortality, morbidity, increased length of stay, health costs and safety incidents. The incidence of this disturbance can reach 80% in this population, with severe impact on short and long-term outcomes of patients and family. Objectives: To analyse and summarise evidence regarding nursing interventions that are effective on delirium management in critically ill patients. Methodology: For this integrative review, literature research was conducted in electronic databases MEDLINE, CINAHL and Cochrane Database of Systematic, as well as other sources, from January 2013 to September 2021. Results and Discussion: The search retrieved 140 documents, 135 obtained from electronic databases and five from other sources. After assessing eligibility, 22 final documents were obtained for data extraction and analysis. The results show that the implementation of multicomponent interventions have greater benefits in reducing delirium incidence and duration. Non-pharmacological interventions, like early mobilization and family participation, also stand out. Nurses play a significant role in delirium management, and this review can help nurses to choose interventions based on clinical evidence, improving the outcomes of the critically ill patient. Conclusion: The implementation of multicomponent interventions demonstrates greater benefits in reducing delirium incidence and duration, with impact on other person-centred outcomes. Further multicentric studies are needed to prove unequivocal benefits of engaging the family of critically ill adults with delirium, and its benefits in their outcomes.Brazilian Journals Publicações de Periódicos e Editora Ltda.2023-02-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/5746110.34119/bjhrv6n1-309Brazilian Journal of Health Review; Vol. 6 No. 1 (2023); 3993-4009Brazilian Journal of Health Review; Vol. 6 Núm. 1 (2023); 3993-4009Brazilian Journal of Health Review; v. 6 n. 1 (2023); 3993-40092595-6825reponame:Brazilian Journal of Health Reviewinstname:Federação das Indústrias do Estado do Paraná (FIEP)instacron:BJRHenghttps://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/57461/42007da Silva, Márcia Aurélia Cardoso PereiraTeixeira, Joana Moreira Ferreira Durao, Maria Candida Rama da Costa Pinheiro Palmeiroinfo:eu-repo/semantics/openAccess2023-03-17T13:41:12Zoai:ojs2.ojs.brazilianjournals.com.br:article/57461Revistahttp://www.brazilianjournals.com/index.php/BJHR/indexPRIhttps://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/oai|| brazilianjhr@gmail.com2595-68252595-6825opendoar:2023-03-17T13:41:12Brazilian Journal of Health Review - Federação das Indústrias do Estado do Paraná (FIEP)false
dc.title.none.fl_str_mv Delirium management in critically ill patients: an integrative review
title Delirium management in critically ill patients: an integrative review
spellingShingle Delirium management in critically ill patients: an integrative review
da Silva, Márcia Aurélia Cardoso Pereira
delirium
critical care
critically ill patients
nursing research
delirium management
title_short Delirium management in critically ill patients: an integrative review
title_full Delirium management in critically ill patients: an integrative review
title_fullStr Delirium management in critically ill patients: an integrative review
title_full_unstemmed Delirium management in critically ill patients: an integrative review
title_sort Delirium management in critically ill patients: an integrative review
author da Silva, Márcia Aurélia Cardoso Pereira
author_facet da Silva, Márcia Aurélia Cardoso Pereira
Teixeira, Joana Moreira Ferreira
Durao, Maria Candida Rama da Costa Pinheiro Palmeiro
author_role author
author2 Teixeira, Joana Moreira Ferreira
Durao, Maria Candida Rama da Costa Pinheiro Palmeiro
author2_role author
author
dc.contributor.author.fl_str_mv da Silva, Márcia Aurélia Cardoso Pereira
Teixeira, Joana Moreira Ferreira
Durao, Maria Candida Rama da Costa Pinheiro Palmeiro
dc.subject.por.fl_str_mv delirium
critical care
critically ill patients
nursing research
delirium management
topic delirium
critical care
critically ill patients
nursing research
delirium management
description Introduction: The critically ill patient is at high risk of developing delirium, which is an independent predictor of mortality, morbidity, increased length of stay, health costs and safety incidents. The incidence of this disturbance can reach 80% in this population, with severe impact on short and long-term outcomes of patients and family. Objectives: To analyse and summarise evidence regarding nursing interventions that are effective on delirium management in critically ill patients. Methodology: For this integrative review, literature research was conducted in electronic databases MEDLINE, CINAHL and Cochrane Database of Systematic, as well as other sources, from January 2013 to September 2021. Results and Discussion: The search retrieved 140 documents, 135 obtained from electronic databases and five from other sources. After assessing eligibility, 22 final documents were obtained for data extraction and analysis. The results show that the implementation of multicomponent interventions have greater benefits in reducing delirium incidence and duration. Non-pharmacological interventions, like early mobilization and family participation, also stand out. Nurses play a significant role in delirium management, and this review can help nurses to choose interventions based on clinical evidence, improving the outcomes of the critically ill patient. Conclusion: The implementation of multicomponent interventions demonstrates greater benefits in reducing delirium incidence and duration, with impact on other person-centred outcomes. Further multicentric studies are needed to prove unequivocal benefits of engaging the family of critically ill adults with delirium, and its benefits in their outcomes.
publishDate 2023
dc.date.none.fl_str_mv 2023-02-22
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/57461
10.34119/bjhrv6n1-309
url https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/57461
identifier_str_mv 10.34119/bjhrv6n1-309
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/57461/42007
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Brazilian Journals Publicações de Periódicos e Editora Ltda.
publisher.none.fl_str_mv Brazilian Journals Publicações de Periódicos e Editora Ltda.
dc.source.none.fl_str_mv Brazilian Journal of Health Review; Vol. 6 No. 1 (2023); 3993-4009
Brazilian Journal of Health Review; Vol. 6 Núm. 1 (2023); 3993-4009
Brazilian Journal of Health Review; v. 6 n. 1 (2023); 3993-4009
2595-6825
reponame:Brazilian Journal of Health Review
instname:Federação das Indústrias do Estado do Paraná (FIEP)
instacron:BJRH
instname_str Federação das Indústrias do Estado do Paraná (FIEP)
instacron_str BJRH
institution BJRH
reponame_str Brazilian Journal of Health Review
collection Brazilian Journal of Health Review
repository.name.fl_str_mv Brazilian Journal of Health Review - Federação das Indústrias do Estado do Paraná (FIEP)
repository.mail.fl_str_mv || brazilianjhr@gmail.com
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