Summary of the best evidence for non-drug management of postoperative delirium in neurosurgical patients
10.3760/cma.j.cn115682-20220501-02133
- VernacularTitle:神经外科患者术后谵妄非药物管理的最佳证据总结
- Author:
Yana XING
1
;
Xiuxiu WANG
;
Lin WANG
Author Information
1. 首都医科大学附属北京天坛医院重症医学科，北京 100070
- Keywords:
Delirium;
Neurosurgery;
Non-drug management;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2023;29(6):735-743
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the evidence of non-drug management of postoperative delirium in neurosurgery patients at home and abroad, so as to provide reference for medical and nursing staff to formulate intervention measures.Methods:This study is a best evidence summary. In view of the problem of non-drug management of postoperative delirium in neurosurgery patients, according to the "6S" pyramid model, the evidence on non-drug management of postoperative delirium in neurosurgery patients was retrieved through computer in domestic and foreign databases, guide websites and professional association websites, including clinical practice guidelines, expert consensus, clinical decision-making, systematic review, evidence summary and so on. The retrieval period was from January 1, 2016 to December 31, 2021. Two researchers independently evaluated the quality of article and extracted evidence, and used the Joanna Briggs Institute (JBI) evidence pre-grading and evidence recommendation grading system (2014 version) to grade and recommend the included evidence.Results:A total of 17 articles were included, including 6 guidelines, 3 expert consensus, 3 systematic reviews, 3 evidence summaries, and 2 clinical decision-makings. Finally, 39 best evidences were summarized in 7 aspects, including risk factor assessment, screening, non-drug prevention, non-drug treatment, information support and health education, follow-up and evaluation, and medical worker training.Conclusions:The best evidence for non-drug management of postoperative delirium in neurosurgical patients is comprehensive. Medical and nursing staff can select evidence according to the clinical situation and the actual situation of patients, and carefully and reasonably transform and apply evidence.
