Summary of the best evidence for environment management to prevent delirium in ICU patients
10.3760/cma.j.cn115682-20230413-01450
- VernacularTitle:预防ICU患者谵妄发生环境管理的最佳证据总结
- Author:
Hongmei ZHU
1
;
Yimei GU
;
Min XU
;
Lina LIANG
;
Liuna GE
;
Anni HU
;
Jiangying HAN
Author Information
1. 安徽医科大学第一附属医院急诊科，合肥 230088
- Keywords:
Delirium;
Intensive Care Unit;
Environment management;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2023;29(33):4550-4557
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the relevant evidence of environmental management for preventing delirium in ICU patients, so as to provide references for delirium management in ICU patients.Methods:Evidence-based questions were constructed according to the PIPOST model, and relevant clinical decisions, guidelines, expert consensus, systematic reviews and evidence summaries published by various guideline websites, evidence-based databases and comprehensive databases at home and abroad were systematically searched according to the evidence resource "6S" model. The search period was from the establishment of databases to September 3, 2022. Two researchers independently conducted literature quality evaluation using corresponding literature quality evaluation tools. The Joanna Briggs Institute (JBI) Evidence Pre-grading and Evidence Recommendation Grading System (2014 Edition) was used to grade and recommend included evidence.Results:A total of 30 articles were included, including 5 guidelines, 2 expert consensus, 1 clinical recommended practice, 4 evidence summaries and 18 systematic reviews. A total of 36 best evidences were summarized from 5 aspects, including environment optimization, sleep promotion, cognitive stimulation, positioning and orientation function, and safety protection.Conclusions:Medical staff should manage the ICU environment based on evidence-based evidence to prevent or reduce the occurrence of delirium in patients.
