Summary of best evidence for family participation in delirium management of ICU patients
10.3760/cma.j.cn115682-20240708-03796
- VernacularTitle:家属参与ICU患者谵妄管理的最佳证据总结
- Author:
Fei YANG
1
;
Meijie ZHANG
;
Chenwei WANG
;
Meng XIU
;
Ying ZHU
;
Weiying ZHANG
Author Information
1. 同济大学医学院，上海 200070
- Publication Type:Journal Article
- Keywords:
Intensive Care Unit;
Delirium;
Family participation;
Humanistic care;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2025;31(5):638-645
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To extract, evaluate, and summarize evidence related to family participation in delirium management of ICU patients and provid a reference for clinical practice.Methods:A systematic search was conducted in databases such as UpToDate, National Institute for Health and Care Excellence, Scottish Intercollegiate Guidelines Network, National Guideline Clearinghouse, Medlive, Cochrane Library, PubMed, Embase, CINAHL, China National Knowledge Infrastructure, and China Biology Medicine disc. The search covered clinical decisions, guidelines, expert consensus, evidence summaries, systematic reviews, and randomized controlled trials related to family participation in ICU delirium management, with a timeframe up to March 20, 2024. Two researchers independently screened literature, assessed quality, extracted evidence, and graded it.Results:A total of 28 articles were included, comprising seven evidence summaries, five guidelines, three expert consensuses, six systematic reviews, and seven randomized controlled trials. The findings were synthesized into five themes: visitation, assessment, non-pharmacological management, psychological and physical care, and health education, with a total of 26 best evidence points.Conclusions:The best evidence summarized in this study provides an evidence-based foundation for ICU healthcare providers to guide and encourage family participation in delirium management, which aida in the prevention of delirium in ICU patients.
