Cuidados enfermeros en el síndrome confusional agudo en pacientes con fractura de cadera.
- María Plaza-Carmona 1
- Carmen Requena-Hernández 2
- Sonia Jiménez-Mola 1
- 1 Hospital Universitario de León.
- 2 Universidad de León.
ISSN: 2173-822X
Année de publication: 2020
Volumen: 4
Número: 31
Pages: 27-32
Type: Article
D'autres publications dans: Nuberos científica
Résumé
Acute confusion syndrome (SCA) or delirium is one of the most important cognitive disorders in the elderly, both for its prevalence and prognosis. Objective: To identify diagnostic and interventional variables (pharmacological/non-pharmacological) in nursing, involved in ACS in hospitalized elderly people diagnosed with hip fracture (FC). Method: An English, Spanish and Portuguese search was applied for key research descriptors in Medline/Pubmed, Web of Science, Wiley Online Library, COCHRANE, and sciencedirect. A manual search was also performed on revision references. Results: 22 publications have been identified in the last ten years, all of which refer to clinical variables and only 6 mention variables related to good nursing practices. The most common nursing practice is aimed at the administration of drugs prescribed by the doctor, desating other measures related to the control of environmental and social variables that precipitate this syndrome in older people. Conclusions: it is necessary to establish diagnostic and action protocols for the SCA that implement a more active role to the infirmary. In addition, these protocols should include not only clinical but also non-pharmacological variables.
Références bibliographiques
- Ljunggren Ö. El hueso vivo. Suecia: Sparre Lifespan; 2006.
- Muñoz-Pascual A, Sáez-López P, Jiménez-Mola S, Sánchez-Hernández, N. Alonso-García N, Andrés-Sainz AI, Pablos-Hernández C. Ortogeriatría: primer registro multicéntrico autonómico de fracturas de cadera en Castilla y León (España). Rev Esp Geriatr Gerontol. 2017;52(5):242–8.
- Rizk P, Morris W, Oladeji P, Huo M. Review of postoperative delirium in geriatric patients undergoing hip surgery. Geriatr Orthop Surg Rehabil. 2016;7(2):100–5.
- Mariz J, Costa-Castanho T, Teixeira J, Sousa N, Correia Santos N. Delirium diagnostic and screening instruments in the emergency department: an up-to-date systematic review. Geriatrics. 2016;1(3).
- Bert ES, Qanneta R, Moreno V V., Laporte ASJ. Abordaje del riesgo de delirium en una unidad de ortogeriatría. Med Clin (Barc). 2019;152(8):298–302.
- Mondéjar JR, Sánchez CP, Lozano RM, Guillem RJ, Sánchez JI, Tortosa FC, et al. Síndrome confusional agudo en UCI: factores que influyen y actitud de enfermería. Enfermería Intensiva. 2001;12(1):3–9.
- Rizk P, Morris W, Oladeji P, Huo M. Review of postoperative delirium in geriatric patients undergoing hip surgery. Geriatr Orthop Surg Rehabil. 2016;7:100–105.
- Martocchia A, Curto M, Comite F. The prevention and treatment of delirium in elderly patients following hip fracture surgery. Recent Pat CNS Drug Discov. 2015;10:55–64.
- Smith TO, Cooper A, Peryer G, Griffiths R, Fox C, Cross J. Factors predicting incidence of post‐operative delirium in older people following hip fracture surgery: a systematic review and meta‐analysis. Int J Geriatr Psychiatry. 2017;32(4):386–96.
- Kolanowski AM, Hill NL, Kurum E, Fick DM, Yevchak AM, Mulhall P, et al. Gender differences in factors associated with delirium severity in older adults with dementia. Arch Psychiatr Nurs. 2014;28(3):187–92.
- Guerrero CH, Gázquez AA, Ruiz LG. Tratamiento de enfermería ante el Síndrome Confusional Agudo: pacientes y cuidadores. In Calidad de vida, cuidadores e intervención para la mejora de la salud en el envejecimiento. Madrid: sociación Universitaria de Educación y Psicología.; 2015. 683–688 p.
- Spedale V, Di Mauro S, Del Giorno G, Barilaro M, Villa CE, Gaudreau JD, et al. Delirium assessment in hospitalized elderly patients: Italian translation and validation of the nursing delirium screening scale. Aging Clin Exp Res. 2017;29(4):675–83.
- Freter S, Koller K, Dunbar M, MacKnight C, Rockwood K. Translating delirium prevention strategies for elderly adults with hip fracture into routine clinical care: a pragmatic clinical trial. J Am Geriatr Soc. 2017;65(3):567–73.
- Lönnbro J, Wallerstedt SM. Clinical relevance of the STOPP/START criteria in hip fracture patients. Eur J Clin Pharmacol. 2017;73(4):499–505.
- Guo Y, Jia P, Zhang J, Wang X, Jiang H, Jiang W. Prevalence and risk factors of postoperative delirium in elderly hip fracture patients. J Int Med Res. 2016;44(2):317–27.
- Campbell N, Boustani MA, Ayub A, Fox GC, Munger SL, Ott C, et al. Pharmacological management of delirium in hospitalized adults–a systematic evidence review. J Gen Intern Med. 2009;24(7):848–53.
- Machado-Duque, M. E. Castaño-Montoya, J. P. Medina-Morales, D. A. Castro-Rodríguez, A. González-Montoya, A. Machado-Alba JE. Association between the use of benzodiazepines and opioids with the risk of falls and hip fractures in older adults. Int psychogeriatrics. 2018;30(7):941–6.
- Tkacheva ON, Runikhina NK, Vertkin AL, Voronina, I. V. Sharashkina, N. V. Mkhitaryan EA, Ostapenko V, Prokhorovich E, et al. The diagnosis of delirium in an acute-care hospital in Moscow: what does the Pandora’s box contain? Clin Interv Aging. 2017;12:343–349.
- American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM IV). 4th ed. Washington DC: American Psychiatric Association; 1994.
- Inouye SK, Zhang Y, Jones R, Kiely D, Yang F, Marcantonio ER. Risk factors for delirium at discharge: development and validation of a predictive model. Arch Intern Med. 2007;167:1406–13.
- Inouye SK, Zhang Y, Jones RN, Kiely, D. K., Yang, F. Marcantonio ER. Risk factors for delirium at discharge: development and validation of a predictive model. Arch Intern Med. 2007;167(13):1406–13.
- Inouye SK, van Dyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: the confusion assessment method. A new method for detection of delirium. Ann Intern Med. 1990;113(12):941–948.
- Kolanowski AM, Fick DM, Clare L, Therrien B, Gill DJ. An intervention for delirium superimposed on dementia based on cognitive reserve theory. Aging Ment Health. 2010;14(2):232–42.