Cuidados para el manejo de delirio en Unidades de Paciente Crítico: una revisión integrativa

Gabriela Flores-Oñate; Paula Ceballos-Vásquez; Rocio Mejías-Parada

Gabriela Flores-Oñate Hospital San Juan de Curicó (Curicó, Chile)
Paula Ceballos-Vásquez Departamento de Enfermería. Universidad Católica del Maule (Curicó, Chile)
Rocio Mejías-Parada Hospital Regional de Talca (Talca, Chile)

Palabras clave: Delirio, Enfermería, Cuidados críticos, Unidades de Cuidados Intensivos

Key-words: Delirium, Nursing, Critical care, Intensive Care Units

Palavras chave: Delirium, Enfermagem, Cuidados criticos, Unidades de Terapia Intensiva

Resumen

Objetivo: analizar en la evidencia bibliográfica los aspectos que influyen en el desarrollo del delirio, manejo, evaluación objetiva para su pesquisa y los cuidados relacionados a la promoción y prevención de éste en los usuarios hospitalizados en unidades críticas. Metodología: Se realizó una revisión integrativa, en bases de datos CINAHL; SCOPUS y Scielo. Fueron seleccionados 19 artículos limitados por año (2016-2017). Resultado: Se identificaron cuatro factores que impactan en el delirio: la fisiopatología/factores de riesgo, la prevención y promoción, la evaluación objetiva y el manejo en unidades críticas. Conclusión: La Gestión del Cuidado se encuentra a cargo de Enfermería, por ende, es fundamental no dejar esta temática de lado debido a que su incidencia aumentará los días de hospitalización, días de ventilación mecánica y mortalidad, impactando negativamente en la calidad de los cuidados

Abstract

Aim: To identify aspects that influence the development of delirium, its management, evaluation and care in relation to the promotion and the prevention of delirium. Methodology: An integrative review was carried out in the following databases; CINHAL, SCOPUS and Scielo. 19 articles were selected, limited by year (2016-2017). Result: Four factors that have an impact on delirium were identified: pathophysiology / risk factors, prevention and promotion, objective evaluation and management in critical units. Conclusion: Nursing is in charge of care management, therefore, it is essential not to leave this issue aside because its incidence will increase the days of hospitalization, days of mechanical ventilation and mortality, negatively impacting the quality of care

Resumo

Objetivo: Identificar aspectos que influenciam o desenvolvimento do delirium, seu manejo, avaliação objetiva para sua pesquisa e cuidados relacionados à promoção e prevenção deste. Metodologia: Uma revisão integrativa foi realizada nas bases de dados da CINAHL; SCOPUS e Scielo. Foram selccionados 19 artigos limitados por ano (2016-2017). Resultado: Foram identificados quatro fatores que têm impacto no delirium: fisiopatologia / fatores de risco, prevenção e promoção, avaliação objetiva e manejo em unidades críticas. Conclusão: A gerência do cuidado é responsável pela enfermagem, portanto, é imprescindível não deixar de lado essa questão, pois sua incidência aumentará os dias de internação, dias de ventilação mecânica e mortalidade, impactando negativamente na qualidade do cuidado

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Cuidados para el manejo de delirio en Unidades de Paciente Crítico: una revisión integrativa

Care management of delirium in Critical Patient Units: an integrative review

Cuidados para o manejo de delirium em Unidades de Pacientes Críticos: uma revisão integrativa

Resumen

Abstract

Resumo

Bibliografía