Palavras-chave
adulto
cuidados intensivos
delirium
Como Citar
Resumo
Enquadramento: a pessoa com delirium representa um desafio aos profissionais de saúde, nomeadamente aos enfermeiros. Por outro lado, existem limitações importantes quanto ao tratamento farmacológico desta doença. Objetivos: identificar a eficácia de intervenções não farmacológicas em adultos com delirium implementadas pelos enfermeiros em cuidados intensivos. Metodologia: realizámos uma revisão integrativa, tendo recorrido a bases bibliográficas eletrónicas, nomeadamente EBSCO e Pubmed MEDLINE, para artigos publicados entre 2018 e 2022. O processo de seleção de artigos teve por base as recomendações da PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) para revisões sistemáticas. Resultados: foram incluídos no estudo nove artigos (n=9), dos quais seis correspondem a artigos originais, dois a meta-análises e uma revisão sistemática. A intervenção não farmacológica com maior evidência disponível foi a intervenção multicomponente, apesar da qualidade dos estudos limitar recomendações concretas em relação a esta abordagem. Conclusão: a evidência aponta para que uma personalização dos cuidados numa perspetiva complexa e integrada seja a abordagem não farmacológica do delirium com maior eficácia.
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Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição 4.0.
Direitos de Autor (c) 2024 Fábio Emanuel Quintal Fernandes, Orlando Ferro Fernandes, Isabel Abreu, Hugo Canas-Simião, Filipe Vieira Franco