Intervenções não farmacológicas dos enfermeiros à pessoa com delirium internada em cuidados intensivos – uma atualização

Fernandes, F. E. Q., Ferro Fernandes, O., Abreu, I., Canas-Simião, H., & Vieira Franco, F. (2024). Non-pharmacological interventions from nurses to patients with delirium admitted to intensive care – an update. Journal of Health Research & Innovation, 7(2), 1–10. https://doi.org/10.37914/riis.v7i2.334

Abstract

Background: the person with delirium represents a challenge to health professionals, especially nurses. On the other hand, there are important limitations regarding the pharmacological treatment of this disease. Objectives: to identify the efficacy of non-pharmacological interventions in adults with delirium by intensive care nursing. Methodology: we carried out an integrative review, using electronic bibliographic databases, namely EBSCO and Pubmed MEDLINE, for articles published between 2018 and 2022. The process of selecting articles was based on the recommendations of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) for systematic reviews. Results: nine articles (n=9) were included in the study, of which six correspond to original articles, two to meta-analyses and one systematic review. The non-pharmacological intervention with the greatest available evidence was the multicomponent intervention, although the quality of the studies limits concrete recommendations regarding this approach. Conclusion: the evidence points to the fact that a personalization of care in a complex and integrated perspective is the most effective non-pharmacological approach to delirium.

https://doi.org/10.37914/riis.v7i2.334

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Non-pharmacological interventions from nurses to patients with delirium admitted to intensive care – an update

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