Resumen
Marco contextual: la persona con delirium representa un desafío para los profesionales de la salud, especialmente para los enfermeros. Por otro lado, existen limitaciones importantes con respecto al tratamiento farmacológico de esta enfermedad. Objetivos: identificar la eficacia de las intervenciones no farmacológicas en adultos con delirium en las enfermerías de cuidados intensivos. Metodología: se realizó una revisión integradora, utilizando bases de datos bibliográficas electrónicas, a saber, EBSCO y Pubmed MEDLINE, para artículos publicados entre 2018 y 2022. El proceso de selección de artículos se basó en las recomendaciones de PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) para revisiones sistemáticas. Resultados: nueve artículos (n=9) fueron incluidos en el estudio, de los cuales seis corresponden a artículos originales, dos a metanálisis y una revisión sistemática. La intervención no farmacológica con mayor evidencia disponible fue la intervención multicomponente, aunque la calidad de los estudios limita las recomendaciones concretas con respecto a este enfoque. Conclusión: la evidencia apunta al hecho de que una personalización de la atención en una perspectiva compleja e integrada es el enfoque no farmacológico más efectivo para el delirium.
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Derechos de autor 2024 Fábio Emanuel Quintal Fernandes, Orlando Ferro Fernandes, Isabel Abreu, Hugo Canas-Simião, Filipe Vieira Franco