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目的为1例老年谵妄患者制定护理方案,检索当前最佳证据,使谵妄症状消失,促进患者早日康复。方法 2015年4月13日收治1例老年患者,入院诊断:1肺部感染,Ⅰ型呼吸衰竭;2原发性高血压3级,极高危;3意识障碍原因待查;4低蛋白血症。患者有原因不明的意识障碍,护士全面评估病情后,确定患者存在谵妄。针对患者的谵妄问题,检索数据库获得循证医学证据,制定最佳护理方案,住院始末均全面实施该方案,评价护理结局。结果检索纳入循证指南2篇,系统评价4篇,在对老年谵妄患者进行护理时,针对谵妄的危险因素提前进行预防,采用多学科合作的非药物干预手段,可以使老年患者的谵妄症状消失,改善护理质量。结论通过循证方法护理老年谵妄患者,更具有科学性和有效性。
Objective To develop a nursing plan for one elderly delirium patient, retrieve the current best evidence, make the symptom of delirium disappear and promote the early rehabilitation of the patient. Methods One elderly patient was admitted to our hospital on April 13, 2015. The patients were admitted to hospital for diagnosis: 1 pulmonary infection, type Ⅰ respiratory failure; 2 essential hypertension grade 3, very high risk; 3 the cause of disturbance of consciousness; 4 hypoproteinemia . Patients with unknown causes of disturbance of consciousness, nurses after a comprehensive assessment of the disease, to determine the existence of delirium in patients. For patients with delirium, retrieve the database to obtain evidence-based medical evidence, the development of the best care programs, hospital throughout the full implementation of the program, evaluation of care outcomes. The results were included in the evidence-based guide 2, systematic reviews 4 articles, in the care of elderly patients with delirium, the risk factors for delirium in advance to prevent the use of multidisciplinary cooperation of non-drug interventions can make elderly patients with delirium symptoms disappear , Improve the quality of care. Conclusions It is more scientific and effective to take care of elder delirium patients by evidence-based method.