ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 >

2025 , Vol. 6 >Issue 7: 837 - 842

DOI: https://doi.org/10.3761/j.issn.2096-7446.2025.07.011

指南与标准

成人术后谵妄预防与护理专家共识

  • 中华护理学会外科护理专业委员会 ,
  • 重庆医科大学附属第一医院护理部/神经外科/血管外科/重症医学科 ,
  • 华中科技大学同济医学院附属同济医院护理部 ,
  • （执笔：刘丽萍 ，张萍， 朱桦，吴前胜， 张川林 ，刘佳莉 ，秦静雯 ，刘美言）
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  • 400016 重庆市 重庆医科大学附属第一医院护理部（刘丽萍，刘佳莉），神经外科（张萍），血管外科（朱桦，秦静雯，刘美言），重症医学科（张川林）;华中科技大学同济医学院附属同济医院护理部（汪晖，吴前胜）
刘丽萍：女，硕士，主任护师，护理部副主任，E-mail：840804395@qq.com

收稿日期: 2025-01-27

  网络出版日期: 2025-07-04

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Expert consensus on the prevention and nursing of postoperative delirium in adults

  • Surgical Nursing Professional Committee of Chinese Nursing Association ,
  • Nursing Department/Neurosurgery/Vascular Surgery/Critical Care Medicine，The First Affiliated Hospital of Chongqing Medical University ,
  • Department of Nursing，Tongji Hospital，Tongji Medical College，Huazhong University of Science and Technology ,
  • （Writing Committee：LIU Liping，ZHANG Ping，ZHU Hua，WU Qiansheng，ZHANG Chuanlin，LIU Jiali，QIN Jingwen，LIU Meiyan）
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Received date: 2025-01-27

  Online published: 2025-07-04

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摘要

目的 制订成人术后谵妄预防与护理的专家共识（以下简称《共识》），以指导成人术后谵妄的护理。 方法 检索国内外数据库及相关网站中关于成人术后谵妄的指南、专家共识、系统评价、原始研究等，检索时限为建库至2024年5月。通过文献查阅、利益相关者访谈、专家讨论会，撰写《共识》初稿。2024年12月—2025年1月，邀请19名专家进行2轮函询，对初稿内容进行修改完善，确定证据级别及推荐强度，形成《共识》终稿。 结果 《共识》内容包含成人术后谵妄的分型、危险因素、评估与识别、预防及护理5个方面。 结论 该共识可为临床护理人员提供成人术后谵妄预防与护理的实践指导。

关键词： 成人; 术后谵妄; 预防; 护理; 专家共识

本文引用格式

中华护理学会外科护理专业委员会 , 重庆医科大学附属第一医院护理部/神经外科/血管外科/重症医学科 , 华中科技大学同济医学院附属同济医院护理部 , （执笔：刘丽萍 ，张萍， 朱桦，吴前胜， 张川林 ，刘佳莉 ，秦静雯 ，刘美言） . 成人术后谵妄预防与护理专家共识[J]. 中华急危重症护理杂志, 2025 , 6(7) : 837 -842 . DOI: 10.3761/j.issn.2096-7446.2025.07.011

Abstract

Objective To develop an expert consensus on the prevention and nursing care of postoperative delirium in adults（hereinafter referred to as the“consensus”），to guide the nursing of postoperative delirium in adults. Methods The guidelines，expert consensuses，systematic reviews，and original studies related to postoperative delirium in adults were searched in domestic and international databases and related websites，with the search period from the establishment of the database to May 2024. The first draft of the consensus was written through literature review，stakeholder interviews and expert meeting. From December 2024 to January 2025，19 experts were invited to conduct two rounds of letter consultation，revise and improve the content of the first draft，determine the level of evidence and recommendation strength，and form the final draft of the consensus. Results The content of the “consensus” includes five aspects：classification，risk factors，assessment and identification，prevention，and nursing care of postoperative delirium in adults. Conclusion This consensus can provide practical guidance for clinical nursing staff in the prevention and nursing care of postoperative delirium in adults.

Key words： Adults; Postoperative Delirium; Prevention; Nursing Care; Expert Consensus

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