Chinese Journal of Emergency and Critical Care Nursing ›› 2025, Vol. 6 ›› Issue (7): 837-842.doi: 10.3761/j.issn.2096-7446.2025.07.011
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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)
Received:
2025-01-27
Online:
2025-07-10
Published:
2025-07-04
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) . Expert consensus on the prevention and nursing of postoperative delirium in adults[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(7): 837-842.
[1] | Association AP. Diagnostic and statistical manual of mental di-sorders[M]. 5th ed. Washington,DC: American Psychiatric Asso-ciation, 2013. |
[2] | White NC, Cowart CR, Cios TJ. Pharmacological prevention of postoperative delirium in adults:a review of recent literature[J]. Curr Neurol Neurosci Rep, 2024, 24(12):681-689. |
[3] |
Gleason LJ, Schmitt EM, Kosar CM, et al. Effect of delirium and other major complications on outcomes after elective surgery in older adults[J]. JAMA Surg, 2015, 150(12):1134-1140.
doi: 10.1001/jamasurg.2015.2606 pmid: 26352694 |
[4] | Cai S, Li J, Gao J, et al. Prediction models for postoperative delirium after cardiac surgery:systematic review and critical appraisal[J]. Int J Nurs Stud, 2022, 136:104340. |
[5] |
吴前胜, 曾莹, 王兰, 等. 体外循环下心脏手术患者术后谵妄管理的循证实践[J]. 中华护理杂志, 2024, 59(3):292-299.
doi: 10.3761/j.issn.0254-1769.2024.03.007 |
Wu QS, Zeng Y, Wang L, et al. Evidence-based nursing pra-ctice of postoperative delirium management during cardiac surgery under cardiopulmonary bypass[J]. Chin J Nurs, 2024, 59(3):292-299. | |
[6] |
王志稳, 韩舒羽. 护理领域专家共识论文的质量评价要点[J]. 中华护理杂志, 2024, 59(3):267-270.
doi: 10.3761/j.issn.0254-1769.2024.03.002 |
Wang ZW, Han SY. The key points of quality criteria for expert consensus papers in nursing[J]. Chin J Nurs, 2024, 59(3):267-270.
doi: 10.3761/j.issn.0254-1769.2024.03.002 |
|
[7] | Oxford Centre for Evidence-Based Medicine. Oxford centre for evidence-based medicine:levels of evidence(March 2009)[EB/OL]. (2009-03)[2024-09-05]. https://www.cebm.ox.ac.uk/resources/le-vels-of-evidence/oxford-centre-for-evidence-based-medicine-levels-of-evidence-march-2009. |
[8] | 中国老年医学学会麻醉学分会, 米卫东, 王国林, 等. 中国老年患者术后谵妄防治专家共识[J]. 国际麻醉学与复苏杂志, 2023, 44(1):1-27. |
Anesthesiology Branch of the Chinese Geriatrics Society, Mi WD, Wang GL, et al. Expert consensus on the prevention and treatment of postoperative delirium in elderly patients in China[J]. Int J Anesthesiol Resusc, 2023, 44(1):1-27. | |
[9] | 中国医疗保健国际交流促进会心脏重症分会. 心脏及大血管术后谵妄的防治中国专家共识[J]. 中华医学杂志, 2023, 103(45):3635-3644. |
Cardiac Critical Care Branch of China International Exchange and Promotive Association for Medical and Health. Chinese expert consensus on the prevention and treatment of posto-perative delirium of cardiovascular surgery[J]. Nat Med J China, 2023, 103(45):3635-3644. | |
[10] | Karageorgos V, Mevorach L, Silvetti M, et al. Preoperative risk factors associated with increased incidence of postoperative delirium:systematic review of qualified clinical studies[J]. Geriatrics, 2023, 8(1):24. |
[11] | Zhang YJ, Yu YJ, Han ZY, et al. Incidence and associated factors of delirium after primary total joint arthroplasty in elderly patients:a systematic review and meta-analysis[J]. Me-dicine, 2024, 103(22):e38395. |
[12] |
Hughes CG, Boncyk CS, Culley DJ, et al. American society for enhanced recovery and perioperative quality initiative joint consensus statement on postoperative delirium prevention[J]. Anesth Analg, 2020, 130(6):1572-1590.
doi: 10.1213/ANE.0000000000004641 pmid: 32022748 |
[13] | 裴锋博, 姚垚, 史晨, 等. 心脏外科体外循环术后谵妄的危险因素分析[J]. 中华胸心血管外科杂志, 2023, 39(12):750-753. |
Pei FB, Yao Y, Shi C, et al. Analysis of risk factors for pos-toperative delirium after extracorporeal circulation in cardiac surgery[J]. Chin J Thorac Cardiovasc Surg, 2023, 39(12):750-753. | |
[14] | He KQ, Wang S, Zhang W, et al. What is the impact of perio-perative cerebral oxygen desaturation on postoperative deli-rium in old population:a systemic review and meta-analysis[J]. Aging Clin Exp Res, 2022, 34(8):1761-1770. |
[15] |
Zhang HJ, Ma XH, Ye JB, et al. Systematic review and meta-analysis of risk factor for postoperative delirium following spinal surgery[J]. J Orthop Surg Res, 2020, 15(1):509.
doi: 10.1186/s13018-020-02035-4 pmid: 33153465 |
[16] | Aldecoa C, Bettelli G, Bilotta F, et al. Update of the European Society of Anaesthesiology and Intensive Care Medicine evide-nce-based and consensus-based guideline on postoperative delirium in adult patients[J]. Eur J Anaesthesiol, 2024, 41(2):81-108. |
[17] |
Inouye SK, van Dyck CH, Alessi CA, et al. Clarifying confu-sion:the confusion assessment method. A new method for detection of delirium[J]. Ann Intern Med, 1990, 113(12):941-948.
doi: 10.7326/0003-4819-113-12-941 pmid: 2240918 |
[18] | 梅伟, 刘尚昆, 张治国, 等. 中文版护理谵妄筛查量表的信度和效度研究[J]. 中华护理杂志, 2010, 45(2):101-104. |
Mei W, Liu SK, Zhang ZG, et al. The validity and reliability of the Chinese version of nursing delirium screening scale[J]. Chin J Nurs, 2010, 45(2):101-104. | |
[19] |
Sessler DI, Pei LJ, Li K, et al. Aggressive intraoperative warm-ing versus routine thermal management during non-cardiac sur-gery(PROTECT):a multicentre,parallel group,superiority trial[J]. Lancet, 2022, 399(10337):1799-1808.
doi: 10.1016/S0140-6736(22)00560-8 pmid: 35390321 |
[20] |
Wesselink EM, Kappen TH, Torn HM, et al. Intraoperative hy-potension and the risk of postoperative adverse outcomes:a systematic review[J]. Br J Anaesth, 2018, 121(4):706-721.
doi: S0007-0912(18)30376-3 pmid: 30236233 |
[21] | An R, Pang QY, Liu HL. Association of intra-operative hypo-tension with acute kidney injury,myocardial injury and mor-tality in non-cardiac surgery:a meta-analysis[J]. Int J Clin Pract, 2019, 73(10):e13394. |
[22] | Wang LC, Lang ZK, Gao HY, et al. The relationship between the incidence of postoperative cognitive dysfunction and intraoperative regional cerebral oxygen saturation after car-diovascular surgery:a systematic review and meta-analysis of randomized controlled trials[J]. Rev Cardiovasc Med, 2022, 23(12):388. |
[23] | Chew WZ, Teoh WY, Sivanesan N, et al. Bispectral index(BIS) monitoring and postoperative delirium in elderly patients undergoing surgery:a systematic review and meta-analysis with trial sequential analysis[J]. J Cardiothorac Vasc Anesth, 2022, 36(12):4449-4459. |
[24] | Sumner M, Deng C, Evered L, et al. Processed electroencepha-lography-guided general anaesthesia to reduce postoperative de-lirium:a systematic review and meta-analysis[J]. Br J Anaes-th, 2023, 130(2):e243-e253. |
[25] | Pearson, Vincent. Delirium(adults):non-pharmacological preven-tion and management in acute care[EB/OL].(2024-04-17)[2024-08-01]. https://ovidsp.dc1.ovid.com/ovid-new-b/ovidweb.cgi?&S=main&Complete+Reference=S.sh.42%7c1%7c1&Counter5=SS_view_found_complete%7cJBI14502%7cjbi%7cjbidb%7cjbi&Counter5Data=JBI14502%7cjbi%7cjbidb%7cjbi. |
[26] | Sosnowski K, Lin F, Chaboyer W, et al. The effect of the ABCDE/ABCDEF bundle on delirium,functional outcomes,and quality of life in critically ill patients:a systematic review and meta-analysis[J]. Int J Nurs Stud, 2023, 138:104410. |
[27] |
Vasunilashorn SM, Guess J, Ngo L, et al. Derivation and vali-dation of a severity scoring method for the 3-minute diagno-stic interview for confusion assessment method:defined delirium[J]. J Am Geriatr Soc, 2016, 64(8):1684-1689.
doi: 10.1111/jgs.14234 pmid: 27374833 |
[28] | Fernandes F, Santos M, Anacleto AM, et al. Nursing interven-tion to prevent and manage delirium in critically ill patients:a scoping review[J]. Healthcare, 2024, 12(11):1134. |
[29] | Swarbrick CJ, Partridge JL. Evidence-based strategies to redu-ce the incidence of postoperative delirium:a narrative review[J]. Anaesthesia, 2022, 77(Suppl 1):92-101. |
[30] | 中华医学会神经病学分会神经心理与行为神经病学学组. 综合医院谵妄诊治中国专家共识(2021)[J]. 中华老年医学杂志, 2021, 40(10):1226-1233. |
Neuropsychology and Behavioral Medical Section of Neurology Credit Association of Chinese Medical Association. Chinese experts consensus on diagnosis and treatment of delirium in general hospital(2021)[J]. Chin J Geriatr, 2021, 40(10):1226-1233. | |
[31] | 袁娜娜, 朱光宇, 郑爽, 等. 针对性心理护理在心脏外科ICU综合征中的应用效果[J]. 中华现代护理杂志, 2017, 23(31):4031-4033. |
Yuan NN, Zhu GY, Zheng S, et al. Application effect of the pertinent metal nursing in ICU syndrome in the department of cardiac surgery[J]. Chin J Mod Nurs, 2017, 23(31):4031-4033. | |
[32] |
Esfahanian F, Mirmohammadsadeghi A, Gholami H, et al. Using music for the prevention of delirium in patients after coronary artery bypass graft surgery:a randomized clinical trial[J]. J Cardiothorac Vasc Anesth, 2022, 36(12):4341-4346.
doi: 10.1053/j.jvca.2022.09.007 pmid: 36241502 |
[33] | Ou-Yang CL, Ma LB, Wu XD, et al. Association of sleep qua-lity on the night of operative day with postoperative delirium in elderly patients:a prospective cohort study[J]. Eur J Anaes-thesiol, 2024, 41(3):226-233. |
[34] | Travers R, Gagliardi G, Ramseyer M. Delirium management in perioperative geriatric services:a narrative review of non-phar-maceutical strategies[J]. Front Psychiatry, 2024, 15:1394583. |
[35] | Herman J, Urman RD, Urits I, et al. Which interventions can reduce post-operative delirium in the elderly? Synthesis of multidisciplinary and pharmacological intervention data[J]. J Clin Anesth, 2022, 79:110117. |
[36] | Veronese N, Solimando L, Bolzetta F, et al. Interventions to pre-vent and treat delirium:an umbrella review of randomized controlled trials[J]. Ageing Res Rev, 2024, 97:102313. |
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