intensiv 2022; 30(02): 96-103
DOI: 10.1055/a-1721-9619
CNE Schwerpunkt
Delirversorgung

Delir oder nicht? Kriterien zur klinischen Einschätzung

Sabrina Pelz

Pflegende spielen bei der Einschätzung von Delirsituationen eine wichtige Rolle. Welche Kriterien sie dabei zugrunde legen, hat Autorin Sabrina Pelz im Rahmen ihrer Masterarbeit anhand von problemzentrierten Interviews untersucht, in denen die befragten Intensivpflegenden ihre Entscheidungen und Begründungszusammenhänge erläutern – mit interessanten Ergebnissen für die Praxis.



Publikationsverlauf

Artikel online veröffentlicht:
07. März 2022

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  • Literatur

  • 1 Fallkai P, Wittchen HU. Diagnostisches und statistisches Manual psychischer Störungen: DSM-V; übersetzt nach der zweiten Auflage des Diagnostic and statistical manual of mental disorders der American Psychiatric Association. Göttingen: Hogrefe; 2018
  • 2 Ely EW, Shintani A, Truman B. et al Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA 2004; 291: 1753-62
  • 3 Dubois MJ, Bergeron N, Dumont M. et al Delirium in an intensive care unit: a study of risk factors. Intensive Care Med 2001; 27: 1297-304
  • 4 Thomason JWW, Shintani A, Peterson JF. et al Intensive care unit delirium is an independent predictor of longer hospital stay: a prospective analysis of 261 non-ventilated patients. Crit Care 2005; 09: R375-81
  • 5 Van Rompaey B, Elseviers MM, Schuurmans MJ. et al Risk factors for delirium in intensive care patients: a prospective cohort study. Crit Care 2009; 13: R77
  • 6 Zhang WY, Wu WL, Gu JJ. et al Risk factors for postoperative delirium in patients aftercoronary artery bypass grafting: A prospective cohort study. J Crit Care 2015; 30 (03) 606-12
  • 7 Meagher DJ, Trzepacz PT. Motoric subtypes of delirium. Semin Clin Neuropsychiatry 2000; 05: 75-85
  • 8 Pandharipande P, Cotton BA, Shintani A. et al Motoric subtypes of delirium in mechanically ventilated surgical and trauma intensive care unit patients. Intensive Care Med 2007; 33: 1726-31
  • 9 Ely EW, Stephens RK, Jackson JC. et al Current opinions regarding the importance, diagnosis, and management of delirium in the intensive care unit: a survey of 912 healthcare professionals. Crit Care Med 2004; 32: 106-12
  • 10 Luxenberg JS. Differentiating behavioral disturbances of dementia from symptoms of delirium. Int Psychogeriatr 1996; 08 (Suppl. 03) 425-7 discussion 447–8
  • 11 Luetz A, Balzer F, Radtke FM. et al Delirium, Sedation and Analgesia in the Intensive Care Unit: A Multinational, Two-Part Survey among Intensivists. PLoS One 2014; 09 (11) e110935
  • 12 Martin J, Heymann A, Bäsell K. et al S3-Leitlinie zu Analgesie, Sedierung und Delirmanagement in der Intensivmedizin – Kurzversion. GMS German Medical Science 2010; 08: 1-31
  • 13 Guenther U, Weykam J, Andorfer U. et al Implications of Objective vs Subjective Delirium Assessment in Surgical Intensive Care Patients. Am J Crit Care 2012; 21: e12-20
  • 14 Eden BM, Foreman MD. Problems associated with underrecognition of delirium in critical care: a case study. Heart Lung 1996; 25: 388-400
  • 15 Mayring P. Qualitative Inhaltsanalyse: Grundlagen und Techniken. Basel, Weinheim: Beltz; 2007
  • 16 Morse JM, Field PA. Qualitative Pflegeforschung: Anwendung qualitativer Ansätze in der Pflege. Wiesbaden: Ullstein Medical; 1998
  • 17 Lamnek S. Qualitative Sozialforschung: Lehrbuch. 5. überarb. Aufl. Weinheim; Basel: Beltz Psychologie Verlags Union; 2010
  • 18 Hosie A, Lobb E, Agar M. et al Identifying the Barriers and Enablers to Palliative Care Nurses’ Recognition and Assessment of Delirium Symptoms: A Qualitative Study. J Pain Symptom Manage 2014; 48 (05) 815-30
  • 19 Hosie A, Agar M, Lobb E. et al Palliative care nurses’ recognition and assessment of patients with delirium symptoms: A qualitative study using critical incident technique. Int J Nurs Stud 2014; 51 (10) 1353-65
  • 20 Lincoln YS, Guba EG. Naturalistic inquiry. 3. print. ed. Beverly Hills (CF), London: New Dehli Sage Publ; 1985
  • 21 Ouimet S, Kavanagh BP, Gottfried SB. et al Incidence, risk factors and consequences of ICU delirium. Intensive Care Med 2007; 33: 66-73
  • 22 Steis MR, Fick DM. Are nurses recognizing delirium? A systematic review. J Gerontol Nurs 2008; 34: 40-8
  • 23 Patton MQ. Qualitative Research & Evaluation Methods. 3. Aufl. Thousand Oaks (CF): Sage Publications; 2002
  • 24 Lou MF, Dai YT. Nurses’ experience of caring for delirious patients. J Nurs Res 2002; 10: 279-90
  • 25 Boot R. Delirium: A review of the nurses’ role in the intensive care unit. Intensive Crit Care Nurs 2012; 28: 185-9
  • 26 Christensen M. An exploratory study of staff nurses’ knowledge of delirium in the medical ICU: an Asian perspective. Intensive Crit Care Nurs 2013; 30: 54-60
  • 27 Chinn PL, Kramer MK. Integrated Theory and Knowledge Development in Nursing. University of California (CF): Mosby Elsevier; 2008
  • 28 Hare M, Wynaden D, McGowan S. et al A questionnaire to determine nurses’ knowledge of delirium and its risk factors. Contemp Nurse 2008; 29: 23-31
  • 29 Bélanger L, Ducharme F. Patients’ and nurses’ experiences of delirium: a review of qualitative studies. Nurs Crit Care 2011; 16: 303-15
  • 30 Schuurmans MJ, Duursma SA, Shortridge-Baggett LM. Early recognition of delirium: review of the literature. J Clin Nurs 2001; 10: 721-9
  • 31 Agar M, Draper B, Phillips PA. et al Making decisions about delirium: a qualitative comparison of decision making between nurses working in palliative care, aged care, aged care psychiatry, and oncology. Palliat Med 2012; 26: 887-96
  • 32 Yevchak A, Steis M, Diehl T. et al Managing delirium in the acute care setting: a pilot focus group study. Int J Older People Nurs 2012; 07: 152-62
    • Weiterführende Literatur

    • 33 Spronk PE, Riekerk B, Hofhuis J. et al Occurrence of delirium is severely underestimated in the ICU during daily care. Intensive Care Med 2009; 35: 1276-80