บทบาทพยาบาลในการป้องกันภาวะสับสนเฉียบพลันและการจัดการโดยไม่ใช้ยา

Artitaya Suwan

Authors

Artitaya Suwan Faculty of Nursing HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy

Keywords:

delirium, role of nurse, nonpharmacological interventions

Abstract

Delirium is a neuropsychiatric symptom characterized by an acute change in the level of consciousness, attention, cognition, and mood. Symptoms typically manifest over a short period, lasting from several hours to days. Delirium affects the physical and mental status of patients, as well as their social and economic well-being, often resulting in longer hospital stays. In the short term, delirium is associated with an increased length of hospitalization. The first line of management involves non-pharmacological interventions, which are more effective than pharmacological approaches. These interventions can help prevent and reduce risk factors for acute confusion and may include cognitive protocols, vision and hearing protocols, sleep protocols, mobility protocols, feeding assistance protocols, and hydration protocols, as well as the implementation of various techniques and strategies. Nurses play a crucial role in preventing and managing delirium through the use of non-pharmacological intervention strategies. This article aims to provide information on the knowledge, factors, signs, and symptoms of delirium, as well as the important role of nurses in prevention and management. The goal is to reduce the incidence, severity, and complications of delirium, including a reduction in the length of hospital stays, while also serving as an academic resource for those interested in the topic.

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