重症患者谵妄发生影响因素及评估工具的研究进展

Research progress on influencing factors and assessment tools of delirium in critically ill patients

谵妄是重症患者常见的意识障碍,患者常出现注意力和认知能力的改变。谵妄在重症患者中发病率较高,影响患者的预后和生活质量,但由于目前临床医务人员对谵妄知识了解不足,导致谵妄的高比例漏诊。本文对谵妄的临床分类和预后,谵妄发生的危险因素及目前常用的谵妄评估工具进行综述,旨在为临床医务人员更好地监测、识别患者的意识状态,并且采用相应的医疗护理措施,最终改善谵妄患者的预后提供依据。

Delirium is a common disturbance of consciousness in critically ill patients,and patients often suffer changes in attention and cognitive ability.Delirium has a high incidence in critically ill patients,which affects the prognosis and quality of life of patients.However,due to insufficient knowledge of delirium among clinical medical staff,a high proportion of delirium diagnosis is missed.This paper reviews the clinical classification and prognosis of delirium,the risk factors for delirium,and the commonly used delirium assessment tools.It aims to better monitor and identify the patient's state of consciousness for clinical medical staff,adopt corresponding medical care measures,and provide a basis for improving the prognosis of delirium patients.