譫妄實證照護之應用

Applying Evidence-Based Practice: Delirium

譫妄（delirium）常發生於住院的老年病患，但譫妄常無法被及早診斷，導致病患有較差的預後及高比例之住院天數；本文綜合國內外譫妄之實證文獻內容，整理出譫妄之預防、早期評估及處置，並呈現譫妄照護流程圖及照護計畫，盼其能提供醫護人員在照顧譫妄病患的參考。

Delirium often occurs in older hospitalized inpatients. However, it is frequently not diagnosed or prevented at an early stage. Delirium leads to poor prognoses and prolongs hospitalized days. This article integrates current evidence-based literature to summarize prevention, early assessment and management strategies for delirium. The authors further present a delirium management algorithm. The authors hope this study will provide a reference for healthcare professionals responsible for delirium patient care.