Objective To integrate the evidence on prevention of delirium in perioperative patients undergoing cardi-ac surgery.Methods In accordance with the 6S model of evidence-based resources,the top-down search of domestic and international relevant databases and websites was conducted one by one,and the search time was limited to January 1,2014 to April 23,2023.Two researchers independently conducted the literature quality assessment and information extrac-tion to compile the best evidence for perioperative delirium prevention in cardiac surgery patients.Results A total of 12 publications were eventually included,including 3 guidelines,5 expert consensus,3 clinical decision-making,and 1 sys-tematic evaluation.The 38 best pieces of evidence were summarized from 6 aspects:teamwork,risk factor identification,assessment,diagnosis,non-drug intervention and drug intervention.Conclusions To summarize the best evidence for perioperative prevention of delirium in patients undergoing cardiac surgery,which can provide a reference for clinical healthcare professionals to develop relevant management protocols and carry out clinical practice.It is recommend that in-dividualized delirium prevention protocols be developed based on the application of the evidence and in conjunction with patient-specific conditions.
关键词
心脏手术/围手术期/谵妄预防/证据总结
Key words
heart surgery/perioperative period/delirium prevention/summary of evidence
维普
万方数据