{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T22:11:32Z","timestamp":1747174292100,"version":"3.40.5"},"reference-count":26,"publisher":"Hogrefe Publishing Group","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pflege"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:p> Zusammenfassung. Hintergrund: Ein Delir wirkt sich auf die Betroffenen und deren Angeh\u00f6rigen, das Spitalpersonal und Gesundheitswesen belastend aus. Die Pr\u00e4vention eines Delirs mit multikomponenten Interventionen ist wesentlich. Ziel: Eine Untersuchung der Umsetzung der nicht-pharmakologischen, pr\u00e4ventiven und unterst\u00fctzenden Ma\u00dfnahmen bei Patient_innen mit einem erh\u00f6hten Delirrisiko und\/oder Delir gem\u00e4\u00df Handlungsanleitungen des Studienspitals. Methode: In dieser Beobachtungsstudie wurden routinem\u00e4\u00dfig erfasste Daten von 175 hospitalisierten Patient_innen eingeschlossen. Die Angaben zur Delirpr\u00e4vention\/-behandlung und Vorliegen eines Delirs wurden aus der Patient_innenakte extrahiert und mittels geeigneter statistischer Methoden analysiert. Gruppenvergleiche wurden zwischen der medizinischen und operierenden Klinik sowie den Gruppen Delir\/kein Delir get\u00e4tigt. Ergebnisse: Von 175 Patient_innen wiesen 31 ein Delir auf. Zur Delirpr\u00e4vention wurden am h\u00e4ufigsten Ma\u00dfnahmen zur Verbesserung der Sauerstoffversorgung, Ausscheidung, Schmerzen und Mobilit\u00e4t durchgef\u00fchrt und am seltensten Ma\u00dfnahmen zur F\u00f6rderung der Wahrnehmung und Kommunikation. Bei einem Delir wurden am h\u00e4ufigsten Ma\u00dfnahmen zur Modifikation der Risikofaktoren, Gew\u00e4hrleistung der Sicherheit und Prophylaxen angewendet. Zwischen den zwei Kliniken sowie den Gruppen Delir\/kein Delir zeigten sich signifikante Unterschiede in der Durchf\u00fchrungsh\u00e4ufigkeit. Schlussfolgerung: Die Unterschiede in der Durchf\u00fchrungsh\u00e4ufigkeit liefern erste Hinweise daf\u00fcr, dass klinikspezifische Delirpr\u00e4vention, -fr\u00fcherkennung und -behandlung notwendig sein k\u00f6nnen. <\/jats:p>","DOI":"10.1024\/1012-5302\/a000932","type":"journal-article","created":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T15:02:57Z","timestamp":1675782177000},"page":"198-208","source":"Crossref","is-referenced-by-count":1,"title":["Evaluation der Umsetzung nicht-pharmakologischer Massnahmen zur                Delirpr\u00e4vention und -behandlung"],"prefix":"10.1024","volume":"36","author":[{"given":"Nadia","family":"Bl\u00e4ttler","sequence":"first","affiliation":[{"name":"Institut f\u00fcr Pflege, Departement Gesundheit, ZHAW Z\u00fcrcher                Hochschule f\u00fcr Angewandte Wissenschaften, Winterthur,                   Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bianca","family":"Schaffert","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Pflege, Departement Gesundheit, ZHAW Z\u00fcrcher                Hochschule f\u00fcr Angewandte Wissenschaften, Winterthur,                   Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0382-9290","authenticated-orcid":true,"given":"Maria","family":"Schubert","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Pflege, Departement Gesundheit, ZHAW Z\u00fcrcher                Hochschule f\u00fcr Angewandte Wissenschaften, Winterthur,                   Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","reference":[{"key":"c1","unstructured":"Bundesamt f\u00fcr Statistik (2019).                      Medizinisches Kodierungshandbuch. Der offizielle Leitfaden der                      Kodierrichtlinien in der Schweiz Version 2019. https:\/\/www.bfs.admin.ch\/bfs\/de\/home\/statistiken\/gesundheit\/nomenklaturen\/medkk\/instrumente-medizinische-kodierung.assetdetail.6207936.html"},{"key":"c2","first-page":"CD013307","volume":"7","author":"Burton J. 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Nursing\n                     diagnoses: Definitions and classification,\n                     2009\u20132011.\n                  Wiley-Blackwell."},{"key":"c16","unstructured":"National Institute for Health and Care Excellence\n               (2022). 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International Classification of Diseases 11th\n                  Revision. https:\/\/icd.who.int\/browse11\/l-m\/en#\/"},{"key":"c26","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39169.706574.AD"}],"container-title":["Pflege"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/econtent.hogrefe.com\/doi\/pdf\/10.1024\/1012-5302\/a000932","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,24]],"date-time":"2023-07-24T07:02:17Z","timestamp":1690182137000},"score":1,"resource":{"primary":{"URL":"https:\/\/econtent.hogrefe.com\/doi\/10.1024\/1012-5302\/a000932"}},"subtitle":["Eine retrospektive Kohortenstudie"],"short-title":[],"issued":{"date-parts":[[2023,8]]},"references-count":26,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1024\/1012-5302\/a000932"],"URL":"https:\/\/doi.org\/10.1024\/1012-5302\/a000932","relation":{},"ISSN":["1012-5302","1664-283X"],"issn-type":[{"type":"print","value":"1012-5302"},{"type":"electronic","value":"1664-283X"}],"subject":[],"published":{"date-parts":[[2023,8]]}}}