{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T07:39:23Z","timestamp":1764401963299,"version":"3.40.5"},"reference-count":34,"publisher":"Universidad de Santander - UDES","license":[{"start":{"date-parts":[[2022,6,23]],"date-time":"2022-06-23T00:00:00Z","timestamp":1655942400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["udes.edu.co"],"crossmark-restriction":true},"short-container-title":["Rev Cuid"],"abstract":"<jats:p>Introdu\u00e7\u00e3o: Delirium \u00e9 uma disfun\u00e7\u00e3o cerebral aguda, associado ao aumento da mortalidade e morbilidade, que atinge frequentemente o paciente adulto\/idoso cr\u00edtico. O enfermeiro tem um papel determinante na preven\u00e7\u00e3o\/controlo do delirium, atrav\u00e9s da implementa\u00e7\u00e3o de interven\u00e7\u00f5es n\u00e3o farmacol\u00f3gicas.  Objetivo: Conhecer as intervenc\u0327o\u0303es de enfermagem na identificac\u0327a\u0303o, prevenc\u0327a\u0303o e controlo do delirium no paciente adulto\/idoso cr\u00edtico. Materiais e m\u00e9todos: Realizada uma Revis\u00e3o Integrativa da Literatura de artigos publicados entre 2014 e 2018, que identificaram interven\u00e7\u00f5es de enfermagem dirigidas a\u0300 prevenc\u0327a\u0303o e controlo do delirium no paciente adulto\/idoso cr\u00edtico. Foram realizadas quatro pesquisas, nas bases de dados electro\u0301nicas da EBSCOhost e na B-on. Resultados: Identificaram-se 13 estudos, que apresentam interven\u00e7\u00f5es de enfermagem, maioritariamente na\u0303o farmacolo\u0301gicas, para prevenc\u0327a\u0303o e controlo do delirium no paciente adulto\/idoso cr\u00edtico. Destas, evidenciam-se interven\u00e7\u00f5es relacionadas com o ambiente, promoc\u0327a\u0303o do sono, intervenc\u0327a\u0303o terape\u0302utica precoce, avaliac\u0327a\u0303o cognitiva e orientac\u0327a\u0303o dos pacientes, intervenc\u0327o\u0303es sistematizadas em protocolos, bem como intervenc\u0327o\u0303es direcionadas a\u0300 participac\u0327a\u0303o dos familiares, a\u0300 formac\u0327a\u0303o dos enfermeiros e ao ensino dos pacientes. Foram tambe\u0301m identificados fatores de risco para o desenvolvimento do delirium e instrumentos de avaliac\u0327a\u0303o. Discuss\u00e3o: A preven\u00e7\u00e3o do delirium \u00e9 importante e imperativa, j\u00e1 que nos pacientes cr\u00edticos a sua ocorr\u00eancia est\u00e1 associada ao aumento da mortalidade, morbilidade, do tempo de internamento e a um elevado custo hospitalar. A identifica\u00e7\u00e3o dos fatores de risco para a ocorr\u00eancia do delirium devem estar inclu\u00eddos nos protocolos de abordagem do delirium. Conclus\u00e3o: As evide\u0302ncias demonstraram que o enfermeiro e\u0301 fundamental na identificac\u0327a\u0303o precoce, prevenc\u0327a\u0303o e controlo do delirium, evitando a progressa\u0303o da doenc\u0327a, contribuindo para a diminuic\u0327a\u0303o da morbilidade e mortalidade. A intervenc\u0327a\u0303o de enfermagem deve incluir a identificac\u0327a\u0303o de fatores predisponentes e\/ou precipitantes de modo a contribuir para a diminuic\u0327a\u0303o da ocorre\u0302ncia e\/ou resoluc\u0327a\u0303o do quadro de delirium.<\/jats:p>","DOI":"10.15649\/cuidarte.1983","type":"journal-article","created":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T15:54:45Z","timestamp":1656086085000},"update-policy":"https:\/\/doi.org\/10.15649\/cuidarte.crossmark","source":"Crossref","is-referenced-by-count":3,"title":["O papel do enfermeiro na preven\u00e7\u00e3o do delirium no paciente adulto\/idoso cr\u00edtico"],"prefix":"10.15649","author":[{"name":"Universidade Cat\u00f3lica Portuguesa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5920-0387","authenticated-orcid":false,"given":"Cl\u00e1udia","family":"Oliveira","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8745-7553","authenticated-orcid":false,"given":"C\u00e1tia Filipa","family":"Garnacho Martins Nobre","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Centro Hospitalar Universit\u00e1rio Lisboa Norte, EPE","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2868-7468","authenticated-orcid":false,"given":"Rita Margarida","family":"Dourado Marques","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Universidade Cat\u00f3lica Portuguesa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6444-3770","authenticated-orcid":false,"given":"Maria Manuela","family":"Madureira Lebre Mendes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Universidade Cat\u00f3lica Portuguesa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0749-9011","authenticated-orcid":false,"given":"Patr\u00edcia","family":"Cruz Pont\u00edfice Sousa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Universidade Cat\u00f3lica Portuguesa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6285","published-online":{"date-parts":[[2022,6,23]]},"reference":[{"key":"39173","unstructured":"Faria, Rita da Silva Baptista; Moreno, Rui Paulo. 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