Nursing Delirium Screening Scale, a Tool for Early Detection of Delirium: Integrative Review
DOI:
https://doi.org/10.5294/aqui.2020.20.4.5Palabras clave:
Delírium, Nu-DESC, cribado, enfermería, evaluación, cuidado intensivo, hospitalización, periodo perioperatorio.Resumen
Nursing Delirium Screening Scale, una herramienta para la detección temprana del delírium: revisión integrativa
Nursing Delirium Screening Scale, uma ferramenta para detectar precocemente o delírio: revisão integrativa
Objetivo: compilar la evidencia disponible con el fin de analizar el contexto y uso de la escala de detección del delírium para enfermería (Nu-DESC, por sus siglas en inglés) en la detección temprana del delírium en pacientes adultos.
Método: búsqueda de artículos relevantes en bases de datos como Cinahl, Medline, Ovid, Scopus, Web of Science. Criterios de inclusión: artículos escritos en idioma inglés, español y portugués; publicaciones entre enero del 2013 y octubre del 2019. Los términos de búsqueda fueron: “nursing delirium screen”, “inpatient delirium screening” y “nursing assessment”. Se identificaron 23 artículos en los que se utilizó el instrumento Nu-DESC en diferentes contextos. Dos revisores de manera independiente realizaron la evaluación de los artículos utilizando la herramienta CASPe.
Resultados: el uso de la Nu-DESC se presentó en diferentes contextos, tales como la unidad de cuidado intensivo adulto, la unidad de cuidado posanestésica, la unidad de cuidado paliativo y la unidad de hospitalización. En la unidad de cuidado posanestésico su uso es frecuente con un umbral más sensible en ≥ 1; la prueba mostró una mayor sensibilidad del 54,5 % (IC del 95 %: 32,2-75,6) y una especificidad del 97,1 % (IC del 95 %: 95,3-98,4).
Conclusión: la Nu-DESC les permite a los enfermeros entrenados realizar el reconocimiento del evento de manera rápida y oportuna, individualizar el cuidado, lo que evita realizar intervenciones farmacológicas de manera inmediata, y coordinar acciones interdisciplinarias para el diagnóstico, en especial en unidades de cuidado postanestésico.
Para citar este artículo / To reference this article / Para citar este artigo
Henao-Castaño AM, Pachón LE, Monroy JD. Nursing Delirium Screening Scale, a Tool for Early Detection of Delirium: Integrative Review. Aquichan. 2020;20(4):e2045. DOI: https://doi.org/10.5294/aqui.2020.20.4.5
Recibido: 09/03/2020
Aceptado: 14/08/2020
Publicado: 04/12/2020
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