Nursing Delirium Screening Scale, a Tool for Early Detection of Delirium: Integrative Review

Ángela María Henao-Castaño; Laura Elizabeth Pachón Cetina; Juan David Monroy Rodríguez

doi:10.5294/aqui.2020.20.4.5

Autores

Ángela María Henao-Castaño Autor Universidad Nacional de Colombia http://orcid.org/0000-0003-4203-0016
Laura Elizabeth Pachón Cetina Autor Universidad Nacional de Colombia http://orcid.org/0000-0003-2708-8391
Juan David Monroy Rodríguez Autor Universidad Nacional de Colombia http://orcid.org/0000-0002-6534-9102

DOI:

https://doi.org/10.5294/aqui.2020.20.4.5

Palavras-chave:

Delirium, delírio, Nu-DESC, peneiramento, enfermagem, avaliação.

Resumo

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 a evidência disponível a fim de analisar o contexto e o uso da escala de detecção do delírio para enfermagem (Nu-Desc, por sua sigla em inglês) na detecção precoce do delírio em pacientes idosos.

Método: busca de artigos relevantes em bases de dados como Cinahl, Medline, Ovid, Scopus, Web of Science. Critérios de inclusão: artigos em inglês, espanhol e português; publicações realizadas entre janeiro de 2013 e outubro de 2019. Os termos de busca foram: “nursing delirium screen”, “inpatient delirium screening” e “nursing assessment”. Foram identificados 23 artigos, nos quais foi utilizado o instrumento Nu-Desc em diferentes contextos. Dois revisores, de maneira independente, realizaram a avaliação dos artigos com o emprego da ferramenta Caspe.

Resultados: a Nu-Desc foi utilizada em diferentes contextos, como a unidade de terapia intensiva de adultos, a unidade de recuperação pós-anestésica, a unidade de cuidado paliativo e a unidade de internação. Na de recuperação pós-anestésica, seu uso é frequente com uma faixa mais sensível em ≥ 1; o teste mostrou maior sensibilidade de 54,5 % (IC de 95 %: 32,2-75,6) e especificidade de 97,1 % (IC de 95 %: 95,3-98,4).

Conclusões: a Nu-Desc permite aos enfermeiros capacitados realizar o reconhecimento do evento de maneira rápida e oportuna, individualizar o cuidado, o que evita intervenções farmacológicas imediatas, e coordenar ações interdisciplinares para o diagnóstico, em especial em unidades de recuperação pós-anestésica.

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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