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首页> 外文期刊>Psychosomatics >The delirium experience: delirium recall and delirium-related distress in hospitalized patients with cancer, their spouses/caregivers, and their nurses.
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The delirium experience: delirium recall and delirium-related distress in hospitalized patients with cancer, their spouses/caregivers, and their nurses.

机译：ir妄体验：住院癌症患者，其配偶/护理人员和护士的del妄回忆和与ir妄有关的困扰。

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We conducted a systematic examination of the experience of delirium in a sample of 154 hospitalized patients with cancer. Patients all met DSM-IV criteria for delirium and were rated with the Memorial Delirium Assessment Scale as a measure of delirium severity, phenomenology, and resolution. Of the 154 patients assessed, 101 had complete resolution of their delirium and were administered the Delirium Experience Questionnaire (DEQ-a face-valid measure that assesses delirium recall and distress related to the delirium episode). Spouse/caregivers and primary nurses were also administered the DEQ to assess distress related to caring for a delirious patient. Fifty-four (53.5%) patients recalled their delirium experience. Logistic-regression analysis demonstrated that short-term memory impairment (odds ratio [OR] = 38.4), delirium severity (OR = 11.3), and the presence of perceptual disturbances (OR = 6.9) were significant predictors of delirium recall. Mean delirium-related distress levels (on a 0-4 numerical rating scale of the DEQ) were 3.2 for patients who recalled delirium, 3.75 for spouses/caregivers, and 3.09 for nurses. Logistic-regression analysis demonstrated that the presence of delusions (OR = 7.9) was the most significant predictor of patient distress. Patients with "hypoactive" delirium were just as distressed as patients with "hyperactive" delirium. Karnofsky Performance Status (OR = 9.1) was the most significant predictor of spouse/caregiver distress. Delirium severity (OR =5.2) and the presence of perceptual disturbances (OR =3.6) were the most significant predictors of nurse distress. In conclusion, a majority of patients with delirium recall their delirium as highly distressing. Delirium is also a highly distressing experience for spouses/caregivers and nurses who are caring for delirious patients. Prompt recognition and treatment of delirium is critically important to reduce suffering and distress.
机译：我们对154名住院的癌症患者进行了sample妄经验的系统检查。所有患者均符合DSM-IV ir妄标准，并用纪念Deli妄评估量表进行评分，以衡量ir妄严重程度，现象学和分辨力。在评估的154例患者中，有101例完全消除了resolution妄，并接受了Deli妄体验问卷调查（DEQ-一种可评估del妄发作和与the妄发作有关的困扰的面部有效措施）。配偶/照顾者和初级护士也接受了DEQ评估与照顾精神错乱患者有关的困扰。五十四（53.5％）名患者回忆起他们的del妄经历。 Logistic回归分析表明，短期记忆障碍（优势比[OR] = 38.4），del妄严重度（OR = 11.3）和知觉障碍的存在（OR = 6.9）是del妄回忆的重要预测指标。 recall妄回想患者的平均与related妄相关的困扰水平（在DEQ的0-4数值评分上）为3.2，配偶/护理人员为3.75，护士为3.09。 Logistic回归分析表明，妄想的存在（OR = 7.9）是患者困扰的最重要预测指标。 “机能亢进”的ir妄患者与“机能亢进”的ir妄患者一样痛苦。卡诺夫斯基绩效状态（OR = 9.1）是配偶/照料者困扰的最重要预测指标。妄的严重程度（OR = 5.2）和知觉障碍的存在（OR = 3.6）是护士困扰的最重要预测指标。总之，大多数with妄患者回忆他们的del妄为高度困扰。对于照顾神志不清的患者的配偶/照顾者和护士，妄也是令人非常痛苦的经历。及时识别和治疗ir妄对于减少痛苦和困扰至关重要。

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