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The importance of early recognition and timely treatment of delirium in intensive care units
,
Ivana Stasevic-Karlicic
,
Milena Stasevic
,
Jelena Djordjevic
,
Igor Grbic
,
Slavica Djukic-Dejanovic
Slobodan Jankovic
Published: 01.12.2016.
Volume 45, Issue 3 (2016)
pp. 101-107;
Abstract
Keywords
References
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Delirijuma ZRPIPL. JEDINICI INTENZIVNE NEGE Stašević Karličić Ivana 1 , Stašević Milena 1 , Đorđević Jelena 1 , Grbić Igor 1 , Đukić Dejanović Slavica 2 , Janković Slobodan 2 1 Klinika za psihijatrijske poremećaje Dr "Laza Lazarević.
55.
čenju delirijuma sa preporukama vodiča dobre kliničke prakse u razvijenim zemljama. U studiji je korišćen metod utemeljene teorije. Takozvanim principijalnim uzorkovanjem u studiju je uključeno 17 psihijatara, anesteziologa i licenciranih sestara. Nakon toga, sa izabranim ispitanicima su sprovedeni nestruktuirani intervjui koju su transkribovani i odmah analizirani kroz kodiranje, otkrivanje kategorija i koncepata. Zatim je sprovedeno teoretsko uzorkovanje novih ispitanika. Analiza nove serije intervjua omogućila je povezivanje koncepata u radnu teoriju i njeno grafičko prikazivanje. Novo uzorkovanje, novi intervjui i njihova analiza su zatim nastavljeni interaktivno sve dok nije dobijena saturacija radne teorije i formulacija definitivne verzije teorije utemeljene na nalazima dobijenim kroz process intervjuisanja. Nakon principijalnog uzorkovanja i kodiranja transkripata došlo se do saturacije teorije kroz izdvajanje osam kategorija: A -Delirijum kao znak sistemske infekcije, B -Terapija -anesteziolozi primenjuju benzodiazepine, a psihijatri antipsihotike, C -Slabije izražen delirijum se previđa, D -Krvarenja kao uzrok delirijuma, E -Antiholinergici kao uzrok delirijuma, F -Nerazumevanje prirode delirijuma od strane anesteziologa, G -Svest o vitalnoj ugroženosti pacijenata i H -Sestre primenjuju mere pojačane nege. Delirijum je sindrom koji se može sprečiti u 30-40% slučajeva. Etiološkim lečenjem bi se izbeglo komplikovanje slike delirijuma i dobrim delom bi se sprečili loši ishodi. 2016;(3/4):101–7.
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