<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1695-6141</journal-id>
<journal-title><![CDATA[Enfermería Global]]></journal-title>
<abbrev-journal-title><![CDATA[Enferm. glob.]]></abbrev-journal-title>
<issn>1695-6141</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Murcia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1695-61412018000400640</article-id>
<article-id pub-id-type="doi">10.6018/eglobal.17.4.302971</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Delirium: intervenciones de enfermería en el adulto hospitalizado - una revisión bibliográfica]]></article-title>
<article-title xml:lang="en"><![CDATA[Delirium: nursing interventions directed to the hospitalized adult patient- a bibliographic review]]></article-title>
<article-title xml:lang="pt"><![CDATA[Delirium: intervenções de enfermagem dirigidas ao adulto hospitalizado - uma revisão bibliográfica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bento]]></surname>
<given-names><![CDATA[Marta Sofia Pão-Mole]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marques]]></surname>
<given-names><![CDATA[Rita Margarida Dourado]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sousa]]></surname>
<given-names><![CDATA[Patricia Pontífice]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,marsofia81@hotmail.com  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Cruz Vermelha Portuguesa Escola Superior de Saúde ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Católica Portuguesa  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>17</volume>
<numero>52</numero>
<fpage>640</fpage>
<lpage>688</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1695-61412018000400640&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1695-61412018000400640&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1695-61412018000400640&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN: El delirio es un síndrome neuropsiquiátrico, caracterizado por un trastorno agudo de la atención y de la cognición, de etiología multifactorial. Tiene una elevada prevalencia en la población mayor y se trata de un indicador de mal pronóstico. Incita a un impacto negativo, conduciendo a un deterioro de la calidad de vida de la persona.  Objetivos Identificar las intervenciones de enfermería dirigidas al adulto/ mayor hospitalizado, para el control del delirio.  Metodología Utilizando como referencia una cuestión PICO, se ha realizado la revisión de artículos publicados entre 2012 y 2017, que identificaron las intervenciones de enfermería dirigidas a la persona adulta/mayor hospitalizada presentando delirio.  Resultados Se identificaron 5 estudios en esta revisión bibliográfica que presentan estrategias dinámicas, de carácter preventivo y tendencialmente no farmacológicas, ante el delirio. Esto evidencia el papel del enfermero en el desempeñar acciones de prevención (dirigidas preferentemente a los factores de riesgo desencadenantes de esta alteración neurológica), en el mantenimiento del equilibrio sensorial, gestión del ambiente, nutrición/alimentación adecuadas, monitorización del dolor, sueño y fomentando la movilidad precoz.  Conclusión  El abordaje ante al delirio debe incluir la identificación de factores predisponentes, precipitadores y el recurso a acciones adecuadas, con el fin de la resolución del cuadro. La investigación es imperativa en el sentido de reconocer y validar, qué acciones permiten controlar (prevenir/tratar) el delirio y, de esta forma, disminuir sus consecuencias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT: Delirium is a neuropsychiatric syndrome, characterized by an acute attention and cognition deficit disorder, of multifactorial etiology. It has a high prevalence in the elderly population and it&#8217;s an indicator of a poor prognosis. It leads to a negative impact, provoking deterioration in the person's quality of life.  Objectives: This study aimed to identify the nursing interventions directed to the hospitalized adult / elderly, for the control of delirium.  Methodology: Using a PICO question as a reference, a review of articles published between 2012 and 2017 was carried out. That identified, which nursing interventions aimed at the adult / elderly person hospitalized with delirium.  Results: In this bibliographic review 5 studies were selected, in common, they present tendentially, non-pharmacological dynamic strategies of preventive character towards the delirium. This evidences the role of nursing in carrying out preventive actions (preferentially directed to risk factors, which may trigger this neurological alteration), such as the maintenance of the sensorial balance, assessing the local environment, monitoring pain, sleep and the stimulation of the early mobility.  Conclusion  The interventions for delirium should include the identification of predisposing and precipitating factors with adequate actions, for its resolution. Research is imperative, to recognize and validate witch interventions may control delirium (prevent/ treat) and thus reduce its consequences.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO: O delirium é uma síndrome neuropsiquiátrica, caracterizada por um transtorno agudo da atenção e cognição de etiologia multifactorial. Tem uma elevada prevalência na população idosa e trata-se de um indicador de mau prognóstico. Incita a um impacto negativo, conduzindo à deterioração da qualidade de vida da pessoa.  Objetivos: Identificar as intervenções de enfermagem, dirigidas ao adulto/idoso hospitalizado, para o controlo do delirium.  Metodologia: Utilizando como referência uma questão PICO, realizou-se a revisão de artigos publicados entre 2012 e 2017, que identificaram quais as intervenções de enfermagem dirigidas à pessoa adulta/idoso, hospitalizada apresentando delirium.  Resultados: Identificaram-se 5 estudos nesta revisão bibliográfica que apresentam estratégias dinâmicas, de carácter preventivo e tendencialmente não farmacológicas, perante o delirium. Tal, evidencia o papel do enfermeiro em desempenhar acções de prevenção (dirigidas essencialmente, aos fatores de risco desencadeantes desta alteração neurológica) na manutenção do equilíbrio sensorial, gestão do ambiente, nutrição/hidratação adequadas, monitorização da dor, sono e estimulação da mobilidade precoce.  Conclusão: A intervenção face ao delirium, deve incluir a identificação de fatores predisponentes, precipitantes e o recurso a acções adequadas, visando assim a resolução do quadro. A investigação torna-se imperativa, no sentido de reconhecer e validar quais as acções, que permitem controlar o delirium (prevenir/tratar) e desta forma diminuir as suas consequências.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[delirio]]></kwd>
<kwd lng="es"><![CDATA[intervenciones de enfermería]]></kwd>
<kwd lng="es"><![CDATA[adulto hospitalizado]]></kwd>
<kwd lng="es"><![CDATA[práctica basada en la evidencia]]></kwd>
<kwd lng="en"><![CDATA[Delirium]]></kwd>
<kwd lng="en"><![CDATA[Nursing Interventions]]></kwd>
<kwd lng="en"><![CDATA[Hospitalized Adult Patients]]></kwd>
<kwd lng="en"><![CDATA[Evidence-Based Practice]]></kwd>
<kwd lng="pt"><![CDATA[delirium]]></kwd>
<kwd lng="pt"><![CDATA[intervenções de enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[adulto hospitalizado]]></kwd>
<kwd lng="pt"><![CDATA[prática baseada na evidência]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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