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이민지 ( Lee Min-Ji ) - 가톨릭대학교 서울성모병원 신경계중환자실
윤선희 ( Yun Sun-Hee ) - 가톨릭대학교 서울성모병원 신경계중환자실
최경옥 ( Choi Kyoung-Ok ) - 가톨릭대학교 서울성모병원
성선숙 ( Seong Sun-Suk ) - 가톨릭대학교 서울성모병원 일반외과병동
이선미 ( Lee Sun-Mi ) - 가톨릭대학교 간호대학
강재진 ( Kang Jae-Jin ) - 가톨릭대학교 서울성모병원 신경계중환자실
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Abstract
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Purpose: The purpose of this study was to investigate the effects of a delirium prevention intervention for patients in neurology and neurosurgery intensive care units (ICUs).
Methods: This study was a quasi-experimental study. Participants were 87 patients. The experimental group was provided with nonpharmacologic and multicomponent delirium prevention interventions, consisting of regular delirium assessment, improvement in orientation, early therapeutic intervention, and environmental interventions. The control group was provided with routine intensive care. Data were analyzed using x2 test, Fisher’s exact test, and t-test.
Results: Both groups were homogeneous. The incidence of delirium and length of hospitalization were significantly lower in the experimental group compared to the control group. ICU stay, mortality and unplanned extubation were lower in the experimental group compared to the control group, but there was no significant difference.
Conclusion: Findings indicate that the delirium prevention intervention is effective in reducing incidence of delirium and length of hospitalization. Therefore, this intervention should be helpful in preventing delirium in neurology and neurosurgery ICUs and can be used as a guide in the prevention of delirium in neurological diseases’s patients.
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KeyWords
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섬망, 신경과, 신경외과, 중환자실
Delirium, Neurology, Neurosurgery, Intensive care units
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원문 및 링크아웃 정보
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등재저널 정보
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