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정미혜 ( Chung Mee-Hye ) - 서울아산병원 정형외과 전문간호사
윤선옥 ( Yun Sun-Ok ) - 서울아산병원 Unit Manager
박정희 ( Park Jeong-Hee ) - 서울아산병원 간호부
추순옥 ( Chu Soon-Ok ) - 서울아산병원 간호부
오소영 ( Oh So-Young ) - 서울아산병원 간호부
김미영 ( Kim Mi-Young ) - 서울아산병원 간호부
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Abstract
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Purpose: The purpose of this study was to investigate the predictors of delirium in patients after orthopedic surgery.
Methods: Participants were 121 orthopedic surgery patients from one university affiliated hospital located in Seoul. The instrument of Delirium Observation Screening Scale (DOS) developed by Schuurmans et al. (2003) was utilized. Data were collected from September 1st, 2010 to March 31st, 2011 and analyzed using SPSS 12.0 with descriptive statistics, t-test, chi-square test and logistic regression.
Results: The delirium in patients after orthopedic surgery was occurred in 9 (7.4%) out of 121 patients. Several factors were associated with the delirium occurrence age, admission route, preadmission Activity of Daily Living (ADL),
preadmission hearing aid use, preadmission walking degree, diagnosis, type of surgery, Intensive Care Unit (ICU) stay after surgery, restraint, drainage tube, time of admission to surgery, preoperative albumin and preoperative sodium. Preadmission ADL, preoperative sodium and time of admission to surgery were the significant predictors of the delirium occurrence.
Conclusion: Study results may help nurses predicting and detecting delirium early and providing preventive measures to the patients with high risk of delirium after orthopedic surgery.
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KeyWords
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섬망, 정형외과, 요인
Delirium, Orthopedic
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원문 및 링크아웃 정보
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등재저널 정보
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