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이현심 ( Lee Hyun-Sim ) - 세브란스병원 간호국
김소선 ( Kim So-Sun ) - 연세대학교 간호대학
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Abstract
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Purpose: The purpose of this study was to investigate risk factors related to delirium and to develop screening
model on delirium occurrence in MICU (Medical Intensive Care Unit) patients.
Methods: For developing a preliminary tool for delirium, the data of 166 patients were collected and analyzed. In order to estimate the accuracy and discriminating power for the developed screening model, 98 patients were enrolled. The data used in this study were collected by EMR (Electronic Medical Record) review from January to September in
2012. The collected data were analyzed using SPSS/PC Win 18.0 program.
Results: Screening model on delirium in MICU patients was developed using the results of logistic regression. The total score of screening model was 24 point and measuring point was 10 point. When the measuring point is over 10 point, it means that the risk of delirium occurrence is high. The discriminating power and the validity of screening model
showed AUC .908 (p <.001) and .935 (p <.001) respectively. This result showed that the screening model on
delirium which developed in this study was an appropriate model for screening the delirium risk group in
MICU. The sensitivity of the screening model was 83%, specificity 89% and accuracy 84%.
Conclusion: The developed screening model on delirium occurrence in MICU should be combined with EMR for screening and preventing delirium in a high risk group.
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KeyWords
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중환자실, 위험요인, 섬망
Intensive care units, Risk factors, Delirium
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원문 및 링크아웃 정보
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등재저널 정보
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