Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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The Effects of Delirium Prevention Intervention on the Delirium Incidence among Postoperative Patients in a Surgical Intensive Care Unit

외과계 중환자실 수술 후 환자의 섬망 예방 중재가 섬망 발생에 미치는 효과

  • Shim, Mi Young (Department of Nursing, Seoul National University Hospital) ;
  • Song, Suk Hee (Surgical Intensive Care Unit2, Seoul National University Hospital) ;
  • Lee, Mimi (Surgical Intensive Care Unit1, Seoul National University Hospital) ;
  • Park, Min Ah (Surgical Intensive Care Unit1, Seoul National University Hospital) ;
  • Yang, Eun Jin (Surgical Intensive Care Unit1, Seoul National University Hospital) ;
  • Kim, Min Soo (Medical Intensive Care Unit, Seoul Metropolitan Government Seoul National University Boramae Medical Center) ;
  • Kim, Yu Jin (Surgical Intensive Care Unit1, Seoul National University Hospital) ;
  • Kim, Toona (Quality Assurance Team, Seoul National University Hospital)
  • 심미영 (서울대학교병원 특수간호과) ;
  • 송숙희 (서울대학교병원 외과계중환자실2) ;
  • 이미미 (서울대학교병원 외과계중환자실1) ;
  • 박민아 (서울대학교병원 중환자실 교육전담) ;
  • 양은진 (서울대학교병원 외과계중환자실1) ;
  • 김민수 (보라매병원 내과계중환자실) ;
  • 김유진 (서울대학교병원 외과계중환자실1) ;
  • 김두나 (서울대학교병원 QA 팀)
  • Received : 2015.01.31
  • Accepted : 2015.02.24
  • Published : 2015.04.30
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Abstract

Purpose: This study was aimed to develop the multicomponent intervention for preventing delirium among postoperative patients in a surgical intensive care unit (SICU). Methods: Using a quasi-experimental pre & post-test design with a non-equivalent control group, a total of 88 hospitalized patients in a SICU participated in this study. The 44 patients were allocated in each experimental and control group. The experimental group received the multicomponent intervention for delirium prevention including a delirium assessment and nursing intervention using a checklist, whereas the control group was provided with a standard care. The primary outcome of this study was the delirium incidence during the course of hospitalization. Results: There were no significant differences in the demographic and clinical characteristics between the two groups. The delirium occurred in 19.2% in the experimental group, whereas 38.6% in the control group ($x^2=4.526$, p<.05). Conclusion: The findings of the study demonstrated an effect of the multicomponent delirium prevention intervention in decreasing the delirium incidence rate over the standard care among the patients in SICU.

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