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Factors Influencing Performance of Delirium Care for Postoperative Delirium of Elderly Patients among Recovery Room Nurses

노인환자의 수술 후 섬망에 대한 회복실 간호사의 간호수행과 영향요인

  • Koo, Hyunjoo (Recovery Room, Inje University Haeundae Paik Hospital) ;
  • Yang, Jinhyang (Department of Nursing, Institute of Health Science, Inje University)
  • 구현주 (인제대학교 해운대백병원 회복실) ;
  • 양진향 (인제대학교 간호학과, 건강과학연구소)
  • Received : 2016.06.09
  • Accepted : 2016.08.18
  • Published : 2016.08.31

Abstract

Purpose: The purpose of this study was to identify factors associated with performance of nursing care for postoperative delirium of elderly patients among recovery room nurses. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 99 nurses from five urban recovery rooms. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with SPSS WIN 21.0. Results: The performance level of delirium nursing care was low because its mean score was 3.80 out of 5. Performance of nursing care was significantly positively correlated with the importance of nursing care and self-efficacy. Stepwise multiple regression analysis for performance of nursing care revealed that the most powerful predictor was the importance of nursing care. The importance of nursing care and self-efficacy explained 32.3% of the variance. Conclusion: The results indicate a need to enhance the performance of nursing care for postoperative delirium of elderly patients among recovery room nurses. The findings also suggest that consideration be given to strategies for improving the importance of nursing care and self-efficacy in developing programs to enhance the performance level of nursing care for elderly patients with postoperative delirium.

Keywords

References

  1. Booka, E., Kamijo, T., Matsumoto, T., Takeuchi, M., Kitani, T., Nagaoka, M., et al. (2016). Incidence and risk factors for postoperative delirium after major head and neck cancer surgery. Journal of Cranio-maxillofacial Surgery. S1010-5182(16), 1-5.
  2. Chaput, A. J., & Bryson, G. L. (2014). Postoperative delirium: risk factors and management: continuing professional development. Canadian Journal of Anesthesia, 59(3), 304-320.
  3. Ely, E. W., Shintani, A., Truman, B., Speroff, T., Gordon, S. M., Harrell, F. E., et al. (2004). Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. Journal of the American Medical Association, 291(14), 753-1762.
  4. Farley, A., & McLafferty, E. (2007). Delirium part one: clinical features, risk factors and assessment. Nursing Standard, 21(29), 35-40.
  5. Jeon, H. Y. (2014). The Relationship of diabetes knowledge, self efficacy, health promoting behavior for the middle aged. Unpublished master's thesis, Ehwa Womans University, Seoul.
  6. Kim, M. Y., & Eun, Y. (2013). Knowledge, performance and stress about care for delirium in orthopedic hospital nurses. The Journal of Muscle and Joint Health. 20(1), 72-80. https://doi.org/10.5953/JMJH.2013.20.1.72
  7. Kim, M., & Lee, H. (2014). The effects of delirium care training program for nurses in hospital nursing units. Korean Journal of Adult Nursing, 26(6), 489-499. https://doi.org/10.7475/kjan.2014.26.5.489
  8. Kim, Y. T. (1989). ICU nurse's stressors and the relationship between the degree of social support. Unpublished master's thesis, Hanyang University, Seoul.
  9. Lee, T. W., & Ko, Y. K. (2010). Effects of self-efficacy, affectivity and collective efficacy on nursing performance of hospital nurses. Journal of Advanced Nursing, 66(4), 839-848. https://doi.org/10.1111/j.1365-2648.2009.05244.x
  10. Lee, Y. H., Kim, C. G., Kim, G. B., Kim, N. C., Kim, H. G., Song, M. S., et al. (2007). A study of nurses' knowledge level and assessment experience of delirium. Korean Journal of Adult Nursing, 19(3), 35-44.
  11. Mc Donnell, S., & Timmins, F. (2012). A quantitative exploration of the subjective burden expienced by nurses when caring for patients with delirium. Journal of Clinical Nursing, 21(17-18), 2488-2498. https://doi.org/10.1111/j.1365-2702.2012.04130.x
  12. National Health Insurance Service. (2014). Statistical yearbook of major surgery, 2013 Seoul: National Health Insurance Corporation.
  13. Neufeld, K. J., Leoutsakos, J. M., Sieber, F. E., Wanamaker, B. L., Gibson Chambers, J. J., Rao, V., et al. (2013). Outcomes of early delirium diagnosis after general anesthesia in the elderly. Anesthesia & Analgesia, 117(2), 471-478. https://doi.org/10.1213/ANE.0b013e3182973650
  14. Oh, H. J. (2007). A Study on the relationship among the self efficacy, morale and job satisfaction of clinical nurse. Unpublished master's thesis, Kyung Hee University, Seoul.
  15. Park, J., & Park, J. W. (2013). Effects of a delirium education program for nurses on knowledgeof delirium, importance of nursing intervention and nursing practice. Journal of Korean Academic Society of Home Care Nursing, 20(2), 152-159.
  16. Park, Y. S., Kim, K. S., Song, K. J., & Kang, J. (2006). A preliminary survey of nurses' understanding of delirium and their need for delirium education. Journal of Korean Academy of Nursing, 36(7), 1183-1192. https://doi.org/10.4040/jkan.2006.36.7.1183
  17. Piao, J., Jin, Y., & Lee, S. M. (2016). Triggers and nursing influences on delirium in intensive care units. Nursing in Critical Care, Epub ahead of print. 1-8.
  18. Rizk, P., Morris, W., Oladeji, P., & Huo, M. (2016). Review of postoperative delirium in geriatric patients undergoing hip surgery. Geriatric Orthopaedic Surgery and Rehabilitation, 7(2), 100-105. https://doi.org/10.1177/2151458516641162
  19. Saxena, S., & Lawley, D. (2009). Delirium in the elderly: a clinical review. Postgraduate Medical Journal, 85(1006), 405-413. https://doi.org/10.1136/pgmj.2008.072025
  20. Sherer, M., & Adams, C. (1983). Construct validation if self-efficacy scale. Psychological Reports, 53(3), 899-902. https://doi.org/10.2466/pr0.1983.53.3.899
  21. Suh, H. J., & Yoo, Y. S. (2007). Intensive care unit nurse's knowledge, nursing performance, and stress about delirium. Korean Journal of Adult Nursing, 19(1), 55-65.
  22. Yang, Y. A. (2006). Intensive Care Unit Nurse's knowledge and nursing performance of delirium. Unpublished master's thesis, The Catholic University of Korea, Seoul.
  23. Yang, Y. H. (2010). Comprehension and knowledge about delirium in nurses working at long-term care hospitals or general hospitals. The Journal of Korean Academic Society of Nursing Education, 16(2), 312-320. https://doi.org/10.5977/JKASNE.2010.16.2.312

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