Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Factors Related to Motor Subtypes of Delirium Patients in a Surgical Intensive Care Unit

일 종합병원 외과 중환자실 환자의 섬망 아형별 관련 요인

  • Park, Sang Hee (Department of Nursing, The Catholic University of Korea, Seoul ST. Mary's Hospital) ;
  • Kim, Hee Jeong (Department of Nursing, The Catholic University of Korea, Seoul ST. Mary's Hospital) ;
  • Choi, Hee Young (Department of Nursing, The Catholic University of Korea, Seoul ST. Mary's Hospital) ;
  • You, Ji Eun (Department of Nursing, The Catholic University of Korea, Seoul ST. Mary's Hospital) ;
  • Park, Ji Eun (Department of Nursing, The Catholic University of Korea, Seoul ST. Mary's Hospital) ;
  • Kim, Eun Jung (Department of Nursing, The Catholic University of Korea, Seoul ST. Mary's Hospital) ;
  • Lim, Soo Jung (Department of Nursing, The Catholic University of Korea, Seoul ST. Mary's Hospital)
  • 박상희 (가톨릭대학교 서울성모병원) ;
  • 김희정 (가톨릭대학교 서울성모병원) ;
  • 최희영 (가톨릭대학교 서울성모병원) ;
  • 유지은 (가톨릭대학교 서울성모병원) ;
  • 박지은 (가톨릭대학교 서울성모병원) ;
  • 김은정 (가톨릭대학교 서울성모병원) ;
  • 임수정 (가톨릭대학교 서울성모병원)
  • Received : 2020.05.25
  • Accepted : 2020.06.23
  • Published : 2020.08.31
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Abstract

Purpose: The purpose of this study was to investigate the motor subtypes of delirium in patients in a Surgical Intensive Care Unit (SICU), and identify the factors related to the characteristics of patients according to the motor subtypes of delirium. Methods: Data were collected in the SICU of a tertiary hospital in ⁎ city from October 2018 to June 2019. Delirium was detected using the Confusion Assessment Method for the ICU (CAM-ICU) and motor subtypes of delirium were measured with the Delirium Motor Subtype Scale (DMSS)-4. Patients' characteristics were obtained by using the electronic medical records. Descriptive statistics were used to analyze the data. Results: Among 1,112 patients, 172 patients showed delirium (15.5%). After excluding dementia patients and patients refusing to participate in the study, 126 patients included in the final analysis. Delirium patients were classified as hyperactive delirium (32.5%), hypoactive delirium (42.9%), mixed delirium (11.9%), and non-motor subtype delirium (12.7%). Conclusion: The study results suggest that hypoactive delirium is the most prevalent motor subtype of delirium in SICU. More application of ventilators, more administration of sedatives, more use of catheters, and higher nursing severity were reported for hypoactive delirium cases than hyperactive ones. Therefore, it is necessary to assess early the motor subtypes of delirium using structured tools and develop appropriate nursing interventions suitable for each subtype of delirium.

Keywords

References

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