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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

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.

Acknowledgement

Supported by : 서울대학교병원