Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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Risk Factors, Symptoms, and Intervention Analysis of Delirium Subtypes in Hospitalized Patients

입원환자에게 나타나는 섬망 아형별 위험요인과 증상 및 중재 분석

  • Ryu, Ahyun (College of Nursing, Chungnam National University) ;
  • Kang, Young-Ok (Chungnam National University Hospital) ;
  • Song, Rhayun (College of Nursing, Chungnam National University)
  • Received : 2021.07.30
  • Accepted : 2021.10.20
  • Published : 2021.10.28
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Abstract

This study aimed to investigate subtypes, risk factors, symptoms and the interventions to inpatients with delirium. The data of 108 inpatients who had the diagnosis of delirium during their hospital stay were collected from Electronic Medical Record at a university hospital and were analyzed by SPSS for Windows V. 26.0 program. As a results, Patients had a high proportion of elderly, male, orthopedic, and with fractures or amputations. The subtypes of delirium were hyperactive (51.9%), hypoactive (6.5%), and mixed (41.7%). Among the risk factors, depression and use of psychotropic agent were more common in those with hypoactive delirium. Among delirium interventions, behavioral symptom management and aggressive behavioral intervention were mainly implemented for those with hyperactive or mixed types, and emotional support was mainly implemented for those with hypoactive or mixed types. The delirium related intervention was more likely given immediately when the patients showed aggressive behaviors. Therefore, intervention strategies and protocol development are required for early detection of delirium in inpatients.

본 연구는 입원환자 섬망의 아형별 위험요인, 증상 및 중재를 조사하기 위해 시행되었다. 상급종합병원에 입원한 뒤 섬망을 진단받은 환자 108명의 전자의무기록을 SPSS WIN 26.0 프로그램을 이용해 분석하였다. 분석결과, 대상자는 고령, 남성, 정형외과, 골절이나 절단 환자의 비율이 높았다. 섬망의 아형은 과활동형 51.9%, 저활동형 6.5%, 혼재형 41.7%이었다. 위험요인 중 우울과 향정신성 약물 복용은 저활동형 섬망군에게 더 많이 선행되었다. 섬망의 중재 중 행동문제 관리와 공격적 행동 중재는 과활동형, 혼재형 섬망군에게 주로 시행되었고 정서적 지지는 저활동형, 혼재형 섬망군에게 주로 시행되었다. 공격적 행동을 동반할 경우 즉각적으로 중재를 제공받을 가능성이 높았다. 따라서, 추후 입원환자의 섬망을 조기발견하고 중재할 수 있도록 중재전략과 프로토콜을 개발하기 위한 연구가 요구된다.

Keywords

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