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http://dx.doi.org/10.5392/JKCA.2018.18.10.134

Effects of Delirium Prevention Program in Patients after Hip Joint Surgery  

SaGong, Eun Mi (차의과학대학교 분당차병원)
Kim, Sook Young (차의과학대학교 간호대학)
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Abstract
The purpose of this study was to examine the effects of delirium prevention program in patients after hip joint surgey. A non equivalent control group post-test only design was utilized. Sixty four patients aged 65 and older who admitted to a surgical intensive care unit after hip joint surgery were assigned to either a experimental group (n=33) or a control group (n=31). The experimental group was provided with delirium prevention program consisting of orientation intervention, activity intervention, physiological intervention, nutritional intervention, sleep intervention, environmental intervention. Data were analyzed using ${\chi}^2-test$ and independent t-test. The experimental group showed lower incidence of delirium than the control group(${\chi}^2=7.048$, p=.008). The experimental group showed lower ICU stay and length of hospitalization than the control group although the difference was not statistically significant. Findings indicate that the dilirium prevention program is effective in reducing incidence of delirium in patients after hip joint surgery and delirium prevention program is recommended as a guide for the prevention of delirium.
Keywords
Delirium; Prevention; Hip Joint; Surgery;
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1 M. Deschodt, T. Braes, J. Flarnaing, E. Detroyer, P. Broos, P. Haentiens, S. Boonen, and K. Milisen, "Preventing Delirium in Older Adults with Recent Hip Fracture Through Multidisciplinary Geriatric Consultation," Journal of the American Geriatrics Society, Vol.60, pp.733-739, 2012.   DOI
2 박영숙, 김금순, 송경자, 강지연, "일 종합병원 간호사들의 섬망에 대한 인식 및 교육요구에 관한 기초조사," 대한간호학회지, 제36권, 제7호, pp.1183-1192, 2006.   DOI
3 E. Calvo-Ayala and B. Khan, "Delirium Management in Critically Ill Patients," Journal of Symptoms Signs, Vol.2, No.1, pp.23-32, 2013.
4 김기환, 고덕환, 신주용, 최진영, 김응식, 김동헌, "고관절부 골절 환자에서 수술 후 섬망을 일으키는 위험인자," 대한골절학회지, 제21권, 제3호, pp.189-194, 2008.
5 M. G. Cole, J, McCusker, A. Ciampi, and E. Belzile, "The 6- and 12-Month Outcomes of Older Medical Inpatients Who Recover from Subsyndromal Delirium," Journal of the American Geriatrics Society, Vol.56, No.11, pp.2093-2099, 2008.   DOI
6 S. K. Inouye, "Delirium in Older Persons," The New England Journal of Medicine, Vol.354, No.11, pp.1157-1165, 2006. https://doi.org/10.1056/NEJMra052321   DOI
7 문경자, 이선미, "중환자실 섬망예방을 위한 근거중심 간호중재 프로토콜 개발," 임상간호연구, 제16권, 제3호, pp.175-186, 2010.
8 T. B. Wyller, L. O. Watne, A. Torbergsen, K. Engedal, F. Frihagen, V. Juliebo, I. Saltvedt, E. Skovlund, J. Raeder, and S. Conroy, "The Effect of a Pre- and Post-Operative Orthogeriatric Service on Cognitive Function in Patients with Hip Fracture, The Protocol of the Oslo Orthogeriatrics Trial," BioMed Central Geriatrics, Vol.12, No.1, pp.1471-2318, 2012.
9 K. S. Todd, J. Barry, S. Hoppough, and E. McConnell, "Delirium Detection and Improved Delirium Management in Older Patients Hospitalized for Hip Fracture," International Journal of Orthopaedic and Trauma Nursing, Vol.19, No.4, pp.214-221, 2015.   DOI
10 K. J. Jeffs, D. J. Berlowitz, S. Grant, V. Lawlor, M. Graco, N. A. de Morton, J. A. Savige, and W. K. Lim, "An Enhanced Exercise and Cognitive Programme Dose Not Appear to Reduce Incidence Delirium in Hospitalised Patients: A Randomised Controlled Trial," BMJ Open, Vol.3, No.6, pp.1-8, 2013.
11 이영휘, 김춘길, 공은숙, 김귀분, 김남초, 김희경 외, "간호사의 섬망 지식수준과 섬망 사정에 대한 연구," 성인간호학회지, 제19권, 제1호, pp.35-44, 2007.
12 강규복, 서동훈, 오성록, "고령 환자에서 대퇴골 전자간 골절 후 발생한 섬망," 대한골절학회지, 제24권, 제2호, pp.131-137, 2011.
13 M. Kennedy, R. A. Enander, S. P. Tadiri, R. E. Wolfe, N. I. Shapiro, and E. R. Marcantonio, "Delirium Risk Prediction, Healthcare Use and Mortality of Elderly Adults in the Emergency Department," Journal of the American Geriatrics Society, Vol.62, No.3, pp.462-469, 2014. doi: 10.1111/jgs.12692   DOI
14 E. R. Marcantonio, L. Goldman, E. J. Orav, E. F. Cook, and T. H. Lee, "The Association of Intraoperative Factors with the Development of Postoperative Delirium," The American Journal of Medicine, Vol.105, No.5, pp.380-384, 1998.   DOI
15 정미혜, 윤선옥, 박정희, 추순옥, 오소영, 김미영, "정형외과 수술 후 섬망 발생요인 분석," 임상간호연구, 제17권, 제3호, pp.443-454, 2011.
16 B. C. Van Munster, J. C. Korevaar, A. H. Zwinderman, M. Levi, W. J. Wiersinga, and S. E. de Rooij, "Time-Course of Cytokines During Delirium in Elderly Patients with Hip Fractures," Journal of the American Geriatrics Society, Vol.56, No.9, pp.1704-1709, 2008.   DOI
17 황성관, 이창호, "고령의 환자에서 고관절 치환술 후 발생한 섬망," 대한고관절학회지, 제22권, 제2호, pp.151-158, 2010.
18 이영휘, 임혜빈, 정은정, 마희선, "인공관절치환수술 노인의 섬망 발생 영향요인," 성인간호학회지, 제24권, 제4호, pp.348-357, 2012.   DOI
19 E. E. Vasilevskis, J. H. Han, C. G. Hughes, and E. W. Ely, "Epidemiology and Risk Factors for Delirium across Hospital Settings," Best Practice & Research Clinical Anaesthesiology, Vol.26, pp.277-287, 2012.   DOI
20 J. Witlox, L. S. Eurelings, J. F. de Jonghe, K. J. Kalisvaart, P. Eikelenboom, and W. A. van Gool, "Delirium in Elderly Patients and the Risk of Postdischarge Mortality, Institutionalization, and Dementia: a Meta-Analysis," The Journal of the American Medical Association, Vol.304, No.4, pp.443-451, 2010.   DOI
21 E. W. Ely, R. Margolin, J. Francis, L. May, B. Truman, R. Dittus, T. Speroff, S. Gautam, G. R. Bernard, and S. K. Inouye, "Evaluation of Delirium in Critically Ill Patients: Validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU)," Critical Care Medicine, Vol.29, No.7, pp.1370-1379, 2001.   DOI
22 E. C. E. Folbet, R. S. Smit, D. van der Velde, E. M. M. Regtuijt, M. H. Klaren, and J. H. H. Hegeman, "Geriatric Fracture Center: A Multidisciplinary Treatment Approach for Older Patients With a Hip Fracture Improved Quality of Clinical Care and Short-Term Treatment Outcomes," Geriatric Orthopaedic Surgery & Rehabilitation, Vol.3, No.2, pp.59-67, 2012.   DOI
23 심미영, 송숙희, 이미미, 박민아, 양은진, 김민수, 김유진, 김두나, "외과계 중환자실 수술 후 환자의 섬망 예방 중재가 섬망 발생에 미치는 효과," 임상간호연구, 제21권, 제1호, pp.43-52, 2015.   DOI
24 이효연, 섬망 예방 간호중재가 응급중환자실 입원환자의 섬망발생률에 미치는 효과, 서울대학교, 석사학위논문, 2014.
25 E. Y. Heo, B. J. Lee, B. J. Hahm, E. H. Song, H. A. Lee, C. G. Yoo, Y. W. Kim, S. K. Han, Y. S. Shim, and S. M. Lee, "Translation and Validation of the Korean Confusion Assessment Method for the Intensive Care Unit," BioMed Central Psychiatry, Vol.11, No.94, pp.1-4, 2011.   DOI
26 http://www.nice.org.uk/guidance/cg103, 2015.10.1.
27 T. M. Brown and M. F. Boyle, "Delirium," British Medical Journal, Vol.325, pp.644-647, 2002.   DOI
28 문경자, 중환자실 환자에게 적용한 섬망 예방 프로토콜의 효과, 가톨릭대학교, 박사학위논문, 2014.
29 J. B. Haymore and N. Patel, "Delirium in the Neuro Intensive Care Unit," Critical Care Nursing Clinics of North America, Vol.28, No.1, pp.21-35, 2016. https://doi.org/10.1016/j.cnc.2015.11.001   DOI
30 E. R. Marcantonio, J. M. Flacker, R. J. Wright, and N. M. Resnick, "Reducing Delirium after Hip Fracture: A Randomized Trial," Journal of American Geriatric Society, Vol.49, pp.516-22, 2001.   DOI
31 A. J. Chaput and G. L. Bryson, "Postoperative Delirium: Risk Factors and Management: Continuing Professional Development," Canadian Journal of Anaesthesia, Vol.59, No.3, pp.304-320, 2012.   DOI
32 S. R. Allen and H. L. Frankel, "Postoperative Complications: Delirium," The Surgical Clinics of North America, Vol.92, No.2, pp.409-431, 2012.   DOI