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http://dx.doi.org/10.7739/jkafn.2015.22.2.149

Effects of Family Presence Intervention on Anxiety, Delirium, Pain and Length of Time in Recovery Room of Post-operative Elderly Patients in Post-anesthesia Care Units  

Kim, Kyunghee (Red Cross College of Nursing, Chung-Ang University)
Lee, Sookhee (Red Cross College of Nursing, Chung-Ang University)
Publication Information
Journal of Korean Academy of Fundamentals of Nursing / v.22, no.2, 2015 , pp. 149-157 More about this Journal
Abstract
Purpose: The objectives of this study were to assess the influence of family presence in the PACU (Post Anesthesia Care Unit) on anxiety, emergency delirium, pain and length of stay in the recovery room for elderly patients undergoing surgery for which general anesthesia has been used. Methods: The study was a nonequivalent control group pre-post test design. Eighty elderly patients over 65 years who underwent surgery under general anesthesia were recruited. Forty were assigned to the experiment group, patients together with a family member and 40 to the control group, with no family member present. Patients' anxiety, emergency delirium, pain and length of time in the recovery room were evaluated at 10 minute and 30 minute after arrival in the PACU. Results: Patients with family members in the PACU showed significantly decreased levels of anxiety at 10 and 30 minutes and significantly lower levels of emergency delirium and pain at 30 minutes. However there was no difference between the 2 groups for length of time in the recovery room. Conclusion: The results of this study indicate that being with family members in the PACU after surgery under general anesthesia is effective for reducing elderly patients' anxiety, delirium and pain during time in the recovery room.
Keywords
Aged; Anxiety; Delirium; Pain; Postanesthesia nursing;
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Times Cited By KSCI : 5  (Citation Analysis)
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1 Cho MJ. Hong MS. A study on the effect of supportive nursing care to anxiety reduction of the patient immediately before surgery in the operating room. Korean Journal of Adult Nursing. 2001;13(4):632-640.
2 Morgan GE, Mikhail MS, Murray MJ. Clinical anesthesiology. 4th ed. New York, NY: Lange Medical Books; 2006.
3 DeLeskey K. Family visitation in the PACU: The current state of practice in the United States. Journal of Perianesthesia Nursing. 2009;24(2):81-85.   DOI   ScienceOn
4 Lim JH. Family support and death anxiety of elderly patients in intensive care unit [master's thesis]. Seoul: Ewha Womans University; 2000.
5 Yoo JB, Kim MJ, Cho SH, Shin YJ, Kim NC. The effects of pre-operative visual information and parental presence intervention on anxiety, delirium, and pain of post-operative pediatric patients in PACU. Journal of Korean Academy of Nursing. 2012;42(3):333-341.   DOI   ScienceOn
6 Cho YH. Pain, depression and anxiety of the older adults with operation [master's thesis]. Daejeon: Daejeon University; 2004.
7 Eckenhoff JE, Kneale DH, Dripps RD. The incidence and etiology of postanesthetic excitement a clinical Survey. Anesthesiology. 1961;22(5):667-673.   DOI   ScienceOn
8 Kim WO, Kil HK, Koo BN, Kim JI. Analysis and prediction of length of stay in the postanesthesia care unit. Korean Journal of Anesthesiology. 2001;40(5):613-618.   DOI
9 Kim JT, Shin DK. A study based on the standardization of the STAI for Korea. New Medical Journal. 1978;21(11):69-75.
10 Kim KN, Kim CH, Kim KI, Yoo HJ, Park SY, Park YH. Development and validation of the Korean Nursing Delirium Scale. Journal of Korean Academy of Nursing. 2012;42(3):414-423.   DOI   ScienceOn
11 Sessler CN, Gosnell MS, Grap MJ, Brophy GM, O'Neal PV, Keane KA, et al. The Richmond Agitation-Sedation Scale: Validity and reliability in adult intensive care unit patients. American Journal of Respiratory and Critical Care Medicine. 2002;166(10):1338-1344.   DOI   ScienceOn
12 Hines R, Barash PG, Watrous G, O'Connor T. Complications occurring in the postanesthesia care unit: A survey. Anesthesia and Analgesia. 1992;74(4),503-509.
13 Lim HJ. A study on social support, self-esteem and death anxiety for the ederly. [master's thesis]. Jeonju: Chonbuk National University; 2001.
14 Om A. The value of family in postoperative recovery. Journal of Perianesthesia Nursing. 2008;23(1):3-4.   DOI   ScienceOn
15 Radtke FM, Franck M, Hagemann L, Seeling M, Wernecke KD, Spies CD. Risk factors for inadequate emergence after anesthesia: Emergence delirium and hypoactive emergence. Minerva Anestesiologica. 2010;76(6):394-403.
16 Zenz MW, Tryba M. Economic aspects of pain therapy. Current Opinion in Anesthesiology. 1996;9(5):430-435.   DOI
17 Lee HS. The effect of emotional state and social support of preoperative patients on postoperative pain. [master's thesis]. Seoul: Chung-Ang University; 2001.
18 Kim SM, So HY, Lee MH, Park MY, Kwon MJ. Factors influencing length of stay at the recovery room among elderly patients undergone general anesthesia. Korean Journal of Adult Nursing. 2011;23(1):87-99.
19 Yoo JB, Jang HJ. Length of stay in PACU among surgical patients using data mining technique. Journal of the Korea Academia-Industrial cooperation Society. 2013;14(7):3400-3411.   DOI   ScienceOn
20 National Health Insurance Service. Statistical yearbook of major surgery, 2012 [Internet]. Seoul: National Health Insurance Corporation; 2013 [cited 2013 November 25]. Available from: http://www.nhis.or.kr/bbs7/boards/B0079/6325.
21 Korean Geriatrics Society. Geriatric medicine. 3th ed. Seoul: Medicine Publishing Company; 2010. p. 161-177.
22 Eun Y, Song KY, Park OJ, Go SH, Park MH, Kim JS, et al. Introduction of geriatric professional nursing. 2nd ed. Seoul: Hyunmoonsa; 2010. p. 53-109.
23 Young J, Inouye SK. Delirium in older people. British Medical Journal. 2007;334(7598):842-846.   DOI   ScienceOn
24 Lepouse C, Lautner CA, Liu L, Gomis P, Leon A. Emergence delirium in adults in the post-anaesthesia care unit. British Journal of Anaesthesia. 2006;96(6):747-753.   DOI   ScienceOn
25 Lee SC, Chung CJ, Chin YJ, Lee SI, Lee JH. The effects of anesthetic agents on emergence delirium in pediatric strabismus surgery. Korean Journal of Anesthesiology. 2007;52(2):138-142.   DOI   ScienceOn
26 O'Brien D. Acute postoperative delirium: Definitions, incidence, recognition, and interventions. Journal of Perianesthesia Nursing. 2002;17(6):384-392.   DOI   ScienceOn
27 Mann C, Pouzeratte Y, Eledjam JJ. Postoperative patient-controlled analgesia in the elderly: Risks and benefits of epidural versus intravenous administration. Drugs and Aging. 2003;20(5):337-345.   DOI   ScienceOn
28 Ergina PL, Gold SL, Meakins JL. Perioperative care of the elderly patient. World Journal of Gastroenterology. 1993;17(2):192-198.
29 Lee MS. The factors of pain caused by surgery for elderly patients [master's thesis]. Seoul: The Catholic University; 2004.
30 Cho MW. The effect of providing a visual information on anxiety and pain in patients with artificial joint replacement [master's thesis]. Daejeon: Chungnam National University; 2003.