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Path Analysis for Delirium on Patient Prognosis in Intensive Care Units
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Sunhee Lee, Sun-Mi Lee
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J Korean Acad Nurs 2019;49(6):724-735. Published online December 30, 2019
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DOI: https://doi.org/10.4040/jkan.2019.49.6.724
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 Abstract
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Purpose
This study was conducted to investigate relationship between delirium, risk factors on delirium, and patient prognosis based on Donabedian's structure-process-outcome model.
Methods
This study utilized a path analysis design. We extracted data from the electronic medical records containing delirium screening data. Each five hundred data in a delirium and a non-delirium group were randomly selected from electronic medical records of medical and surgical intensive care patients. Data were analyzed using SPSS 20 and AMOS 24.
Results
In the final model, admission via emergency department (B=.06, p=.019), age over 65 years (B=.11, p=.001), unconsciousness (B=.18, p=.001), dependent activities (B=.12, p=.001), abnormal vital signs (B=.12, p=.001), pressure ulcer risk (B=.12, p=.001), enteral nutrition (B=.12, p=.001), and use of restraint (B=.30, p=.001) directly affecting delirium accounted for 56.0% of delirium cases. Delirium had a direct effect on hospital mortality (B=.06, p=.038), hospital length of stay (B=5.06, p=.010), and discharge to another facility (not home) (B=.12, p=.001), also risk factors on delirium indirectly affected patient prognosis through delirium.
Conclusion
The use of interventions to reduce delirium may improve patient prognosis. To improve the dependency activities and risk of pressure ulcers that directly affect delirium, early ambulation is encouraged, and treatment and nursing interventions to remove the ventilator and drainage tube quickly must be provided to minimize the application of restraint. Further, delirium can be prevented and patient prognosis improved through continuous intervention to stimulate cognitive awareness and monitoring of the onset of delirium. This study also discussed the effects of delirium intervention on the prognosis of patients with delirium and future research in this area.
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Citations
Citations to this article as recorded by  - Does ICU admission dysphagia independently contribute to delirium risk in ischemic stroke patients? Results from a cohort study
Hongtao Cheng, Simeng Song, Yonglan Tang, Shiqi Yuan, Xiaxuan Huang, Yitong Ling, Zichen Wang, Xiaoying Tian, Jun Lyu
BMC Psychiatry.2024;[Epub] CrossRef - Preoperative Anxiety and Its Postoperative Associated Factors in Patients Receiving Post Anesthetic Recovery Care at Surgical Intensive Care Unit
Yul Ha Lee, Hye-Ja Park
Journal of Health Informatics and Statistics.2023; 48(3): 267. CrossRef - Delirium Experience of the Intensive Care Unit Patients
Jaeyeon Jung, Sujin Jang, Seonmi Jo, Sunhee Lee
Journal of Korean Academy of Nursing.2022; 52(2): 134. CrossRef - The training needs of Korean intensive care unit nurses regarding delirium
Young Sook Roh
Intensive and Critical Care Nursing.2021; 62: 102954. CrossRef - Effect on Quality of Care of a Delirium Prevention Campaign for Surgical Intensive Care Nurses
Heejeong Kim, Sun-Mi Lee
Journal of Nursing Care Quality.2021; 36(4): 361. CrossRef - A Systematic Review and Meta-analysis on the Effect of Delirium Prevention Intervention in Korean Intensive Care Units
Jiyeon Kang, Min Jeong Choi
Journal of Korean Critical Care Nursing.2021; 14(3): 141. CrossRef
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Monitoring the Use of Health-Related Quality of Life Measurements in Korean Studies of Patients with Diabetes
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Eun-Hyun Lee, Chun-Ja Kim, Soo-Yeon Cho, Hyun-Ju Chae, Sunhee Lee, Eun Jung Kim
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J Korean Acad Nurs 2011;41(4):558-567. Published online August 31, 2011
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DOI: https://doi.org/10.4040/jkan.2011.41.4.558
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Abstract
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Purpose
The purpose of this study was to monitor the use of health-related quality of life (HRQOL) instruments in Korean studies of patients with diabetes.
Methods
Of 86 Korean studies initially identified, 17 studies met the inclusion criteria. For each study, a description of the instrument and its psychometric properties were monitored by the Instrument Review Criteria of the Scientific Advisory Committee. These criteria include conceptual definition, attributes, taxonomy, reliability, validity, responsiveness, administrative mode, and language adaptations.
Results
Five generic and one diabetes specific type questionnaires were identified from the 17 studies. Of those studies, conceptual definitions with the attributes of multi-dimension and subjectiveness were provided for 11 studies (71%). In the analysis of conceptual taxonomy, only 6 studies were classified as HRQOL, while other studies were done as QOL or health status. In monitoring of psychometric properties, reliability, validity, and responsiveness were reported for 88.2%, 64.7%, and 29.4%, respectively. One generic instrument was developed with a Korean population, while the other instruments were developed for Western countries. However, language adaptations were performed for only a few of the instruments.
Conclusion
The psychometric properties including responsiveness of most instruments warrants further research, and the development of diabetes-specific HRQOL measurements should be sought to facilitate intervention outcomes across Korean studies of patients with diabetes.
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Citations
Citations to this article as recorded by - The Characteristics related to Pulmonary Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease: A Cross-sectional Study, Data from the Korea National Health and Nutrition Examination Survey 2015-2019.
Kyeongbong Lee
Physical Therapy Rehabilitation Science.2023; 12(3): 229. CrossRef - Factors affecting the health status of patients with type 2 diabetes mellitus receiving insulin treatments: A multi‐mediation path analysis
Kang Sun Lee, Hye Young Kim, Heung Young Jin
Journal of Clinical Nursing.2022; 31(9-10): 1285. CrossRef - Health-related Quality of Life Instrument With 8 Items for Use in Patients With Type 2 Diabetes Mellitus: A Validation Study in Korea
Juyoung Kim, Hyeon-Jeong Lee, Min-Woo Jo
Journal of Preventive Medicine and Public Health.2022; 55(3): 234. CrossRef - The Effects of the Level of Health Literacy and Self-care Activities on Quality of Life of Patients with Diabetes in Korea
Soo Jin Kang, Chanho Park
Journal of Korean Academy of Community Health Nursing.2020; 31(2): 189. CrossRef - Predictors of Health-Related Quality of Life in Korean Adults with Diabetes Mellitus
Mihyun Jeong
International Journal of Environmental Research and Public Health.2020; 17(23): 9058. CrossRef - Development and Evaluation of Allergic Rhinitis-Specific Quality of Life (ARSQOL) Scale for Adults
Hye-Sook Lee, Eunok Park
Journal of Korean Academy of Nursing.2016; 46(5): 675. CrossRef - Factors Related to Perceived Health Status in Patients with Type 2 Diabetes
Ang Li Won, Seung Hyun Yoo, Myoung Soon You
Korean Journal of Health Education and Promotion.2014; 31(3): 1. CrossRef - When Does the Quality of Life Improve after Rotator Cuff Repair?
Chul-Hyun Cho, Young Jae Lim
Journal of the Korean Orthopaedic Association.2013; 48(4): 281. CrossRef - Development and psychometric evaluation of a diabetes-specific quality-of-life (D-QOL) scale
Eun-Hyun Lee, Young Whee Lee, Kwan-Woo Lee, Dae Jung Kim, Soo-Kyung Kim
Diabetes Research and Clinical Practice.2012; 95(1): 76. CrossRef
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The Life of Adolescent Patients with Complex Congenital Heart Disease
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Sunhee Lee, So-Sun Kim
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J Korean Acad Nurs 2010;40(3):411-422. Published online June 30, 2010
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DOI: https://doi.org/10.4040/jkan.2010.40.3.411
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Abstract
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Purpose
In the present study, an analysis of the life of adolescents with complex congenital heart disease (CHD) was done using grounded theory. Consideration was given to the socio-cultural context of Korea.
Methods
After approval from the institutional review board of Y hospital, 12 patients ranging in age from 14 to 35 were recruited. Data were gathered using in-depth interviews. Theoretical sampling was performed until the concepts were saturated.
Results
The results confirmed the life of adolescents with complex CHD as a 'journey to finding uniqueness of oneself as a person with CHD'. The life consisted of 3 stages. In the crisis stage, participants had a feeling of threat to self-existence, and made an effort to be the same as others. In the self-recognition stage, participants who had sufficient role-performance built self-esteem while those who did not fell into self-accusation. In the self-establishment stage, participants who reached sufficiency in independence and knowledge planned the future, whereas those who did not conformed to the realities of life.
Conclusion
The results of present study provide help in understanding the experiences of adolescents with CHD and provide a basis for developing nursing intervention strategies for these patients.
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Citations
Citations to this article as recorded by - Workplace Harassment in Patients with Congenital Heart Disease
Efrén Martínez-Quintana, Beatriz Déniz-Alvarado, Carlos Gallego-Sosa, Javier Pardo-Maiza, Jesús María González-Martín, Fayna Rodríguez-González
International Journal of Bullying Prevention.2025; 7(1): 36. CrossRef - Management of Caustic Esophageal Injury: A Survey Study in Türkiye and Review of the Literature
Sümeyye Sözduyar, Denizcan İnal, Ergun Ergün, Gülnur Göllü, Ahmet Murat Çakmak, Ufuk Ateş
Journal of Ankara University Faculty of Medicine.2024;[Epub] CrossRef - Effects of Familial Relationships on School Adjustment of Adolescents and Young Adults With Congenital Heart Disease
Youngji Moon, Jo Won Jung, Sunhee Lee
Journal of Cardiovascular Nursing.2023; 38(1): 52. CrossRef - Quality of Life in Congenital Heart Disease Patients According to Their Anatomical and Physiological Classification
Efr閚 Mart韓ez-Quintana, Hiurma Estupi襻n-Le髇, Ana Beatriz Rojas-Brito, Liuva D閚iz-D閚iz, Alejandro Barreto-Mart韓, Fayna Rodr韌uez-Gonz醠ez
Congenital Heart Disease.2023; 18(2): 197. CrossRef - La intervención psicocardiológica en la rehabilitación cardiovascular de niños escolares con cardiopatías congénitas: una revisión sistemática
T. Rodríguez Rodríguez, A. Nohaya Alonso, N. González Vales
Rehabilitación.2022; 56(4): 353. CrossRef - Factor analysis of the Korean version of the Illness Cognition Questionnaire for adolescents with chronic illness
Dasuel Lee, Dae‐Chul Jeong, Nack‐Gyun Chung, Sunhee Lee
International Journal of Nursing Practice.2021;[Epub] CrossRef - The effects of rational emotive behavior therapy for depressive symptoms in adults with congenital heart disease
Ju Ryoung Moon, June Huh, Jinyoung Song, I-Seok Kang, Seung Woo Park, Sung-A Chang, Ji-Hyuk Yang, Tae-Gook Jun, Jong-Sook Han
Heart & Lung.2021; 50(6): 906. CrossRef - The adaptation process of mothers raising a child with complex congenital heart disease
Jeong-Ah Ahn, Sunhee Lee
Journal of Child Health Care.2018; 22(4): 520. CrossRef - The Center for Epidemiologic Studies Depression Scale is an adequate screening instrument for depression and anxiety disorder in adults with congential heart disease
Ju Ryoung Moon, June Huh, Jinyoung Song, I-Seok Kang, Seung Woo Park, Sung-A Chang, Ji-Hyuk Yang, Tae-Gook Jun
Health and Quality of Life Outcomes.2017;[Epub] CrossRef - The relationship between perceived parental rearing behaviors and school adjustment of adolescent cancer survivors in Korea
Sunhee Lee, Dong Hee Kim
Medicine.2017; 96(32): e7758. CrossRef - The effect of a resilience improvement program for adolescents with complex congenital heart disease
Sunhee Lee, Junga Lee, Jae Young Choi
European Journal of Cardiovascular Nursing.2017; 16(4): 290. CrossRef - Comparison of Physical Activity and Health-related Quality of Life in Adolescents with and without Congenital Heart Disease: A Propensity Matched Comparison
Hyun Jeong Kim, Eun Sun Yoon, Soo Jung Lee, Jina Choo, Seong-Ho Kim, Sae Young Jae
The Korean Journal of Sports Medicine.2017; 35(1): 40. CrossRef - Health-related quality of life in adolescents with congenital heart disease
Juliana Bertoletti, Giovana C. Marx, Sérgio P. Hattge, Lúcia C. Pellanda
Cardiology in the Young.2015; 25(3): 526. CrossRef - Comparison of Coping Strategy and Disease Knowledge in Dyads of Parents and Their Adolescent With Congenital Heart Disease
Jeong-Ah Ahn, Sunhee Lee, Jae Young Choi
Journal of Cardiovascular Nursing.2014; 29(6): 508. CrossRef - Coping and Resilience of Adolescents With Congenital Heart Disease
Sunhee Lee, Sue Kim, Jae Young Choi
Journal of Cardiovascular Nursing.2014; 29(4): 340. CrossRef
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