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- Assessment of Risk Factors for Postoperative Delirium in Older Adults Who Underwent Spinal Surgery and Identifying Associated Biomarkers Using Exosomal Protein
- Baek, Wonhee , Lee, JuHee , Jang, Yeonsoo , Kim, Jeongmin , Shin, Dong Ah , Park, Hyunki , Koo, Bon-Nyeo , Lee, Hyangkyu
- J Korean Acad Nurs 2023;53(4):371-384. Published online August 31, 2023
- DOI: https://doi.org/10.4040/jkan.22146
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Abstract
PDF - Purpose
With an increase in the aging population, the number of patients with degenerative spinal diseases undergoing surgery has risen, as has the incidence of postoperative delirium. This study aimed to investigate the risk factors affecting postoperative delirium in older adults who had undergone spine surgery and to identify the associated biomarkers.
Methods
This study is a prospective study. Data of 100 patients aged ≥ 70 years who underwent spinal surgery were analyzed. Demographic data, medical history, clinical characteristics, cognitive function, depression symptoms, functional status, frailty, and nutritional status were investigated to identify the risk factors for delirium. The Confusion Assessment Method, Delirium Rating Scale-R-98, and Nursing Delirium Scale were also used for diagnosing deliri-um. To discover the biomarkers, urine extracellular vesicles (EVs) were analyzed for tau, ubiquitin carboxy-terminal hydrolase L1 (UCH-L1), neurofilament light, and glial fibrillary acidic protein using digital immunoassay technology.
Results
Nine patients were excluded, and data obtained from the remaining 91 were analyzed. Among them, 18 (19.8%) developed delirium. Differences were observed between partici-pants with and without delirium in the contexts of a history of mental disorder and use of benzodiazepines (p = .005 and p = .026, respectively). Tau and UCH-L1—concentrations of urine EVs—were comparatively higher in participants with severe delirium than that in partici-pants without delirium (p = .002 and p = .001, respectively).
Conclusion
These findings can assist clinicians in accurately identifying the risk factors before surgery, classifying high-risk patients, and predicting and detecting delirium in older patients. Moreover, urine EV analysis revealed that postoperative delirium following spinal surgery is most likely associated with brain damage.
- 428 View
- 21 Download
- Delirium Experience of the Intensive Care Unit Patients
- Jung, Jaeyeon , Jang, Sujin , Jo, Seonmi , Lee, Sunhee
- J Korean Acad Nurs 2022;52(2):134-143. Published online April 30, 2022
- DOI: https://doi.org/10.4040/jkan.21240
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Abstract
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- Purpose
The study aimed to understand the delirium experience of intensive care unit (ICU) patients.
Methods
We performed a qualitative study using Colaizzi’s phenomenological method. Eleven patients, who experienced delirium according to the Confusion Assessment Method for ICU, participated after transferring to general wards from the ICU. Individual in-depth semi-structured interviews ranging from 30 minutes to 2 hours in length were conducted between November 2018 and August 2019.
Results
Nine themes and four theme clusters emerged. The four theme clusters were: 1) “Overwhelmed by fear,” which describes the experience of a patient close to death and the feeling of difficulty in understanding disorganized thinking; 2) “Anxious about not understanding the situation,” which means that patients’ sense of time and space were disordered in the ICU; 3) “Being deserted,” which indicates the feeling of being separated from others and yourself; and 4) “Resistance to protect my dignity,” which indicates that the dignity and autonomy of an individual in the patient’s position at the ICU, are ignored.
Conclusion
Nursing interventions are needed that would enable patients to maintain orientation and self-esteem in the ICU. In addition, healthcare providers need to provide information about the unfamiliar environment in the ICU in advance. -
Citations
Citations to this article as recorded by
- Patients' and family members' dyadic experience of post‐operative delirium in the intensive care unit: A qualitative study
Dong Jing, Sui Weijing, Zhuang Yiyu
Nursing in Critical Care.2025;[Epub] CrossRef - Factors Influencing Intensive Care Unit Nurses’ Competency in Delirium Care in A Tertiary General Hospital
Mi Ran Lim, Gyoo Yeong Cho
Journal of Korean Critical Care Nursing.2024; 17(3): 37. CrossRef - Exploring patients’ and families’ preferences for auditory stimulation in ICU delirium prevention: A qualitative study
Yajun Ma, Nianqi Cui, Zhiting Guo, Yuping Zhang, Jingfen Jin
Intensive and Critical Care Nursing.2024; 82: 103629. CrossRef - The Influence of Ethical Nursing Competence and Positive Nursing Organizational Culture on Person-Centered Care in Intensive Care Unit Nurses: A Cross-Sectional Survey
Jae Eun Lee, Hye-Young Jang
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 304. CrossRef - A Study on Nurses' Communication Experiences with Intubation Patients
Ye Rim Kim, Hye Ree Park, Mee Kyung Shin
The Korean Journal of Rehabilitation Nursing.2023; 26(1): 28. CrossRef - Intensive Care Experience of Critical Care Patients and Its Related Factors : A Secondary Analysis Study
Jiyeon Kang, Hyojeong Woo
Journal of Korean Critical Care Nursing.2023; 16(3): 11. CrossRef - Item analysis of the Korean version of the Intensive Care Experience Questionnaire: Using the Rasch Model based on Item Response Theory
Jiyeon Kang, Minhui Kim
Journal of Korean Critical Care Nursing.2022; 15(3): 37. CrossRef
- Patients' and family members' dyadic experience of post‐operative delirium in the intensive care unit: A qualitative study
- 802 View
- 83 Download
- 2 Web of Science
- 7 Crossref
Original Articles
- Path Analysis for Delirium on Patient Prognosis in Intensive Care Units
- Sunhee Lee, Sun-Mi Lee
- J Korean Acad Nurs 2019;49(6):724-735. Published online December 30, 2019
- 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
- Does ICU admission dysphagia independently contribute to delirium risk in ischemic stroke patients? Results from a cohort study
- 705 View
- 16 Download
- 4 Web of Science
- 6 Crossref
- Development of Korean Intensive Care Delirium Screening Tool (KICDST)
- Ae-Ri-Na Nam, Jee-Won Park
- J Korean Acad Nurs 2016;46(1):149-158. Published online February 29, 2016
- DOI: https://doi.org/10.4040/jkan.2016.46.1.149
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Abstract
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Purpose This study was done to develop of the Korean intensive care delirium screening tool (KICDST).
Methods The KICDST was developed in 5 steps: Configuration of conceptual frame, development of preliminary tool, pilot study, reliability and validity test, development of final KICDST. Reliability tests were done using degree of agreement between evaluators and internal consistency. For validity tests, CVI (Content Validity Index), ROC (Receiver Operating Characteristics) analysis, known group technique and factor analysis were used.
Results In the reliability test, the degree of agreement between evaluators showed .80~1.00 and the internal consistency was KR-20=.84. The CVI was .83~1.00. In ROC analysis, the AUC (Area Under the ROC Curve) was .98. Assessment score was 4 points. The values for sensitivity, specificity, correct classification rate, positive predictive value, and negative predictive value were found to be 95.0%, 93.7%, 94.4%, 95.0% and 93.7%, respectively. In the known group technique, the average delirium screening tool score of the non-delirium group was 1.25±0.99 while that of delirium group was 5.07±1.89 (t= - 16.33,
p <.001). The factors were classified into 3 factors (cognitive change, symptom fluctuation, psychomotor retardation), which explained 67.4% of total variance.Conclusion Findings show that the KICDST has high sensitivity and specificity. Therefore, this screening tool is recommended for early identification of delirium in intensive care patients.
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Citations
Citations to this article as recorded by- Comparison of the Validity of the PRE-DELIRIC model and the E-PRE-DELIRIC model for Predicting Delirium in patients after Cardiac Surgery
Eun Ju Cho, Myoung Soo Kim
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 275. CrossRef
- Comparison of the Validity of the PRE-DELIRIC model and the E-PRE-DELIRIC model for Predicting Delirium in patients after Cardiac Surgery
- 241 View
- 1 Download
- 1 Crossref
- Development and validation of the Korean Nursing Delirium Scale
- Kyoung-Nam Kim, Cheol-Ho Kim, Kwang-Il Kim, Hyun-Jung Yoo, Si-Young Park, Yeon-Hwan Park
- J Korean Acad Nurs 2012;42(3):414-423. Published online June 29, 2012
- DOI: https://doi.org/10.4040/jkan.2012.42.3.414
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Abstract
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Purpose The aims of this study were to develop and test the validity of the Korean Nursing Delirium Scale (Nu-DESC) for older patients in hospital.
Methods The Korean Nu-DESC was developed based on the Nu-DESC (Gaudreau, 2005), and revised according to nursing records related to signs and symptoms of older patients with delirium (n=361) and the results of a pilot study (n=42) in one general hospital. To test the validity of the Korean Nu-DESC, 75 older patients whom nurses suspected of delirium from 731 older patients from 12 nursing units were assessed by bedside nurses using the Korean Nu-DESC. A Receiver Operating Characteristic Curve of the Korean Nu-DESC was constructed with an accompanying Area Under the Curve (AUC).
Results Specific examples such as irritable, kidding, sleeping tendency, which were observed by bedside nurses in Korea, were identified in the five features of signs and symptoms of delirium in the instrument. The Korean Nu-DESC was psycho-metrically valid and had a sensitivity and specificity of .81-.76 and .97-.73, respectively. The AUC were .89, .74.
Conclusion Results of this study indicate that the Korean Nu-DESC is well-suited for widespread clinical use in busy inpatients settings and shows promise as a research instrument.
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Citations
Citations to this article as recorded by- Risk factors for postoperative delirium in patients with cardiac surgery
Min-Song Kim, Sang-Hee Kim
Science Progress.2024;[Epub] CrossRef - Extracellular Vesicle MicroRNAs as Predictive Biomarkers in Postoperative Delirium After Spine Surgery: Preliminary Study
Young-Eun Cho, Jeongmin Kim, Rany Vorn, Hyeonmi Cho, Wonhee Baek, Hyunki Park, Sijung Yun, Hyung-Suk Kim, Ann K Cashion, Jessica Gill, Bon-Nyeo Koo, Hyangkyu Lee, Gustavo Duque
The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences.2024;[Epub] CrossRef - Assessment of Risk Factors for Postoperative Delirium in Older Adults Who Underwent Spinal Surgery and Identifying Associated Biomarkers Using Exosomal Protein
Wonhee Baek, JuHee Lee, Yeonsoo Jang, Jeongmin Kim, Dong Ah Shin, Hyunki Park, Bon-Nyeo Koo, Hyangkyu Lee
Journal of Korean Academy of Nursing.2023; 53(4): 371. CrossRef - The Relationship between Perioperative Blood Transfusion and Postoperative Delirium in Patients Undergoing Spinal Fusion Surgery: Clinical Data Warehouse Analysis
Young-Suk Kwon, Jong-Ho Kim, Jae-Jun Lee, Eun-Min Seo
Medicina.2022; 58(2): 268. CrossRef - The Effect of Korean Medicine Treatment for Hemorrhagic Transformation after Interventional Reperfusion Therapy of an Anterior Circulation Infarction in a Patient with Hemiplegia and Conscious and Cognitive Disorders: A Case Report
Chae-eun Kim, Ji-hyeon Kang, Seo-hyun Kim, Jun-seok Kim, Kyung-min Baek
The Journal of Internal Korean Medicine.2022; 43(6): 1274. CrossRef - Preoperative Inflammatory Markers and the Risk of Postoperative Delirium in Patients Undergoing Lumbar Spinal Fusion Surgery
Jin Seo Yang, Jae Jun Lee, Young-Suk Kwon, Jong-Ho Kim, Jong-Hee Sohn
Journal of Clinical Medicine.2022; 11(14): 4085. CrossRef - Geriatric assessment predicts nonfatal toxicities and survival for intensively treated older adults with AML
Gi-June Min, Byung-Sik Cho, Sung-Soo Park, Silvia Park, Young-Woo Jeon, Seung-Hwan Shin, Seung-Ah Yahng, Jae-Ho Yoon, Sung-Eun Lee, Ki-Seong Eom, Yoo-Jin Kim, Seok Lee, Chang-Ki Min, Seok-Goo Cho, Dong-Wook Kim, Jong Wook Lee, Kim Hee-Je
Blood.2022; 139(11): 1646. CrossRef - A Case Report of Elderly Delirium Treated with
Shihogayonggolmoryo-tang
Su-jung Lee, Ji-soo Yang, Eun-chai Cho, Jae-hwan Lew
The Journal of Internal Korean Medicine.2022; 43(2): 144. CrossRef - Incidence and Risk Factors of Postoperative Recovery Room Delirium in Elderly Patients after Surgery under General Anesthesia
Eunjung Choi, Ye-Eun Seo, Hyun-Sook Yoo, Dong Yeon Kim
Korean Journal of Adult Nursing.2022; 34(2): 215. CrossRef - Validation of the Simplified Palliative Prognostic Index to Predict Survival for Advanced Cancer Patients in Home Hospice Setting
Hyeon-Jeong Yang, Seok-Joon Yoon, Jong-Sung Kim, Sung-Soo Kim, Jin-Gyu Jung, Won Yoon Suh, Sami Lee, Hyun Gu Kim, Yong Woo Lee
Korean Journal of Family Medicine.2021; 42(4): 274. CrossRef - Prevalence and Predictive Factors for Upfront Dose Reduction of the First Cycle of First-Line Chemotherapy in Older Adults with Metastatic Solid Cancer: Korean Cancer Study Group (KCSG) Multicenter Study
In Gyu Hwang, Minsuk Kwon, Jin Won Kim, Se Hyun Kim, Yun-Gyoo Lee, Jin Young Kim, Su-Jin Koh, Yoon Ho Ko, Seong Hoon Shin, Soojung Hong, Tae-Yong Kim, Sun Young Kim, Hyun Jung Kim, Hyo Jung Kim, Myung Ah Lee, Jung Hye Kwon, Yong Sang Hong, Kyung Hee Lee,
Cancers.2021; 13(2): 331. CrossRef - Factors Associated with the Fear of Falling after Discharge in Older Adults Who had Surgery after Experiencing a Fall Fracture
Jin-Yeong Kim, Gwi-Ryung Son Hong
Journal of Korean Gerontological Nursing.2021; 23(4): 395. CrossRef - A single-arm feasibility study of gradual dose de-escalation of antiemetic dexamethasone for older patients receiving chemotherapy
Koung Jin Suh, Seonghae Yoon, Jin Won Kim, Seo Hyun Yoon, Ji-Won Kim, Se Hyun Kim, Yu Jung Kim, Keun-Wook Lee, Jong Seok Lee, Jee Hyun Kim
Journal of Geriatric Oncology.2021; 12(6): 922. CrossRef - Effects of Increased Optic Nerve Sheath Diameter on Inadequate Emergence from Anesthesia in Patients Undergoing Robot-Assisted Laparoscopic Prostatectomy: A Prospective Observational Study
Yu Jeong Bang, Heejoon Jeong, Burn Young Heo, Byung Seop Shin, Woo Seog Sim, Duk-Kyung Kim, Sang Hyun Lee, Ji Su Kim, Young Hee Shin
Diagnostics.2021; 11(12): 2260. CrossRef - Diagnostic test accuracy of the Nursing Delirium Screening Scale: A systematic review and meta‐analysis
Eunhye Jeong, Jinkyung Park, Juneyoung Lee
Journal of Advanced Nursing.2020; 76(10): 2510. CrossRef - Nursing Delirium Screening Scale, a Tool for Early Detection of Delirium: Integrative Review
Angela María Henao-Castaño, Laura Elizabeth Pachón Cetina, Juan David Monroy Rodríguez
Aquichan.2020; 20(4): 1. CrossRef - Delirium screening in patients in a palliative care ward: a best practice implementation project
Xiao Bin Lai, Zhe Huang, Chun Yan Chen, Matthew Stephenson
JBI Database of Systematic Reviews and Implementation Reports.2019; 17(3): 429. CrossRef - Predictors for Incidence of Delirium after Musculoskeletal Operation in Elderly Patients
Unjong Choi, Sun Ja Kim, Ji Sook Kang
Stress.2019; 27(2): 139. CrossRef - Prevalence of Delirium and Risk Factors in Heart Surgery Patients in Intensive Care Unit: A Retrospective study
Eun-Young Noh, Yeon-Hwan Park
Korean Journal of Adult Nursing.2019; 31(2): 146. CrossRef - Effects of Delirium Management Program on Nursing Practice and Nurses' Stress in Comprehensive Nursing Care Service Units
Ji Hye Kim, Sook Young Kim
The Korean Journal of Rehabilitation Nursing.2019; 22(2): 114. CrossRef - The Incidence and Related Risk Factors of Delirium in the Older Inpatients with Neurological Disorders in a Tertiary Hospital
Mi Sun Kim, Ji Yoon Jun, Hyun Ju Chun, Yun Ok Kim
Korean Journal of Adult Nursing.2018; 30(3): 255. CrossRef - Nurses' Awareness of Psychological Distress and Delirium in Cancer Patients and Job Stress
Mi Ae Park, Eunsook Choi
Asian Oncology Nursing.2017; 17(4): 252. CrossRef - Delirium Management: Diagnosis, Assessment, and Treatment in Palliative Care
Min Seok Seo, Yong Joo Lee
The Korean Journal of Hospice and Palliative Care.2016; 19(3): 201. CrossRef - Development of Korean Intensive Care Delirium Screening Tool (KICDST)
Ae-Ri-Na Nam, Jee-Won Park
Journal of Korean Academy of Nursing.2016; 46(1): 149. CrossRef - Postoperative Delirium in Elderly Patients with Osteoarthritis Surgery: Incidence and Risk Factors
Eun A Park, Min Young Kim
Journal of muscle and joint health.2015; 22(2): 57. CrossRef - 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
Kyunghee Kim, Sookhee Lee
Journal of Korean Academy of Fundamentals of Nursing.2015; 22(2): 149. CrossRef - Evaluation of Clinical Usefulness of Delirium Assessment Tools for Elderly Patients after Neurosurgery
Su-Jung Kim, Jun-Ah Song
Journal of Korean Gerontological Nursing.2015; 17(1): 38. CrossRef - Validity of Instrument Development Research in Korean Nursing Research
Kyunghee Lee, Sujin Shin
Journal of Korean Academy of Nursing.2013; 43(6): 697. CrossRef - Comparison of Delirium Screening Instruments for the Elderly
Young Whee Lee, Sung Ok Chang, Eun Suk Kong, Nam Cho Kim, Chun Gill Kim, Hee Kyung Kim, Misoon Song, Soo Yeon Ahn, Myung Ok Cho, Kyung Sook Choi
Korean Journal of Adult Nursing.2013; 25(6): 655. CrossRef
- Risk factors for postoperative delirium in patients with cardiac surgery
- 387 View
- 12 Download
- 29 Crossref
- The Effects of Pre-operative Visual Information and Parental Presence Intervention on Anxiety, Delirium, and Pain of Post-Operative Pediatric Patients in PACU
- Je-Bog Yoo, Min-Jung Kim, Soo-Hyun Cho, Yoo-Jung Shin, Nam-Cho Kim
- J Korean Acad Nurs 2012;42(3):333-341. Published online June 29, 2012
- DOI: https://doi.org/10.4040/jkan.2012.42.3.333
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Abstract
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Purpose The purpose of this study was to test whether pre-operative visual information and parental presence had positive effects on anxiety, delirium, and pain in pediatric patients who awoke from general anesthesia in a post-surgical stage.
Methods This study used a non equivalent control-group post test design (n=76). Independent variables were provision of pre-operative visual information and parental presence for post-surgical pediatric patients in PACU (post anesthesia care unit). Dependent variables were anxiety, delirium, and pain in the pediatric patients measured three times at 10 minute intervals after extubation in the PACU. Measurements included Numerical Rating Scale for assessing state anxiety, Pediatric Anesthesia Emergence Delirium Scale by Sikich & Lerman (
2004 ) for delirium, and Objective Pain Scale by Broadman, Rice & Hannallah (1988 ) for pain.Results Experimental group showed significantly decreased state anxiety at time points-10, 20, and 30 minutes after extubation. Delirium was significantly lower at 10 minutes and 30 minutes after extubation in the experimental group. Pain was significantly lower at 10 minutes after extubation in the experimental group.
Conclusion The results of this study suggest that this intervention can be a safe pre-operative nursing intervention for post-surgical pediatric patients at PACU.
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Citations
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Robert J. Anderson, Philippe R. Bauer, Arman Arghami, Rory M. Haney, Emily M. Reisdorf, Kiersten Baalson
American Journal of Critical Care.2025; 34(2): 111. CrossRef - Nursing experiences and knowledge of paediatric delirium: Analysing knowledge‐practice gaps
Soonyoung Shon, Minkyung Kang
Nursing in Critical Care.2024; 29(5): 923. CrossRef - ASSISTÊNCIA DE ENFERMAGEM PERIOPERATÓRIA AO ADOLESCENTE: SCOPING REVIEW
Layane Cristina Araújo, Danielle Mendonça Oliveira, Taysa de Fátima Garcia, Vanessa de Brito Poveda, Liliane de Lourdes Teixeira Silva
Texto & Contexto - Enfermagem.2024;[Epub] CrossRef - PERIOPERATIVE NURSING CARE FOR ADOLESCENTS: A SCOPING REVIEW
Layane Cristina Araújo, Danielle Mendonça Oliveira, Taysa de Fátima Garcia, Vanessa de Brito Poveda, Liliane de Lourdes Teixeira Silva
Texto & Contexto - Enfermagem.2024;[Epub] CrossRef - The Impact of Parental Presence on Emergence Delirium in Pediatric Patients After General Anesthesia: A Systematic Review and Meta-analysis
Jihyun Baek, Young Man Kim
Journal of PeriAnesthesia Nursing.2024; 39(3): 475. CrossRef - Sucking lollipop after awakening from sevoflurane anesthesia reduces the degree of emergence agitation in children undergoing ambulatory surgery: A prospective randomized controlled trial
Xiaofei Mo, Jiequn Zeng, Xiaoying Wu, Fa Huang, Kunling Zhang
Medicine.2023; 102(44): e35651. CrossRef - Investigating Non-Pharmacological Stress Reduction Interventions in Pediatric Patients Confirmed with Salivary Cortisol Levels: A Systematic Review
Maria Grigoropoulou, Emmanouil I. Kapetanakis, Achilleas Attilakos, Anestis Charalampopoulos, Anastasia Dimopoulou, Efstratios Vamvakas, Eleftheria Mavrigiannaki, Nikolaos Zavras
Pediatric Reports.2023; 15(2): 349. CrossRef - Intervention to Reduce Anxiety Pre- and Post-Eye Surgery in Pediatric Patients in South Korea: A Preliminary Quasi-Experimental Study
Hyeran Yi, Hanna Lee
Children.2022; 9(1): 65. CrossRef - Effectiveness of preoperative tour to a simulated anaesthesia induction at operating theatre in reducing preoperative anxiety in children and their parents: a pragmatic, single-blinded, randomised controlled trial/ King Fahad Medical City
Hussein Battah, Usamah AlZoraigi, Firas Shubbak
BMJ Simulation and Technology Enhanced Learning.2021; : bmjstel-2020-000707. CrossRef - The Effect of a Parental Visitation Program on Emergence Delirium Among Postoperative Children in the PACU
WooYoung In, Young Man Kim, Hee Soon Kim, SeoHee Hong, YuRi Suh, Yerin Cha, Naeun Kim, JongWon Kim, HyunJi Kang, HyoEun Kwon, YangSoo Kim, Wyunkon Park
Journal of PeriAnesthesia Nursing.2019; 34(1): 108. CrossRef - Factors associated with Pediatric Delirium in the Pediatric Intensive Care Unit
Hyo Jin Kim, Dong Hee Kim
Child Health Nursing Research.2019; 25(2): 103. CrossRef - Stress, Pain, and Nursing Needs of Surgical Patients under General Anesthesia in the Recovery Room
Jihyun Jo, Minkyung Gu, Sohyune Sok
Korean Journal of Adult Nursing.2019; 31(3): 249. CrossRef - Reduction of Postanesthetic Pediatric Distress: A Coordinated Approach
Simon Hayhoe, Scott Pallett, Juliet Zani, Joanne Trott
Journal of PeriAnesthesia Nursing.2018; 33(3): 312. CrossRef - The effects of maternal presence during anesthesia induction on salivary cortisol levels in children undergoing tonsillectomy and/or adenoidectomy
Hatice K. Ozdogan, Sibel Cetinalp, Gokhan Kuran, Onder Tugal, Murat Tahiroglu, Ummuhan E. Herdem, Suheyl Haytoglu
Journal of Clinical Anesthesia.2017; 39: 64. CrossRef - 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
Kyunghee Kim, Sookhee Lee
Journal of Korean Academy of Fundamentals of Nursing.2015; 22(2): 149. CrossRef - Preoperative Anxiety Management, Emergence Delirium, and Postoperative Behavior
Richard J. Banchs, Jerrold Lerman
Anesthesiology Clinics.2014; 32(1): 1. CrossRef - The Effect of Hand Holding and Nei-Guan Acupressure on Anxiety and Pain under Local Anesthetic Patients during Surgery
Sun Hee Park, Hee Jung Jang
The Journal of the Korea Contents Association.2014; 14(11): 378. CrossRef - Emergence agitation after sevoflurane anaesthesia in children
A.K. Narayanasamy, A Ghori
British Journal of Anaesthesia.2013; 111(1): 121. CrossRef
- Virtual Reality Simulation to Improve Postoperative Cardiothoracic Surgical Patient Outcomes
- 219 View
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- 18 Crossref
- A Preliminary Survey of Nurses' Understanding of Delirium and Their Need for Delirium Education: In a University Hospital
- Young Sook Park, Keum Soon Kim, Kyung Ja Song, Jiyeon Kang
- Journal of Korean Academy of Nursing 2006;36(7):1183-1192. Published online December 31, 2006
- DOI: https://doi.org/10.4040/jkan.2006.36.7.1183
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Abstract
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Purpose The purpose of this survey was to investigate clinical nurses' understanding of delirium and their educational need of delirious patient care.
Method A survey questionnaire regarding nurses' general perception and understanding of delirium, experience with delirious patients and educational need was developed and conducted with 179 clinical nurses in a university hospital in Seoul. Data was analyzed using descriptive statistics.
Results Nurses thought that delirium was one of the most important nursing problems and they considered it to be more treatable than to be preventable. However, the majority of nurses were not confident in caring for delirious patients. Nurses reported that delirium happened most often after surgery, and that possible contributing factors could be changes in physical environment and anxiety/stress, as well as medication and long-term isolation. Thirteen nursing interventions were identified but half of the nurses utilized only one or two of the thirteen. The most frequently used intervention was reorienting the patient followed by medication and emotional support, presenting family, and close observation. 99.5% of nurses addressed the importance of professional education on delirium care, especially in the area of intervention and management.
Conclusion The results support the strong need for development of a multi-component educational program on delirium care.
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Citations
Citations to this article as recorded by- Factors Influencing Intensive Care Unit Nurses’ Competency in Delirium Care in A Tertiary General Hospital
Mi Ran Lim, Gyoo Yeong Cho
Journal of Korean Critical Care Nursing.2024; 17(3): 37. CrossRef - A Systematic Review of Non-pharmacological Interventions for Delirium Prevention in Elderly Inpatients
Sang Bin You, Ju Hee Lee
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(2): 249. CrossRef - Effects of Delirium Management Program on Nursing Practice and Nurses' Stress in Comprehensive Nursing Care Service Units
Ji Hye Kim, Sook Young Kim
The Korean Journal of Rehabilitation Nursing.2019; 22(2): 114. CrossRef - Effects of Delirium Prevention Interventions for Neurocritical Patients
Min-Ji Lee, Sun-Hee Yun, Kyoung-Ok Choi, Sun-Suk Seong, Sun-Mi Lee, Jae-Jin Kang
Journal of Korean Academy of Fundamentals of Nursing.2018; 25(2): 109. CrossRef - Hospice-Palliative Care Nurses’ Knowledge of Delirium, Self-Efficacy and Nursing Performance on Delirium
Bo-Jung Jang, Hye-Ah Yeom
The Korean Journal of Hospice and Palliative Care.2018; 21(2): 65. CrossRef - Nurses' Awareness of Psychological Distress and Delirium in Cancer Patients and Job Stress
Mi Ae Park, Eunsook Choi
Asian Oncology Nursing.2017; 17(4): 252. CrossRef - Factors Influencing Performance of Delirium Care for Postoperative Delirium of Elderly Patients among Recovery Room Nurses
Hyunjoo Koo, Jinhyang Yang
The Journal of Korean Academic Society of Nursing Education.2016; 22(3): 387. CrossRef - The Effects of Delirium Care Training Program for Nurses in Hospital Nursing Units
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Korean Journal of Adult Nursing.2014; 26(5): 489. CrossRef - The Experience of Delirium Care and Clinical Feasibility of the CAM-ICU in a Korean ICU
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