Journal of Korean Academy of Nursing

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

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.

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

660 View
13 Download
4 Web of Science
6 Crossref

A Systematic Review of Psychological Distress as a Risk Factor for Recurrent Cardiac Events in Patients with Coronary Artery Disease: Jin-Hee Park, Sun Hyoung Bae; J Korean Acad Nurs 2011;41(5):704-714. Published online October 31, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.5.704

Abstract PDF

Purpose

The purpose of this study was to determine whether psychological distress is an independent risk factor for recurrent cardiac events in patients with coronary artery disease (CAD).

Methods

A prospective cohort of studies that measured psychological distress and the incidence of recurrent cardiac events in the adult population were included. Three computerized databases were assessed (PubMed, CINAHL, and PSYCINFO). Meta-analysis was conducted using a random-effects model to determine summary estimates of risks of major recurrent cardiac events associated with each psychological distress. Of 506 publications identified, 33 met inclusion criteria, and 24 studies were used to estimate effect size of psychological distress on recurrent cardiac events.

Results

Mean number in the research sample was 736 and mean time of follow-up was 4.0 years. Depression, anxiety, anger, and hostility as psychological factors were studied. According to estimation of effect size using random model effect, depression (OR=1.39, 95% CI: 1.22-1.57), anxiety (OR=1.22, 95% CI: 0.96-1.56), and anger/hostility (OR=1.29, 95% CI: 1.07-1.57) CAD patients in significantly increased risk for recurrent cardiac events.

Conclusion

Finding suggests that psychological distress in forms of depression, anxiety, anger, and hostility impact unfavorably on recurrent cardiac events in CAD patients.

Citations

Citations to this article as recorded by

NAMS task force report on mental stress
Rajesh Sagar, Kaushik Chatterjee, Sandeep Thareja, Anurag Timothy, A.S. Yadav, Prateek Yadav, Rajinder Dhamija, S.V. Madhu, Preethy Kathiresan, Pratibha Prasad, Swati Kedia Gupta, Kalpana Srivastava
Annals of the National Academy of Medical Sciences (India).2025; 61: 66. CrossRef
Impact of Type D Personality and Health Literacy on Resilience of Inpatients with Cardiovascular Diseases: A Cross-Sectional Study
Da Eun Kim, Seon Young Hwang
Korean Journal of Adult Nursing.2023; 35(1): 23. CrossRef
The Effect of Perceived Stress, Fine Dust Risk Perception, and Resilience on Stress Response in Patients with Respiratory and Circulatory Disorders
Jin-Hee Park, Kuem-Sun Han
STRESS.2021; 29(1): 21. CrossRef
Associations of depression and anxiety with cardiovascular risk among people living with HIV/AIDS in Korea
Kyong Sil Park, Seon Young Hwang, Bo Youl Choi, June Kim, Sang Il Kim, Woo-Joo Kim, Chun Kang
Epidemiology and Health.2020; 43: e2021002. CrossRef
Impact of Type D Personality on Depression, Anxiety, and Health-related Quality of Life among Coronary Artery Disease Patients: A Systematic Review and Meta-analysis
Sun Hyoung Bae, Jin-Hee Park
Korean Journal of Adult Nursing.2019; 31(3): 219. CrossRef
Analysis of the relationship between community characteristics and depression using geographically weighted regression
Hyungyun Choi, Ho Kim
Epidemiology and Health.2017; 39: e2017025. CrossRef
Influencing Effects of Type D Personality on Symptom Experiences and Quality of Life in Patients with Percutaneous Coronary Intervention
Eun Hee Jo, Sun Hee Han, Myung Ha Lee, Sung Reul Kim
Korean Journal of Adult Nursing.2016; 28(5): 536. CrossRef
Depression and Anxiety as Predictors of Recurrent Cardiac Events 12 Months After Percutaneous Coronary Interventions
Jin-Hee Park, Seung-Jea Tahk, Sun Hyoung Bae
Journal of Cardiovascular Nursing.2015; 30(4): 351. CrossRef
Anger, anger expression, cardiovascular risk factors, and gastrointestinal symptoms by hwa-byung symptoms in Korean adult women
Young-Joo Park, Sook-Ja Lee, Nah-Mee Shin, Hyunjeong Shin, Hyun Cheol Kang, Yoon Tae Jin, Song I. Jeon, Inhae Cho
Applied Nursing Research.2015; 28(4): 398. CrossRef
Risk Factor–tailored Small Group Education for Patients with First-time Acute Coronary Syndrome
Seon Young Hwang, Jin Shil Kim
Asian Nursing Research.2015; 9(4): 291. CrossRef
Influences of Knowledge, Self-efficacy, and Social Support on Sick Role Behavior in Patients with Coronary Artery Disease
Soonhee Kim, Sunhee Lee
Journal of Korean Public Health Nursing.2014; 28(2): 228. CrossRef
Factors Influencing the Quality of Life in Low- Income Elders Living at Home: A Literature Review
Chung-Min Cho
Journal of Korean Public Health Nursing.2013; 27(2): 372. CrossRef
Effects of a psychoeducational intervention for secondary prevention in Korean patients with coronary artery disease: A pilot study
Jin‐Hee Park, Seung‐Jae Tahk, Sun Hyoung Bae, Youn‐Jung Son
International Journal of Nursing Practice.2013; 19(3): 295. CrossRef
Stress and cardiovascular disease
Jung Jin Cho
Journal of the Korean Medical Association.2013; 56(6): 462. CrossRef

220 View
1 Download
14 Crossref

First
Prev
Page of 1
Next
Last

Search