근골격계 수술 노인환자의 섬망발생 예측요인 (Predictors for Incidence of Delirium after Musculoskeletal Operation in Elderly Patients)

서지정보

· 발행기관 : 대한스트레스학회
· 수록지 정보 : 스트레스 硏究 / 27권 / 2호 / 139 ~ 145페이지
· 저자명 : 최운정, 강지숙, 김순자

초록

본 연구는 근골격계 수술을 받은 노인의 섬망 발생에 미치는 영향에 대해 알아보고자 시도되었다.
대학병원에 입원한 노인환자를 대상으로 인지기능, 우울, 섬망을 측정하였고, 이를 통계처리하였다. 대상자는 32.7%가 인지손상이었고, 우울의심이 79.8%로 높았다. 대상자의 인지기능은 성별, 나이, 결혼유무, 학력, 주거형태, 주간호자에서 유의하게 나타났고, 우울은 보조기구사용, 과거수술경험, 주관적 건강상태에서 유의하게 나타났다. 인지기능과 우울은 유의한 부적 상관관계가 있었다. 수술 후 21.2% 대상자에서 섬망이 발생하였는데, 수술3일째까지 9%이였다. 수술 후 섬망 발생 가장 큰 예측요인으로 인지기능이 확인되어 수술 전, 후 노인의 인지기능에 대한 관리와 지속적인 노인간호 간호중재 개발이 필요하다.

영어초록

Background: This study was purpose to identify predictors for incidence of delirium after musculoskeletal operation in elderly patients.
Methods: A total of 104 elderly patients over 65 years with musculoskeletal operation was participated in this study. After IRB approval, the study period was between April and August, 2017, and the data were collected using by structured questionnaires (MMSE-K, GDSSF-K, Nu-DESC).
Collected data were analyzed by descriptive analysis, t-test, ANOVA, Pearson’s correlation, and logistic regression using SPSS 22.0 statistical program.
Results: The average score of participant's cognition and depression were 24.85±4.51, 5.27±1.80. 34 (32.7%) participants had cognitive impairment and 83 (79.5%) participant were ruled out depression.
As cognitive function, there were significant differences in gender, age, marital status, education, job, house and caregiver. As depression, there were significant differences by aids, operation history and perceived health. There were significantly negative correlations cognitive impairment and depression.
The incidence of delirium in participants was 21.2%. During post operation three day, the incident rate of delirium over 9%. The strong predictor was cognitive impairment for incidence of delirium after musculoskeletal operation in participants.
Conclusions: Therefore, it is suggested that geriatric nursing intervention for strengthening cognition of musculoskeletal operation in elderly patients.

참고자료

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