심장수술 후 노인 환자의 중환자실에서의 섬망 발생률 및 위험요인: 후향적 조사연구

• 영문명: Prevalence and risk factors of delirium of older adults after cardiac surgery at the intensive care unit: A retrospective study
• 발행기관: 한국노인간호학회
• 저자명: 류정옥 홍(손)귀령
• 간행물 정보: 『노인간호학회지』제26권 제1호, 113~123쪽, 전체 11쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2024.02.29

국문 초록

Purpose: The purpose of this study is to identify the prevalence and risk factors of delirium of older adults after cardiac surgery at the intensive care unit (ICU). Methods: A retrospective descriptive correlational study design was used. Among 675 older adults who admitted to ICU after cardiac sur-gery in a tertiary hospital from May 2021 to April 2022, 528 were selected for data analysis. Data were collected through electronic medical records. Delirium and pain intensity were evaluated using the Confusion Assessment Method-Intensive Care Unit and Critical Care Non-verbal Pain Scale, respec-tively. Results: The incidence rate of delirium was 41.3% (n=218). Multivariate logistic regression analysis of the variables identified that ICU length of stay (odds ratio [OR]=1.77, p<.001), anesthesia time (OR=1.21, p=.016), pain intensity (OR=1.14, p=.044), and age (OR=1.07, p=.002) were identified as risk factors of delirium after cardiac surgery. Conclusion: ICU length of stay, anesthesia time, pain score, and advanced age should be considered as the prevention and management of delirium at the intensive care unit of older adults after cardiac surgery.

목차

서론

연구방법

연구결과

논의

결론 및 제언

키워드

Delirium Risk factors Aged Cardiac surgical procedures Intensive care unit