| Dong Yeon Kim | 2 Articles |
Purpose
This study is a prospective observational study that analyzes the factors affecting and the incidence of postoperative delirium in elderly patients under general anesthesia. Methods The study enrolled 193 elderly patients who entered the recovery room after surgery under general anesthesia in a certified tertiary hospital. Data were measured twice-first, before surgery and, second, 30 minutes after the patient entered the recovery room-using the Korean Nursing Delirium Screening Scale. The data were analyzed using x 2 tests, the independent t-test, and logistic regression from SPSS 22.0. Results The incidence of delirium in elderly patients after surgery under general anesthesia was 13.0% (25 of 193 patients). The incidence of delirium was a significant in the following cases: elderly patient, patients who performed physical activity with assistance at pre-operation, those with lower body mass index, those with lower body weight, those with long operative times, and those with high preoperative pain scores. The occurrence of delirium was 16.57 times higher in the presence of comorbidities, 5.74 times higher when hospitalization occurred through the emergency room, and 3.99 times higher when the number of catheters was high. Conclusion Screening for early delirium in the recovery room is important, and it can provide basic data for early nursing intervention in patients suffering from postoperative delirium.
Purpose
The purpose of this study was to construct and test a hypothetical model of clinical nurses’ spiritual nursing care based on the theory of planned behavior. Methods From May 1 to May 31, 2019, data of 289 nurses working at a university hospital were collected and analyzed. Results The goodness-of-fit of the final model was at a good level (TLI=.90, CFI=.91, SRMR=.06, RMSEA=.06). The intention toward spiritual nursing was directly affected by attitude, subjective norm, and perceived behavior control toward spiritual nursing. Spiritual nursing care was both directly and indirectly affected by attitude, subjective norm, perceived behavioral control, and intention toward spiritual nursing. These variables accounted for 76.6% of the intention to spiritual nursing and 44.5% of spiritual nursing care. Conclusion Clinical nurses’ spiritual nursing care can be improved by intention, attitude, subjective norm, and decreased perceived behavioral control toward spiritual nursing. Therefore, it is necessary to improve the job of nursing, create an environment for spiritual nursing, and develop and implement various education programs. Citations Citations to this article as recorded by
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