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 determine core nursing intervention in nursing records and to compare perceived nursing intervention priority and nursing intervention frequency of general surgery department.
METHODS
Subjects were 70 nurses who work in the general surgery department. Data was collected using a nursing intervention classification and analyzed by frequency and mean.
RESULTS
The most frequent nursing interventions of nursing records were orderly risk management, coping assistance, tissue perfusion management, skin/wound management and nutrition support. Important nursing interventions were tissue perfusion management, respiratory management, electrolyte acid-base management, elimination, peri-operative care. The most frequent nursing interventions were drug management, peri-operative care, risk management, tissue perfusion management, patient education.
CONCLUSION
This study found that nursing records were different from intervention priority and nursing frequency. So further study is needed for finding focused intervention of specific subjects and differences with priority of nursing and frequency of nursing.

PURPOSE
This research was conducted to evaluate, analyze, and determine the limitation of the anesthesia that is used in the recovery room in order to provide the foundation for developing the effectiveness of it.
METHOD
The recovery records of this study were collected from 41 hospitals in Seoul, Kyung Ki, and Inchon province. The post anesthetic recovery records consisted of the evaluation of type, evaluative items, frequency, time, score and S(a)O2. These records were collected from September to December of 2005.
RESULTS
The most commonly used post anesthetic evaluation tool was Alderete Score, which was used in 73% of hospitals. The second was Aldrete Score with S(a)O2(17%). Also, 5% of the hospitals used the modified AS form. There were 2.5% of the hospitals applying the adult and child in the evaluation separately. Also, the last 2.5% of the hospitals did not use AS but measured BP, pulse, respiration, temperature, and S(a)O2 with observing nausea, vomiting, urinary retention, backache, laryngitis, shock, and neurologic assessment.
CONCLUSION
It is necessary to develop a post-anesthetic recovery evaluation tool including the application of S(a)O2, so that the early-diagnosis of hypoxia can be possible. In addition, it is necessary to develop a post-anesthetic recovery evaluating method that can distinguish a difference between adults and children.

PURPOSE
This study aims at confirming the effects of the chest meridian massage on the post-anesthetic recovery of general anesthesia appendectomy patients. METHOD: The research was post-test designed as a nonequivalent control group among quasi-experiments tested. The data was collected from June 20, 2003 to October 14, 2003 at a hospital in P city. In the collected data, using SPSS Win 10.0 program, these general features were analyzed by real numbers and percentages; the homogeneity among variables by chi2-test and t-test and the research hypothesis by the t-test. RESULT: Hypothesis 1; The experimental group receiving the treatment of the chest meridian massage will have a much higher post-anesthetic recovery score than that of the control group not receiving it was supported(t=2.544, p=.014). Hypothesis 2; The experimental group receiving the treatment of the chest meridian massage will have a much shorter time of stay in the recovery room than that of the control group not receiving it was supported(t=-4.919, p=.000). CONCLUSION: According to these results, it may be concluded that Chest Meridian Massage is effective in producing a higher level of post-anesthetic recovery score and helps appendectomy patients reduce the time of stay in the recovery room. Therefore the chest meridian massage can be considered as an intervention therapy for directly nursing general anesthesia appendectomy patients.

PURPOSE
The aim of this study was to identify the age-related differences in risk perception of breast cancer and the age-related differences in predictors of risk perception. METHOD: The subjects were 553 women aged from 15 to 64 who lived in Seoul, Kwang-Ju, Jeon-nam province. Data was collected by self-reported questionnaire surveys using convenience sampling. The collected data was analyzed using descriptive statistics, F-test with Scheffe test, and stepwise multiple regression with SPSS-Win 10.0 version. RESULT: Risk perception of breast cancer was different by age group. Especially, risk perception in teenagers and the 50~64 years group was lower than the other groups. Additionally, general fear of breast cancer, information seeking style, experience, and knowledge were different between the age groups. The results of multiple regression analyses predicting risk perception indicated the following significant predictors: general fear and knowledge in all the subjects, general fear and experience in the 20~29 years group, and general fear in the other age groups. CONCLUSION: These results suggested that the construction of educational messages for breast cancer prevention and early detection should be designed differently for each age group.