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외상중환자실 환자의 섬망 발생 위험요인

Risk Factors for Delirium in Trauma Intensive Care Unit Patients

성인간호학회지 2020년 32권 6호 p.623 ~ 631
김종란, 안정아,
소속 상세정보
김종란 ( Kim Jong-Ran ) - Ajou University Medical Center
안정아 ( Ahn Jeong-Ah ) - Ajou University College of Nursing

Abstract


Purpose: This descriptive study aimed to present the incidence of delirium and identify risk factors for delirium in TraumaIntensive Care Unit (TICU) patients.

Methods: The participants were 184 patients who were hospitalized in the TICUat a Regional Trauma Center in Gyeonggi-do. Data were collected between April and November 2019. For deliriummeasurement, the author used the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). Diversedependent variables were collected through electronic medical records. Data were analyzed using descriptivestatistics, independent t-test, x2-test, and binomial logistic regression.

Results: Incidence of delirium in TICU patientswas 34.8%. Logistic regression analysis showed that the risk factors for delirium in TICU patients were hemoglobin(Odds Ratio [OR]=0.62, 95% Confidence Interval [CI]=0.43~0.88), injury severity score (OR=1.10, 95% CI=1.01~1.20),length of TICU stay (OR=1.15, 95% CI=1.03~1.29), administered sedatives (OR=6.04, 95% CI=2.47~14.76), and useof restraints (OR=5.75, 95% CI=2.29~14.42).

Conclusion: Based on the results of this study, healthcare providers,especially TICU nurses, should try to detect the signs and symptoms of delirium as early as possible, taking into accountthe specified risk factors of the patient. Preventive and practical intervention programs considering the risk factors mustalso be developed to prevent and alleviate delirium in TICU patients in the future.

키워드

섬망; 위험요인; 중환자실; 외상센터; 간호사
Delirium; Risk factors; Intensive care units; Trauma centers; Nurses

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