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요양병원과 종합병원 노인 입원환자의 섬망 유병율과 유발요인
Prevalence and Precipitating Factors for Delirium in Elderly Patients Admitted to Long-Term Care Hospitals or to General Hospital

양영희    (단국대학교 간호학과  );
  • 초록

    Purpose: The purpose of this study was to compare long-term hospital and general hospital for delirium prevalence and precipitating factors in elderly patients. Method: The participants were 184 patients aged 65 or older from one general hospital and 4 long-term facilities. Delirium was assessed using the Confusion Assessment Method and precipitating factors for delirium were classified as demographic, physical condition, disease and drug factors associated with delirium found in a literature analysis. Results: Delirium prevalence was 5.4% and there was no significant difference according to hospital type. Most of the patients with delirium were male, dependent and dehydrated and had sleep disturbances, diseases and drugs associated with delirium and, had multi-drugs prescriptions. Non-delirious patients also had two or more delirious symptoms and several precipitating factors. Delirious patients were more dependent, urinary incontinent and had sleep-disturbances compared to the non-delirious group. The participants in the long-term hospitals were found to have frequently previous delirium history. Conclusion: Even though the prevalence rate of delirium was not high, most elderly patients, regardless of delirium, are a very high risk group and dependent ADL, sleep disturbances, and/or urinary incontinence could be used predictive factors for delirium.


  • 주제어

    섬망 .   급성 혼돈 .   노인 .   장기요양병원 .   유발요인.  

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  • 이 논문을 인용한 문헌 (4)

    1. Yang, Young-Hee 2010. "Comprehension and Knowledge about Delirium in Nurses Working at Long-Term Care Hospitals or General Hospitals" 한국간호교육학회지 = The Journal of Korean Academic Society of Nursing Education, 16(2): 312~320     
    2. Lee, Young-Whee ; Im, Hye-Bin ; Jeong, Eun-Jeong ; Ma, Hee-Sun 2012. "Influencing Factors of the Incidence of Delirium in Elderly Patients with Arthroplasty" 성인간호학회지 = Korean Journal of Adult Nursing, 24(4): 348~357     
    3. Kim, Kyoung Wan ; Jang, Soongnang 2016. "Characteristics and Mortality Risk Factors in Geriatric Hospital Patients visiting One Region-wide Emergency Department" 지역사회간호학회지 = Journal of korean academy of community health nursing, 27(4): 327~336     
    4. Park, Hyoung Sook ; Kim, Dae Sook ; Bae, Eun Hee ; Kim, Jung Rim ; Seo, Jung Hwa ; Yun, Jung Mi 2016. "Retrospective Cohort Study on the Administration of Sedative for Delirium in Terminally Ill Cancer Patients and Survival Time" 한국호스피스·완화의료학회지 = Korean journal of hospice and palliative care, 19(2): 119~126     

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