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Journal of Korean Academy of Fundamentals of Nursing 2009;16(3): 290
간이식 후 중환자실에서의 섬망 발생 위험요인
조옥희1, 유양숙2, 최정은3, 김남희4
1혜천대학 간호과
2가톨릭대학교 간호대학
3가톨릭대학교 서울성모병원
4가톨릭대학교 서울성모병원
Risk Factors for Postoperative Delirium after Liver Transplantation in the Intensive Care Unit
Ok-Hee Cha1, Yang-Sook Yoo2, Jung-Eun Choi3, Nam-Hee Kim4
1Department of Nursing, Hyechon College
2College of Nursing, The Catholic University of Korea
3Seoul St. Mary's Hospital, The Catholic University of Korea
4Seoul St. Mary's Hospital, The Catholic University of Korea
Purpose: The objectives of this study were to determine the prevalence, incidence, duration and risk factors for delirium following liver transplantation while the patients were in the acute stage and admitted to the intensive care unit.
Method: A retrospective chart review of 106 patients who had liver transplantation was conducted. A delirium risk factor checklist was used, to collect preoperative and postoperative data. Descriptive analysis, t-test, x2-test, and logistic regression analyses were used for data analysis.
Results: The post-transplantation incidence of delirium was 29.3% (n=31). Multivariate analysis revealed that risk factors were preoperative conditions in the patients including spontaneous bacterial peritonitis, hepatorenal syndrome, and postoperative laboratory test results, such as hyperbilirubinemia.
Conclusion: Therefore, a daily delirium risk factor assessment should be conducted before liver transplantation as a way to identify risk of delirium after the liver transplantation and to effectively manage delirium when it occurs.
Key words: Risk Factors | Delirium | Liver Transplantation | Intensive Care Units
주요어: 위험요인 | 섬망 | 간이식 | 중환자실