gykwak03/KISS_delirium_papaers huggingface dataset:
Title: 노인요양병원 간호사의 섬망에 대한 지식, 섬망간호스트레스 및 섬망간호수행간의 관계

Purpose. The purpose of this study was to investigate knowledge, stress and nursing performance about care for delirium in geriatric hospital nurses. Methods. For this study, data were collected from 242 nurses employed at geriatric hospitals with the capacity of more than 100 beds which were located in A, P and Y cites. Frequency analysis, t-test and one-way ANOVA were utilized to analyze the data and Scheffe test was used to conduct post-hoc tests. Results. Nurses showed significant differences in the level of Knowledge, as well as terminal care performance by marital status, nursing experience. A significant relationship was found between knowledge, stress and Delirium care performance. Conclusion. This study found nurses perform delirium care with a high level of stress but with insuffiecient understanding, and thus, showed great needs for related training. Such findings can be useful to develop educational programs to improve knowledge on delirium and plans to reduce stress from delirium for geriatric hospital nurses.
Title: 종합병원 간호사의 섬망 간호수행 영향요인

This study was conducted to identify factors affecting nursing performance of delirium among general hospital clinical nurses. Methods: This was a cross-sectional study and conducted from July 20 to July 30 2015, with a sample consisting of 167 registered nurses in three general hospitals. Data were analyzed with SPSS 21.0. Results: Nursing performance of deliriumhad significant positive correlations with knowledge about delirium(r=.25, p=.001), self-confidence in caring for patients with delirium(r=.45, p<.001) and nursingwork environment (r=.29, p<.001). In this study, factors affecting nursing performance of deliriumwere self-confidence in caring for patientswith delirium (β=.33, p<.001), nursing work environment (β=.26, p<.001), experience in nursing education about delirium(β=.18, p=.007) and clinical experience (β=.18, p=.007). The factors explained 32%of nursing performance of delirium. Conclusion: This study``s results can be used as basic data to develope educational programs related to deliriumcare through continuing education and to improve work environments in developing strategies to enhance nursing performance for patients with delirium.
Title: 간호사의 섬망관련 지식, 간호 자신감과 섬망 간호 수행과의 관계

Objectives: This study was conducted to investigate the correlation among nurses` knowledge, their self-confidence about care for delirium and nursing performance for patients with delirium. Methods: The study subjects are the 203 nurses working at general hospitals. The data were collected using the instruments for knowledge of delirium (47 items), performance (23 items), and self-confidence (15 items). The used statistical analysis were t-test, ANOVA, Pearson`s coefficient and multiple regression analysis. Results: Nursing performance level for patients with delirium was 2.85±0.47, knowledge of delirium nursing 32.15±4.36, and self-confidence in delirium nursing 52.00±17.05. The difference in performance were associated with number of caring experience with delirious patients (during for 1 year) (F=3.22, p=0.024), perceived importance (Caring delirious patient is an important nursing intervention) (F=5.85, p=0.003), necessity of education for delirium (F=5.58, p=0.004), and necessity of manuals for delirium care (t=2.11, p=0.036). The nursing performance for patients with delirium had positive relationship with knowledge of delirium (r=0.30, p=0.000) and self-confidence (r=0.35, p=0.000). Factors related to the nursing performance for patients with delirium were `self-confidence in nursing performance for patients with delirium` (β=0.24, p=0.001), `knowledge of delirium` (β=0.16, p=0.002), and `necessity of manuals for delirium care` (β=0.16, p=0.014). These variables explained 18.5% of the variance in nursing performance for patients with delirium. Conclusions: It is necessary to develop systematic educational program and manual for improving the knowledge, self-confidence and performance for patients with delirium among nurses working at general hospitals.
Title: 외과계 중환자실 수술 후 환자의 섬망 예방 중재가 섬망 발생에 미치는 효과

Purpose: This study was aimed to develop the multicomponent intervention for preventing delirium among postoperative patients in a surgical intensive care unit (SICU). Methods: Using a quasi-experimental pre & post-test design with a non-equivalent control group, a total of 88 hospitalized patients in a SICU participated in this study. The 44 patients were allocated in each experimental and control group. The experimental group received the multicomponent intervention for delirium prevention including a delirium assessment and nursing intervention using a checklist, whereas the control group was provided with a standard care. The primary outcome of this study was the delirium incidence during the course of hospitalization. Results: There were no significant differences in the demographic and clinical characteristics between the two groups. The delirium occurred in 19.2% in the experimental group, whereas 38.6% in the control group (x2=4.526, p<.05). Conclusion: The findings of the study demonstrated an effect of the multicomponent delirium prevention intervention in decreasing the delirium incidence rate over the standard care among the patients in SICU.
Title: 섬망 환자에서 아형과 심각도의 임상적 관련 요인

Objectives Delirium is commonly seen in clinical settings, and it can substantially influence the prognosis of patients. In this study, we investigated delirium with respect to its severity, classifi￢cation and characteristics on each subtype. Methods Severity of delirium was examined in delirium patients, who were referred to the de￢partment of psychiatry in a general hospital for multidisciplinary treatment. After classification based on subtypes, factors influencing these aspects of delirium were examined. Results Among the 193 consultation-liaison patients referred to the department of psychiatry in a general hospital, 61 patients (31.6%) were diagnosed with delirium. Compared to patients in the non-delirium group, patients in the delirium group were older, had a shorter education period, and medical history of surgery. Among the delirium patients, the hyperactive subtype was found to be the most common (57.4%) and patients with the mixed subtype showed the highest sever￢ity score for delirium symptoms. In addition, the patient with the hypoactive subtype had a higher frequency of medical history of depression compared to those with the other subtypes. Conclusion People with symptoms of hypoactive delirium can be misdiagnosed due to recur￢rence of depression, therefore, careful examination is required, particularly in patients with a histo￢ry of depression.
Title: 신경외과 수술 후 노인 환자를 위한 섬망 사정도구의 임상활용 가능성 평가

Purpose: The aim of this study was to evaluate the possibility for clinical use of delirium assessment tools, the Nursing Delirium Screening Scale (Nu-DESC) and the Delirium Observation Screening Scale (DOS), for postoperative neurosurgery patients. Methods: A sample of 100 elderly patients post neurosurgery was recruited from a neurosurgery ward in a university hospital located in Seoul, South Korea. Nurses (n=28) on the neurosurgery ward were asked to assess the participants using the Nu-DESC and the DOS. Based on the diagnosis of delirium made by a neuropsychiatrist, validity of the tools was evaluated. A questionnaire about ease of use of the tool was completed by the nurses. Results: As for the reliability of the tools, Cronbach's ? was .79, and .95 for the Nu-DESC and the DOS, respectively. Both of the tools showed high levels of sensitivity and specificity. As for ease of use in the clinical setting, the Nu-DESC (mean=39.2±4.82) had a higher (t=2.77, p=.01) score than the DOS (mean=37.39±5.97). Conclusion: Findings of this study confirmed that both the Nu-DESC and the DOS were highly reliable and valid tools to detect delirium in postoperative older neurosurgery patients, but the Nu-DESC was easier to use.
Title: 노인 환자의 골관절염 수술 후 발생한 섬망과 섬망 위험요인

Purpose: The purpose of this study was to evaluate the incidence of postoperative delirium in elderly patients with osteoarthritissurgery and identify risk factors for its development. Methods: This study enrolled 288 patients who underwent osteoarthritis surgery in a hospital between May and November 2014. Data were collected prospectively. The Nursing Delirium Screening Scale was used to detect delirium. Multivariable logistic regression analysis was used to identify independent risk factors for postoperative delirium. Patients were also followed for outcome. Results: Postoperative delirium developed in 42 patients (14.6%). Logistic regression analysis identified old age, low physical activity, antipsychotic agents, number of catheters, and intensive care unit admission as risk factors. Worse outcomes, including increased hospital mortality, reoperation, and discharge at care facilities, occurred in subjects who developed delirium. Conclusion: Osteoarthritis surgery in elderly patients was associated with a high incidence of postoperative delirium. The results of the this study regardingpatient populations vulnerable to delirium should be taken into account so that such patients could be identified preoperatively or in the immediate postoperative period.
Title: 노인의 섬망, 치매 및 우울 선별에 대한 근거중심 실무지침 수용개작

Purpose: The aim of this methodological study was translation and adaption of the evidence based guideline of the RNAO in Canada, for screening of delirium, dementia and depression in older adults. Methods: The guideline adaptation process was conducted according to the standardized methodology for nursing practice guideline adaptation developed by Korean Hospital Nurses Association. Quality of the RNAO guideline was evaluated using AGREE II tool. Then the guideline was translated into Korean and a preliminary guideline was established after appropriateness and applicability were checked by an expert group. Results: The adapted screening practice guideline consisted of 3 domains and 11 recommendations, including practice, education, organization and policy. Of the recommendations 9.1% were graded A, 27.3%, B, and 63.6%, C. Conclusion: This guideline is expected to contribute to improving nursing quality by offering it as a guide to evidence based practices for screening delirium, dementia and depression in Korean older adults.
Title: 뇌졸중 후 섬망의 진단과 치료

Delirium is an acute disturbance of consciousness and cognition with fluctuating course over a short period of time. Recognition of delirium in post-stroke patients is important because of its association with a longer stay in the hospital, a poor functional outcome, an increased risk of deteriorated cognition, and a higher mortality rate. It is occasionally under-recognized due to the fluctuating course and the neurological deficits that are caused by the stroke. Disturbance of several neurotransmitter systems including not only acetylcholine and dopamine but also serotonin, noradrenaline and gamma amino butyric acid have been implicated for the possible pathophysiology of delirium. Numerous potential precipitating and predisposing factors have been proposed such as comorbid condition, age, acute medical insults and environmental issues. In view of the complex multifactorial causes of delirium, multicomponent non-pharmacological approaches for risk factors are the most effective strategy for prevention of delirium. Preventive interventions such as frequent reorientation, early and recurrent mobilization, pain management, adequate nutrition and hydration, reducing sensory impairments, and ensuring proper sleep patterns have all been shown to reduce the incidence of delirium, regardless of the care environment. Pharmacologic interventions and physical restraints should be reserved for patients who are a threat to their own safety or the safety of others. This review describes epidemiology, pathophysiology, risk factors, diagnostic methods, and management of delirium in post-stroke patients.
Title: 지황백호탕으로 호전된 급성기 뇌경색 이후 섬망환자 보고 1례

Object：The purpose of this study is to report the effect of Gihwangbaekho-tang on the patient who had suffered from delirium caused by acute cerebral infarction. Methods：We used Sasang Constitutional Medicine to the patient, a 80-year-old man, who had suffered from delirium. And we observed how clinical symptoms had changed. Result：After treatment, there was significant improvement on condition of the patient. And we found that Gihwangbaekho-tang was effective for delirium caused by acute cerebral infarction.
Title: 병동 간호사를 대상으로 한 섬망간호 훈련 프로그램의 효과

Purpose: The purpose of this study was to examine the effects of delirium care training program on the nurses’ knowledge of delirium, self-confidence and performance levels in caring patients with delirium. Methods: The study was used a quasi-experimental design. The participants were 131 nurses in general nursing units in B and J hospitals. Sixty four nurses in B hospital were allocated into the experimental group and 67 nurses from J hospital into the control group. The delirium care training program was composed of lecture and clinical practice. Clinicalpractice of delirium care was applied everyday for 4 consecutive weeks starting from the admission day of the older adults(≥70 years old), using ‘short CAM' and ‘nursing checklist for delirium prevention’. Results: The knowledge of delirium, self-confidence in caring patients, and performance levels of nursing care were significantly increased in the experimental group compared to the control group. Conclusion: The findings of this study provided the evidence for the potential utility of the delirium care training program and underscored the needs of broaderapplication of the training program of delirium care for nurses in general nursing units.
Title: 정형외과에 입원한 노인 환자의 섬망 위험 요인 연구

Objective：The aim of this study was to explore risk factors behind delirium in elderly inpatients with orthopedic problem. Methods：The subjects were 94 elderly patients (≥65 years old) who admitted to a department of orthopedic surgery. They were evaluated with Confusion Assessment Method (CAM) and were diagnosed by Diagnostic and Statistical Manual of Mental Disorders, fourth edition, text revision through direct interview with psychiatrists. The demographic data, medical histories, and orthopedic chart were checked through medical records of patients. Results：20 subjects (21.3%) were diagnosed as delirium, and among them, 10 subjects had hyperactive type (50.0%), 6 had hypoactive type (30.0%) and 4 had mixed type (20.0%). Delirium group had high systolic blood pressure (p=0.007) and plasma glucose level (p=0.001) at the admission day. They had low hemoglobin (p=0.002) and potassium level (p=0.017) after surgery. Conclusion：In our study, there were many delirium patients, and even though there were many hypoactive type patients. It is assumed that delirium occurs more at the surgery or damage with larger loss of blood. It is important that we take care of management of past diseases rather than presence of past diseases. It is necessary to develop guidelines which would help to find out high risk patients for delirium.
Title: 알코올 의존 환자에서 진전섬망과 금단증상의 연관성

Objective：This study was performed to analyze the clinical variables associated with occurrence of delirium tremens (DT) in inpatients with alcohol dependence initially admitted with diseases unrelated to alcohol. Methods：This study included 132 inpatients seeking treatment for medical problem with acute alcohol withdrawal. The cases were divided into two groups : with DT group (n=44), without DT group (n=88). We compared the epidemiologic data, alcohol withdrawal symptoms and serum analysis data between two groups. We used the logistic regression to predict risk factors for DT. Results：The DT group had more severe alcohol withdrawal symptoms, more amount of drinking alcohol, more number of drinking per month, higher blood urea nitrogen (BUN), creatinine, amylase, C-reactive protein and lower serum total protein than the without-DT group. According to the result of a logistic regression, occurrence of DT showed correlation with the following factors : sweating, hallucination, agitation, amount of alcohol consumption, number of drinking per month. Conclusion：Our study suggests development of DT was correlated with severe alcohol withdrawal symptoms, high BUN, creatinine and low total serum protein. Therefore, during assessment of alcohol dependent patients, clinicians should keep these parameters in mind in order to prevent DT.
Title: 회복실 간호사의 각성 섬망에 대한 지식과 각성 섬망 관련 업무 스트레스에 관한 연구

Purpose: This study was done to identify the level of knowledge on and stress from delirium among recovery room nurses, and correlations between these factors. Methods: In this study, 125 nurses agreed to participate in the study were surveyed from October 8 to October 28, 2013. Data were analyzed using t-test, ANOVA, Scheffe test and Pearson correlation. Results: Average percentage of correct answers to questions about delirium was 81.9% and the mean score was 26.22 (±5.01). The mean score for recovery room nurses`` work stress from emergency delirium was 3.86 (±0.99). Extent of knowledge on delirium significantly differed by age (F=15.017, p .001), length of clinical experience (F=22.132, p .001), length of recovery room experience (F=10.538, p .001), education (F=3.312, p =.040), and marital status (t=4.107, p .001). Stress from ED was significantly related to age (F=9.185, p .001), clinical experience (F=7.077, p=.001), and marital status (t=-2.027, p =.045). Knowledge on delirium had a negative relationship with stress from delirium (r=-.514, p .001). Conclusion: Results show that nurses gained knowledge of delirium from their own clinical experience indicating a need to develop educational programs to improve knowledge on delirium and plans to reduce stress from delirium for recovery room nurses.
Title: 섬망 증세와 신체 활동도에 호전을 보인 뇌전이가 있는 소세포폐암 환자 1례

ObjectivesThe aim of this study was to report the improvement of delirium and performance status in the small-cell lung cancer patient who had multiple brain metastases and pericardial effusion after Sasang constitutional treatment. MethodsWe retrospectively reviewed the medical records, medical laboratory and image scans of 71-year-old male patient diagnosed as small-cell lung cancer. ResultsThe small-cell lung cancer with multiple brain metastases patient sometimes talked deliriously even after the whole brain radiation therapy. During the hospitalization period, he showed delirium. We treated him with Gihwangbaekho-tang and Dojeokgangki-tang as a main therapy. After treatment, he didn't show delirium and performance status was improved. ConclusionsA small-cell lung cancer with multiple brain metastases patient showed the improvement of symptoms (delirium, poor performance status, constipation and poor oral intake) with the treatment of Gihwangbaekho-tang, Yanggyuksanhwa-tang and Dojeokgangki-tang.
Title: 졸피뎀 유발 섬망의 발생률 및 위험요인

Background/Aims: Zolpidem is a safe and effective drug for the treatment of insomnia. However, there are some reports of adverse effects, such as delirium, after administration of zolpidem. The aim of this study was to evaluate the incidence of and risk factors for zolpidem-induced delirium. Methods: This retrospective study enrolled 481 patients who were admitted to hospital and received zolpidem between January and May 2011. We analyzed the incidence and risk factors associated with zolpidem-induced delirium. Results: Zolpidem-induced delirium occurred in 19 of 481 (4.0%) patients. Zolpidem-induced delirium was significantly associated with old age (≥ 65 years; odds ratio [OR] = 4.35, 95% confidence interval [CI] = 1.52-12.44, p = 0.006) and co-administration of benzodiazepine (OR = 4.30, 95% CI = 1.52-12.12, p = 0.006). When males > 65 years-old took both benzodiazepine and zolpidem simultaneously, the incidence of delirium was notably elevated (OR = 6.04, 95% CI = 1.80-20.20, p = 0.003). Other factors, including dosage, did not influence the occurrence of delirium. Conclusions: Old age and co-administration of benzodiazepine were independent risk factors for zolpidem-induced delirium. Therefore, a detailed medical history should be taken before prescribing zolpidem to an older person, and zolpidem should be used cautiously, with careful monitoring, in these patients. (Korean J Med 2013;84:804-809)
Title: 노인의 섬망 사정을 위한 도구의 임상적 사용 용이성에 관한 연구

Purpose: This study was undertaken to identify which delirium screening instrument would be more useful in clinical practice. Methods: Data were collected from 118 nurses from six hospitals in five provinces in Korea. For the delirium screening three instruments were compared: NEECHAM Confusion Scale (NEECHAM), Nursing Delirium Screening Scale (Nu-DESC), Delirium Observation Scale (DOS). The MMSE-K was used for concurrent validity. The nurse subjects were surveyed as to the practical clinical value of each instrument. Cronbach's α coefficient and Kuder-Richardson 20 were used to confirm the reliability. Results: The range of three scales reliability was .70~.82 and the range of correlation coefficient was .63~.82 with MMSE-K. For sensitivity of NEECHAM, Nu-DESC and DOS was 1.00, 1.00 and 0.81 respectively and specificity NEECHAM, Nu-DESC and DOS was 0.88, 0.89 and 0.89 respectively. Nurses rated the practical use of the DOS scale as significantly easier to use than the NEECHAM and Nu-DESC. Conclusion: NEECHAM, Nu-DESC and DOS scales were acceptable in terms of reliability, validity, sensitivity and specificity. However, nurses rated the DOS scale as easier scale to use and had more relevance to their practice.
Title: 정형외과병원 간호사의 섬망간호에 대한 지식, 수행 및 스트레스

Purpose: This study was conducted to investigate the correlation among nurses' knowledge, performance, and stress about care for delirium. Methods: The data were collected using the instruments for knowledge about nursing care (50 items), performance (23 items), and stress (20 items). Descriptive statistics and Pearson’s correlation coefficient were used to analyze the data of 222 participants. Results: Nursing knowledge were different by clinical experience (F=3.12, p=.016), position at work (t=-2.54, p=.012), experience in caring patients with delirium (t=3.90, p<.001), and conflicts with other disciplines on matters related to delirium (t=4.00, p=.001). The difference in performance were associated with age (F=4.19, p=.001), clinical experience (F=2.67, p=.003), and whether there was a guideline for managing the patients with delirium (t=2.30, p=.022). Stress of nurses was different by whether they had a religion or not (t=-2.41, p=.017). The knowledge of care for delirium had the positive relationship with performance (r=.21, p=.001) and negative relationship with stress (r=-.29, p=.001). Conclusion: It is necessary to develop educational program and guideline for improving the knowledge and performance in care for delirium among nurses working at orthopedic hospitals.
Title: 섬망 교육 프로그램이 중환자실 간호사의 섬망 지식, 간호중재 중요도 및 수행에 미치는 영향

Purpose: The purpose of this study was to develop a delirium education program for nurses and assess its effects on knowledge of delirium, the importance of nursing intervention, and nursing practice. Method: Participants comprised 60 nurses in a university hospital. The experimental group participated in a 3-hour delirium education program. Data were collected using structured questionnaires. Chi square and independent t-tests were conducted to examine similarities in demographic and dependent variables, and an independent t-test was used to test the hypothesis. Results: The experimental group obtained significantly higher scores than the control group in knowledge of delirium(t=14.52, p<.001), importance of nursing intervention(t=13.76, p<.001), and nursing practice (t=13.71, p<.001). Conclusion: Results suggest that delirium education is an effective tool to improve knowledge of delirium, importance of nursing intervention, and nursing practice. Therefore, delirium education would be beneficial for general ward and recently graduated nurses as well as ICU and experienced nurses.