Risk Factors of Delirium Among the Patients at a Surgical Intensive Care Unit

Chun, You Kyoung; Park, Jeong Yun

Original Article

Journal of Korean Critical Care Nursing 2017;10(3):31-40.
Published online October 31, 2017.

일 종합병원 외과계 중환자실 환자의 섬망 발생 요인

천유경, 박정윤

¹서울아산병원 외과계중환자실
²울산대학교 임상전문간호학

Risk Factors of Delirium Among the Patients at a Surgical Intensive Care Unit

You Kyoung Chun, Jeong Yun Park

¹Nurse, Department of Nursing, Asan Medical Center, Seoul, Korea.
²Professor, Department of Clinical Nursing, University of Ulsan, Seoul, Korea. pjyun@ulsan.ac.kr

Abstract

PURPOSE
This study examined the prevalence of delirium-related factors in a surgical intensive care unit (SICU).
METHODS
This retrospective study enrolled 73 patients who were admitted to an SICU from October 1, 2016 to March 20, 2017 and who had been hospitalized for more than 72 hours. Data was collected by reviewing electronic medical records.
RESULTS
Delirium occurred in 46 (63.0%) patients. Its related factors were age, education, mechanical ventilator, sleep, narcotics, physical restraint, and central line catheters.
CONCLUSION
The results indicate that sleep and physical restraint are significant factors related to delirium occurrence. The results of this study can help in developing guidelines for the prevention of delirium.

Key Words: Delirium, Critical ill patient, Surgical intensive care unit, Sleep, Physical restraint