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題 名 | 復健病房病人急性混亂的發生率及相關因素初探=Exploratory Study: Incidence and Risk Factors of Patients with Acute Confusion in Rehabilitation Wards |
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作 者 | 王玉女; 蔡秀敏; 黃秀梨; | 書刊名 | 長庚科技學刊 |
卷 期 | 5 民95.12 |
頁 次 | 頁163-176 |
分類號 | 419.76 |
關鍵詞 | 老人; 急性混亂; 譫妄; 復健; Elders; Acute confusion; Delirium; Rehabilitation; |
語 文 | 中文(Chinese) |
中文摘要 | 「急性混亂」,又名譫妄,是住院病人常發生的健康問題。唯目前有關比方面的研究多以急性期病人為研究對象,少有針對慢性病房,如復健病人進行探討者。筆者在復健病房工作多年,深知復健科護理人員及家屬在面臨意識突發改變病人時照顧上的辛勞,因此本研究針對復健病房病人急性混亂的發生率及相關因素進行探討。過程中採結構式問卷進行資料收集,實得有效問卷96份進行統計分析。研究結果顯示:96位病人中有16位在住院期間發生急性混亂,發生率為 16.7%。住院第一天發生急性混亂的病人最多,而第三天之後就未再有新的個案出現。多數急性混亂者之年齡在75歲以上、未受教育、罹患高血壓且血液中鈉(sodium)、尿素氮(blood urea nitrogen) 之單項檢驗值異於正常值(p<0.05)。研究結果有助於護理人員對復健病房病人急性混亂行為表現的認識,提升其對復健病房病人急性混亂高危險群認知的敏感度,並未來研擬進一步護理及醫療措施參考。 |
英文摘要 | A cute confusion, also known as delirium, is a clinical phenomenon commonly found among hospitalized patients. Knowledge about acute confusion has grown rapidly during the past decade, but very few studies have focused specifically on the rehabilitation wards. The purpose of this study was to determine the incidence of acute confusion in rehabilitation wards, and to identify its related factors. The population for this study was a purposive sampling of patients. Acute confusion was measured in 96 patients (valid samples) using the Acute Confusion Behavior Scale. Sixteen patients (16.7%) presented with acute confusion, mainly seen on the first but not the third day after hospitalization. These patients tended to be older (over 75 years), less educated, have hypertension, and abnormal levels of sodium and blood urea nitrogen (p < 0.05). This data can be used as a basis for nursing interventions and used in clinical assessment to prevent acute confusion. |
本系統中英文摘要資訊取自各篇刊載內容。