Postoperative Delirium After Esophagectomy: The Efficacy of Continual Monitoring Using the NEECHAM Confusion Scale:

SAGE Open Nursing

HiroshiOno¹ 

关键词: postoperative delirium;    mental function;    monitoring;    nursing observation;   

DOI  :  10.1177/2377960818756799

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Abstract BackgroundAlthough a majority of nurses understand that delirium is a major issue in perioperative care, professional barriers to routine monitoring using delirium assessment tools exist. The aim of this study was to assess the effectiveness of continual monitoring of postoperative delirium in patients that have undergone esophagectomy using the Neelon and Champagne (NEECHAM) Confusion Scale (NCS).MethodsDemographic data and case histories were obtained from medical records. We conducted NCS scoring for 1 week after surgery and verified the daily changes in scores. Patients were classified into normal, neurocognitive-change, and complication groups for the analysis of the influence of preoperative neurocognitive changes and postoperative complications.ResultsData from 19 patients were analyzed. NCS scores decreased sharply on the first day and then significantly recovered each day. The normal group exhibited a steady recovery process, but the other groups deviated from this progression. The incid...

【 授权许可】

CC BY