Predictive Factors of Delirium in Older Persons at Emergency Department.
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Abstract
Purpose: to study predictive factors related to delirium in older persons at emergency department
Design: Prospective descriptive predictive research
Methods: Data were collected from 220 older persons. Who were according to the specified qualifications. Research instruments were demographic questionnaires, 4 A’s Test for Delirium Screening: 4AT, Informant Questionnaire on Cognitive Decline in the Elderly, IQCODE, Numeric rating scale: NRS. And Pain assessment in advanced dementia, PAINAD. Which were tested for reliability. Cronbach’s alpha coefficient was .83, .79 respectively. test-retest procedure reliability was .77, .97 respectively. Data were analyzed using binary logistic regression.
Results: The finding revealed that 1) delirium in older persons at emergency department are 34 people from the total sample size of 220 people. Representing 15.45 percent 2) Cognitive impairment, history of stroke, emergency department length of stay, pain, intracranial hemorrhage, and depression were significantly positive correlated with delirium in older persons at emergency department at level of .05 (x2= 9.277, 10.020, rpb= .216, x2= 9.000, 9.568, 3.874 respectively) 3) Cognitive impairment (AOR=7.25, 95% CI : 1.681-31.276), History of stroke (AOR=4.74, 95% CI : 1.540-14.579), emergency department Length of stay (AOR=6.67, 95% CI : 2.300-19.337), intracranial hemorrhage (AOR=14.72, 95% CI : 2.637-82.151), and depression (AOR=6.96, 95% CI : 1.274-37.998) were significantly factors predicting delirium in older persons at emergency department at the level of .05 and accounted for 37 percent (Nagelkerke R2 = .370, p < .05).
Conclusion: result finding can serve as guidelines for developing programs for nursing care, monitoring, and prevention of the risk of acute confusion in the elderly who receive services in emergency departments.
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ลิขสิทธิ์ของบทความที่ตีพิมพ์เป็นของวารสารพยาบาลศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย ทั้งฉบับตีพิมพ์เป็นรูปเล่มและเอกสารออนไลน์
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