Predicting Factors of Post-Operative Delirium in Abdominal Surgery’s Older Adult
Keywords:
Delirium, Post-Operative Delirium, Older Adult, Abdominal SurgeryAbstract
This study is predictive correlational research study aimed to study incidence, correlation and predicting factors of post-operative delirium in abdominal surgery’s older adult. The subjects were selected by purposive sampling. The sample included 110 aged 60 and over who had undergone abdominal surgery in the surgical department .The research tool used in this study were a demographic form, Thai Geriatric Depression Scale (TGDS) and Thai version of the Confusion Assessment (CAM). These research tool showing inter-rater reliability 1.00. The result showed that the average of post-operative delirium is 24.55%. The association between post-operative body temperature, pain, hemoglobin level, depression and Infected Covid-19 were positive (r= .447, .457, .296, .308 and .292, p<.05 respectively). Post-operative body temperature can predict post-operative delirium about 14.61 occasions (adj. OR=14.61 : 95% CI=2.80 - 76.27), pain 2.16 occasions (adj. OR= 2.16 : 95% CI=1.34 - 3.48), hemoglobin level about 11.38 occasions (adj. OR= 11.38 : 95% CI= 2.54-50.92), depression 1.22 occasions (adj. OR= 1.22 : 95% CI=1.03 - 1.44) and infected COVID-19 about 9.59 occasions. (adj. OR= 9.59 : 95% CI=1.19 - 76.98). The 5 factors can explain 65.40% of variance in post-operative delirium (Nagelkerke R2= .654, p<.05) in abdominal surgery’s older adult.
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