KMID : 0895920220240040454
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Journal of Korean Gerontological Nursing 2022 Volume.24 No. 4 p.454 ~ p.463
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Nurses' management of older patients with post-anesthesia delirium: A Q methodology approach
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Kang Min-Yeong
Kim Eun-Young Chang Sung-Ok
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Abstract
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Purpose: This is an analysis of the experiences of nurses in Post Anesthesia Care Units (PACUs) in caring for older patients with emergence delirium using the Q-methodology.
Methods: The Q-methodology, which is used to explore and understand human subjectivity, was applied. Thirty nurses who had experiences in providing nursing for delirium in older patients after surgery in a PACU participated in this study.
Results: This study revealed three factors regarding the frame of reference of PACU nurses in detecting and managing older patients' emergence delirium: ¡°detect the deviant changes leading to instability¡±, ¡°focus on the patient¡¯s degree of cognitive recovery within the framework of recovery time¡±, and ¡°awareness of possible clues based on the patient¡¯s underlying disease(s)¡±.
Conclusion: These findings are expected to be utilized as a basis for more practical and accessible PACU nurse delirium education that reflects nurses¡¯ subjective viewpoints explained by the three identified factors
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KEYWORD
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Aged, Postoperative period, Emergence delirium
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