ANALYSIS FACTORS THAT AFFECTING DELIRIUM AT POST-OPERATIVE CRANIOTOMY PATIENT IN INTENSIVE CARE UNIT (ICU) OF BANJARMASIN ULIN GENERAL HOSPITAL

Diah Retno Wulan

Abstract


Patients with post-operative craniotomy are patient with critical condition and often encountered state of delirium which are called post-operative delirium. Many studies suggest the mortality of delirium in intensive room almost 95% of the total number patients treated. A important step of delirium management in intensive care is to identify the etiologies that can be done by identifying risk factors and then subsequent interventions should focus on minimizing the causes of delirium, while this identification process in ICU is sometimes not optimal and overlooked. The aim of this study is to analyze the factors that influence delirium incident at post-operative craniotomy patients. This study is an analytic correlative with cross-sectional approach at 30 respondents.The statistical test used chi-square, spearman rho and logistic regression. The result showed that factors associated with delirium were age with p value 0,000, electrolyte with p value 0,031, comorbidity with p value 0,029, and age is the most factor related to the delirium incidence with OR 29,418. This study needs to apply and to be developed to improve the quality of emergency nursing care and critically ill patients monitoring. Need to do further research with other factors such as the use of any mechanical ventilator, infections and metabolic disorders in patients with post-operative or other medical diagnosis in the ICU.

Keywords


Delirium, ICU, craniotomy

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