アブストラクト
Japanese
| Title | 手術前患者の不安と術後せん妄発症との関連性 : システマティックレビュー |
|---|---|
| Subtitle | 原著 |
| Authors | 佐々木康之輔1), 赤松夏季2), 吉田詩織1), 佐藤冨美子3) |
| Authors (kana) | |
| Organization | 1)東北大学大学院医学系研究科がん看護学分野, 2)兵庫県立尼崎総合医療センター看護部, 3)福島県立医科大学看護学部成人・老年看護学部門 |
| Journal | 福島県立医科大学看護学部紀要 |
| Volume | |
| Number | 26 |
| Page | 1-9 |
| Year/Month | 2024 / |
| Article | 原著 |
| Publisher | 福島県立医科大学看護学部 |
| Abstract | 「要旨」本研究は手術予定患者が抱く術前不安と術後せん妄発症の関連性を, 系統的レビューおよびメタアナリシスで評価することを目的とした. 医中誌Web, PubMed, Scopusを用い, 術前不安, せん妄, preoperative anxiety, preoperative uneasiness, deliriumをキーワードに, 1985年から2021年8月までの文献を検索した結果, 358文献のうち6件が分析対象となった. 3件は術前不安と術後せん妄に関連がない, 3件は関連があると報告していた. 対象手術疾患は心臓, 癌, 整形で, 術後せん妄発症率は17.8%〜41.1%であった. メタアナリシスでは, 術前不安の評価尺度の違いによって, 術前不安と術後せん妄発症の関連性の有無に関する結果が相反するものとなった. 術前不安の評価尺度の種類が結果に影響をおよぼす可能性が示唆されたが, 文献数が少ないため, さらなる研究の蓄積が必要である. |
| Practice | 看護学 |
| Keywords | 術前不安, 術後せん妄, 手術, 系統的レビュー, メタアナリシス, preoperative anxiety, postoperative delirium, surgery, systematic review, meta-analysis |
English
| Title | Association between preoperative anxiety and postoperative delirium in patients undergoing surgery : a systematic review |
|---|---|
| Subtitle | |
| Authors | Konosuke SASAKI1), Natsuki AKAMATSU2), Shiori YOSHIDA1), Fumiko SATO3) |
| Authors (kana) | |
| Organization | 1)Department of Oncology Nursing, Tohoku University Graduate School of Medicine, 2)Nursing department, Hyogo Prefectural Amagasaki General Medical Center, 3)Department of Adult and Gerontological Nursig, Fukushima Medical University, School of Nursing |
| Journal | Bulletin of Fukushima Medical University School of Nursing |
| Volume | |
| Number | 26 |
| Page | 1-9 |
| Year/Month | 2024 / |
| Article | Original article |
| Publisher | Fukushima Medical University School of Nursing |
| Abstract | [Abstract] Objective: Whether preoperative anxiety is associated with the development of postoperative delirium remains controversial. The aim of this study was to clarify the relationship between preoperative anxiety and the onset of postoperative delirium in patients undergoing surgery through a systematic review and meta-analysis. Methods: Using Ichushi Web, MEDLINE/PubMed, and Scopus, we extracted literature published from January 1985 to August 2021 with keywords such as preoperative anxiety, preoperative uneasiness, and delirium. Meta-analysis and sensitivity analyses were also performed to determine whether preoperative anxiety was a risk factor for postoperative delirium. Result: Of the 358 original articles retrieved in our search, only six research articles were selected. Three research articles did not demonstrate an association between preoperative anxiety and postoperative delirium, while the other three did. In each study, surgery was performed for cardiac, cancer, and orthopedic diseases, and the incidence of postoperative delirium ranged from 17.8% to 41.1%. Depending on the type of preoperative anxiety rating scale, the meta-analysis and sensitivity analyses showed inconsistent results regarding the association between preoperative anxiety and the development of postoperative delirium. Conclusion: Whether or not preoperative anxiety is a risk factor for postoperative delirium may be influenced by the type of preoperative anxiety rating scale. However, further prospective studies are warranted to re-evaluate this hypothesis due to the small number of references included in this analysis. |
| Practice | Nursing |
| Keywords | preoperative anxiety, postoperative delirium, surgery, systematic |
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残りの24件を表示する
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