ปัจจัยที่มีความสัมพันธ์กับภาวะสับสนเฉียบพลันของผู้ป่วยสูงอายุหลังผ่าตัดช่องท้อง

Tanomchit Tanomsiri; Aporn Deenan; Varin Binhosen

Authors

Tanomchit Tanomsiri Master Degree student, MNS (Adult and Gerontological Nursing), Rangsit University
Aporn Deenan Associate professor, School of Nursing, Rangsit University, Pathum Thani
Varin Binhosen Assistant professor, School of Nursing, Rangsit University, Pathum Thani

Keywords:

Older patients, Abdominal surgery, Postoperative delirium, Related factors

Abstract

Postoperative delirium is a common complication among older adults undergoing major surgery and is associated with adverse health outcomes. This descriptive correlational study aimed to determine the prevalence of postoperative delirium and examine the relationships of pain, sleep quality, and social support with postoperative delirium among older patients undergoing abdominal surgery. The sample comprised 115 older patients who underwent elective abdominal surgery and met the eligibility criteria. Data were collected using a demographic and health information questionnaire, the Thai Mental State Examination, the Numeric Rating Scale, the Pittsburgh Sleep Quality Index, a social support questionnaire, and the Nursing Delirium Screening Scale. Data were analyzed using descriptive statistics and Spearman’s rank correlation coefficient.

The majority of participants were male (52.2%), with a mean age of 67.2 years (SD = 6.65). The most common diagnoses were colon cancer (47.8%) and rectal cancer (35.7%), and the most common procedures were low anterior resection (39.1%) and hemicolectomy (27.0%). Postoperative delirium occurred in 37.4% of participants. Postoperative delirium was positively correlated with pain (rₛ = .206, p = .027) and poorer sleep quality (rₛ = .322, p < .001), and negatively correlated with social support (rₛ = −.365, p < .001).

The findings suggest that nurses should systematically assess postoperative delirium in older surgical patients and implement preventive care focusing on pain management, sleep promotion, and social support. Further research should develop and evaluate a multicomponent delirium-prevention program based on these significant factors.

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