Postoperative cognitive changes among older Taiwanese patients
Summary • The purpose of the study was to describe variations in cognitive/behavioural changes during the course of delirium among older Taiwanese patients after elective surgery. • A total of 106 patients assessed four times (admission, onset of delirium, delirium day 3 and delirium day 5) by the M...
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| Veröffentlicht in: | Journal of clinical nursing 2003-07, Vol.12 (4), p.579-588 |
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| container_title | Journal of clinical nursing |
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| creator | Lou, Meei-Fang Dai, Yu-Tzu Huang, Guey-Shiun Yu, Po-Jui |
| description | Summary
• The purpose of the study was to describe variations in cognitive/behavioural changes during the course of delirium among older Taiwanese patients after elective surgery.
• A total of 106 patients assessed four times (admission, onset of delirium, delirium day 3 and delirium day 5) by the Mini Mental State Examination (MMSE) were included in the analysis to understand the neurocognitive/behaviour change during the course of delirium.
• Repeated measures anova was used to analyse within‐subject differences across these four time points for those who became delirious and those who did not.
• The findings showed that patients who experienced delirium had significantly (P |
| doi_str_mv | 10.1046/j.1365-2702.2003.00753.x |
| format | Article |
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• The purpose of the study was to describe variations in cognitive/behavioural changes during the course of delirium among older Taiwanese patients after elective surgery.
• A total of 106 patients assessed four times (admission, onset of delirium, delirium day 3 and delirium day 5) by the Mini Mental State Examination (MMSE) were included in the analysis to understand the neurocognitive/behaviour change during the course of delirium.
• Repeated measures anova was used to analyse within‐subject differences across these four time points for those who became delirious and those who did not.
• The findings showed that patients who experienced delirium had significantly (P < 0.01) lower MMSE scores than non‐delirious patients. Scores for the delirious group were also significantly different across the four assessments (P < 0.01) within the group. The subscales of orientation to time, orientation to place, registration and recall were the major changes from time 1 (admission assessment) to time 2 (onset of delirium) for delirious patients. When scores for time 4 (delirium day 5) and time 1 (admission assessment) were compared, the subscales of orientation to time, orientation to place and visual construction showed the least improvement among the subscales at time 4.
• The findings of the study suggest that mental status assessments are important during the patient's admission and hospital stay. The repeated assessments can be incorporated into routine nursing care so that problems can be detected and appropriate nursing care implemented.</description><identifier>ISSN: 0962-1067</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1046/j.1365-2702.2003.00753.x</identifier><identifier>PMID: 12790872</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Adult and adolescent clinical studies ; Age Factors ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cognition Disorders - diagnosis ; Cognition Disorders - epidemiology ; Cognition Disorders - nursing ; Cognitive change ; cognitive changes ; Cohort Studies ; Delirium ; Delirium - diagnosis ; Delirium - epidemiology ; Delirium - nursing ; Elderly people ; Elective surgery ; Elective Surgical Procedures ; Female ; Geriatric Assessment ; Humans ; Incidence ; Male ; Medical sciences ; Mental Status Schedule ; Middle Aged ; Mini Mental State Examination ; Minimental State Examination ; Nursing ; Nursing Assessment ; Nursing Research ; older patients ; Organic mental disorders. Neuropsychology ; Perioperative Nursing - methods ; Postoperative Complications - nursing ; Postoperative Complications - psychology ; Postoperative morbidity ; Postoperative Period ; Probability ; Psychological tests ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Risk Factors ; Sampling Studies ; Taiwan</subject><ispartof>Journal of clinical nursing, 2003-07, Vol.12 (4), p.579-588</ispartof><rights>2003 INIST-CNRS</rights><rights>Copyright Blackwell Science Ltd. Jul 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5233-cdddef86f525db01cf88dc4e927c36f1e1112654fb6113c317fed34d30b8db7d3</citedby><cites>FETCH-LOGICAL-c5233-cdddef86f525db01cf88dc4e927c36f1e1112654fb6113c317fed34d30b8db7d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1365-2702.2003.00753.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1365-2702.2003.00753.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,30979,45553,45554</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14868579$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12790872$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lou, Meei-Fang</creatorcontrib><creatorcontrib>Dai, Yu-Tzu</creatorcontrib><creatorcontrib>Huang, Guey-Shiun</creatorcontrib><creatorcontrib>Yu, Po-Jui</creatorcontrib><title>Postoperative cognitive changes among older Taiwanese patients</title><title>Journal of clinical nursing</title><addtitle>J Clin Nurs</addtitle><description>Summary
• The purpose of the study was to describe variations in cognitive/behavioural changes during the course of delirium among older Taiwanese patients after elective surgery.
• A total of 106 patients assessed four times (admission, onset of delirium, delirium day 3 and delirium day 5) by the Mini Mental State Examination (MMSE) were included in the analysis to understand the neurocognitive/behaviour change during the course of delirium.
• Repeated measures anova was used to analyse within‐subject differences across these four time points for those who became delirious and those who did not.
• The findings showed that patients who experienced delirium had significantly (P < 0.01) lower MMSE scores than non‐delirious patients. Scores for the delirious group were also significantly different across the four assessments (P < 0.01) within the group. The subscales of orientation to time, orientation to place, registration and recall were the major changes from time 1 (admission assessment) to time 2 (onset of delirium) for delirious patients. When scores for time 4 (delirium day 5) and time 1 (admission assessment) were compared, the subscales of orientation to time, orientation to place and visual construction showed the least improvement among the subscales at time 4.
• The findings of the study suggest that mental status assessments are important during the patient's admission and hospital stay. The repeated assessments can be incorporated into routine nursing care so that problems can be detected and appropriate nursing care implemented.</description><subject>Adult and adolescent clinical studies</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - epidemiology</subject><subject>Cognition Disorders - nursing</subject><subject>Cognitive change</subject><subject>cognitive changes</subject><subject>Cohort Studies</subject><subject>Delirium</subject><subject>Delirium - diagnosis</subject><subject>Delirium - epidemiology</subject><subject>Delirium - nursing</subject><subject>Elderly people</subject><subject>Elective surgery</subject><subject>Elective Surgical Procedures</subject><subject>Female</subject><subject>Geriatric Assessment</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Status Schedule</subject><subject>Middle Aged</subject><subject>Mini Mental State Examination</subject><subject>Minimental State Examination</subject><subject>Nursing</subject><subject>Nursing Assessment</subject><subject>Nursing Research</subject><subject>older patients</subject><subject>Organic mental disorders. Neuropsychology</subject><subject>Perioperative Nursing - methods</subject><subject>Postoperative Complications - nursing</subject><subject>Postoperative Complications - psychology</subject><subject>Postoperative morbidity</subject><subject>Postoperative Period</subject><subject>Probability</subject><subject>Psychological tests</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Risk Factors</subject><subject>Sampling Studies</subject><subject>Taiwan</subject><issn>0962-1067</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkV1rFDEUhoModlv9CzII6tWM-Zh8XSjI4lZr2Vao9DJk8rHOOjtZk9l2--_NOEsLXqhXOZDnfTmHB4ACwQrBmr1dV4gwWmIOcYUhJBWEnJJq_wjM7j8egxmUDJcIMn4EjlNaQ4gIxuQpOEKYSyg4noH3lyENYeuiHtobV5iw6ttp-q77lUuF3oR-VYTOulhc6fZW9y65Yptx1w_pGXjidZfc88N7Ar4tPl7NP5XnF6ef5x_OS0MxIaWx1jovmKeY2gYi44WwpnYSc0OYRw4hhBmtfcMQIoYg7p0ltSWwEbbhlpyAN1PvNoafO5cGtWmTcV2X1wm7pDirkcgNLJOv_04SwjGG_wYpR5IzyTP48g9wHXaxz-cqTGopJWNjm5ggE0NK0Xm1je1GxzuFoBqdqbUa1ahRjRqdqd_O1D5HXxz6d83G2YfgQVIGXh0AnYzufNS9adMDVwsmKJeZezdxt23n7v57AXV2MV_mKefLKd-mwe3v8zr-UIwTTtX18lTNr78sLpdnX9WC_AI64MB7</recordid><startdate>200307</startdate><enddate>200307</enddate><creator>Lou, Meei-Fang</creator><creator>Dai, Yu-Tzu</creator><creator>Huang, Guey-Shiun</creator><creator>Yu, Po-Jui</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>200307</creationdate><title>Postoperative cognitive changes among older Taiwanese patients</title><author>Lou, Meei-Fang ; Dai, Yu-Tzu ; Huang, Guey-Shiun ; Yu, Po-Jui</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5233-cdddef86f525db01cf88dc4e927c36f1e1112654fb6113c317fed34d30b8db7d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult and adolescent clinical studies</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cognition Disorders - diagnosis</topic><topic>Cognition Disorders - epidemiology</topic><topic>Cognition Disorders - nursing</topic><topic>Cognitive change</topic><topic>cognitive changes</topic><topic>Cohort Studies</topic><topic>Delirium</topic><topic>Delirium - diagnosis</topic><topic>Delirium - epidemiology</topic><topic>Delirium - nursing</topic><topic>Elderly people</topic><topic>Elective surgery</topic><topic>Elective Surgical Procedures</topic><topic>Female</topic><topic>Geriatric Assessment</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental Status Schedule</topic><topic>Middle Aged</topic><topic>Mini Mental State Examination</topic><topic>Minimental State Examination</topic><topic>Nursing</topic><topic>Nursing Assessment</topic><topic>Nursing Research</topic><topic>older patients</topic><topic>Organic mental disorders. Neuropsychology</topic><topic>Perioperative Nursing - methods</topic><topic>Postoperative Complications - nursing</topic><topic>Postoperative Complications - psychology</topic><topic>Postoperative morbidity</topic><topic>Postoperative Period</topic><topic>Probability</topic><topic>Psychological tests</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Risk Factors</topic><topic>Sampling Studies</topic><topic>Taiwan</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lou, Meei-Fang</creatorcontrib><creatorcontrib>Dai, Yu-Tzu</creatorcontrib><creatorcontrib>Huang, Guey-Shiun</creatorcontrib><creatorcontrib>Yu, Po-Jui</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lou, Meei-Fang</au><au>Dai, Yu-Tzu</au><au>Huang, Guey-Shiun</au><au>Yu, Po-Jui</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Postoperative cognitive changes among older Taiwanese patients</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2003-07</date><risdate>2003</risdate><volume>12</volume><issue>4</issue><spage>579</spage><epage>588</epage><pages>579-588</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>Summary
• The purpose of the study was to describe variations in cognitive/behavioural changes during the course of delirium among older Taiwanese patients after elective surgery.
• A total of 106 patients assessed four times (admission, onset of delirium, delirium day 3 and delirium day 5) by the Mini Mental State Examination (MMSE) were included in the analysis to understand the neurocognitive/behaviour change during the course of delirium.
• Repeated measures anova was used to analyse within‐subject differences across these four time points for those who became delirious and those who did not.
• The findings showed that patients who experienced delirium had significantly (P < 0.01) lower MMSE scores than non‐delirious patients. Scores for the delirious group were also significantly different across the four assessments (P < 0.01) within the group. The subscales of orientation to time, orientation to place, registration and recall were the major changes from time 1 (admission assessment) to time 2 (onset of delirium) for delirious patients. When scores for time 4 (delirium day 5) and time 1 (admission assessment) were compared, the subscales of orientation to time, orientation to place and visual construction showed the least improvement among the subscales at time 4.
• The findings of the study suggest that mental status assessments are important during the patient's admission and hospital stay. The repeated assessments can be incorporated into routine nursing care so that problems can be detected and appropriate nursing care implemented.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>12790872</pmid><doi>10.1046/j.1365-2702.2003.00753.x</doi><tpages>10</tpages></addata></record> |
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| ispartof | Journal of clinical nursing, 2003-07, Vol.12 (4), p.579-588 |
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| subjects | Adult and adolescent clinical studies Age Factors Aged Aged, 80 and over Biological and medical sciences Cognition Disorders - diagnosis Cognition Disorders - epidemiology Cognition Disorders - nursing Cognitive change cognitive changes Cohort Studies Delirium Delirium - diagnosis Delirium - epidemiology Delirium - nursing Elderly people Elective surgery Elective Surgical Procedures Female Geriatric Assessment Humans Incidence Male Medical sciences Mental Status Schedule Middle Aged Mini Mental State Examination Minimental State Examination Nursing Nursing Assessment Nursing Research older patients Organic mental disorders. Neuropsychology Perioperative Nursing - methods Postoperative Complications - nursing Postoperative Complications - psychology Postoperative morbidity Postoperative Period Probability Psychological tests Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Risk Factors Sampling Studies Taiwan |
| title | Postoperative cognitive changes among older Taiwanese patients |
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