著者

松浦 純平 喜田 加奈子 上野 栄一

出版者

富山大学看護学会編集委員会

雑誌

富山大学看護学会誌 (ISSN:1882191X)

巻号頁・発行日

vol.11, no.1, pp.9-18, 2012-03

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The purpose of this research to clarify the cause of delirium appearance of disease factors which is supposed by veteran nurses working at the surgery ward of head and neck.A total of five nurses was interviewed.The semi-structured interview that contains seven cross method was performed to examine the cause of delirium appearance of the disease factors. The interviews were translated transcripts using the content analysis of K. Krippendorff.As a result, the following categories were generalized by content analysis; "individual characteristic", "the long rest", "aged", "insomnia", "male" "solitude". Seven cross method showed that the strongest delirium appearance of the disease factors was seven factors as follows, "insomnia", "advanced age", "long operation", "anxiety before the operative". Seven cross method showed that the strongest delirium appearance of the disease factors was seven factors as follows, "insomnia", "individual characteristic", "aged", "long operation", "amount of bleeding during the operation", "the effect of sleeping drug" "anxiety before the operative". Categories included in both the content analysis and seven cross method showed four categories of "aged", "insomnia", "individual characteristic".It was suggested that it is very important to perform the nursing practice of the delirium after operation.本研究の目的は,頭頸部外科病棟に勤務する経験豊富な看護師が考える術後せん妄発症要因は何かを明らかにして,臨床での術後せん妄発症患者に対する看護実践への示唆を得ることである.対象は,A大学医学部附属病院頭頸部外科病棟に勤務する頭頸部外科勤務経験5年以上の看護師5名とした.術後せん妄発症要因について半構成的面接を実施,結果はK.Krippendorffの内容分析手法およびセブン・クロス法にて分析した.内容分析の結果から【性格特性】,【理解力不足】,【長期安静】,【高齢】,【不眠】,【男性】,【独居】の7つのカテゴリーが生成された.セブン・クロス法の結果から,優先順位が高い順に【不眠】,【性格特性】,【高齢】,【長時間手術】,【術中出血量】,【眠剤の影響】,【術前不安】の7つのカテゴリーが生成された.内容分析とセブン・クロス法の両方に含まれていたのは,【高齢】,【不眠】,【個人特性】の3つのカテゴリーであった.この結果から今後の術後せん妄看護についての示唆を得た.