Role of perceived stress in postoperative delirium: an investigation among elderly patients
| Autor: | Nahathai Wongpakaran, Sirirat Mueankwan, Yodying Punjasawadwong, Tanyong Pipanmekaporn, Mukda Banjongrewadee, Tinakon Wongpakaran |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Perceived Stress Scale Logistic regression Emergence Delirium Risk Factors Internal medicine medicine Humans Depression (differential diagnoses) Aged Aged 80 and over business.industry Montreal Cognitive Assessment Odds ratio Middle Aged Mental Status and Dementia Tests Thailand Neuroticism Psychiatry and Mental health Elective Surgical Procedures Delirium Female Geriatric Depression Scale Geriatrics and Gerontology Pshychiatric Mental Health medicine.symptom business Gerontology Stress Psychological |
| Zdroj: | Aging & Mental Health. 24:148-154 |
| ISSN: | 1364-6915 1360-7863 |
| DOI: | 10.1080/13607863.2018.1523881 |
| Popis: | Objectives: This study examined levels of perceived stress (PS), postoperative delirium (POD) and associated factors among Thai elderly patients undergoing elective noncardiac surgery.Background and aims: Preoperative PS and change after operation have not been widely studied. Moreover, psychological factors associated with PS and POD has been poorly investigated.Materials and Methods: In total, 429 elderly patients were recruited at a university hospital. The preoperative evaluation included sociodemographic data, health behaviors at risk, Perceived Stress Scale (PSS-10), Neuroticism Inventory (NI), Mental State Examination T10 (MSET10), Montreal Cognitive Assessment (MoCA) and Geriatric Depression Scale (GDS-15). Three-day postoperative evaluation included PSS-10 and Confusion Assessment Method Algorithm (CAM) or CAM-ICU for Delirium. Multiple regression and logistic regression analysis were performed to determine potential predictors.Results: Females were 58.97%, and the mean age was 69.93 ± 6.87 years. Mean pre- and postoperative PS were 12.77 ± 5.41 and 13.39 ± 5.26, respectively (P < 0.05). Multiple regression revealed that neuroticism, depression, and BMI predicted PS significantly. None of the independent variables was found to predict postoperative PS except for preoperative PS (p |
| Databáze: | OpenAIRE |
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