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B 看護学部 = School of Nursing >
福島県立医科大学看護学部紀要 = Bulletin of Fukushima Medical University School of Nursing >
No.26 (2024-03) >

Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/2216

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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
Other Titles: Association between preoperative anxiety and postoperative delirium in patients undergoing surgery: a systematic review
Authors: 佐々木, 康之輔
赤松, 夏季
吉田, 詩織
佐藤, 冨美子
Affiliation: 成人・老年看護学部門
Source title: 福島県立医科大学看護学部紀要
Volume: 26
Start page: 1
End page: 9
Issue Date: Mar-2024
Abstract: 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.
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.
Publisher: 福島県立医科大学看護学部
language: jpn
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/2216
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/2216/1/BullFMUSchNurs_26_p1.pdf
ISSN: 1344-6975
Rights: © 2024 福島県立医科大学看護学部
Appears in Collections:No.26 (2024-03)

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