On the Postoperative delirium experiences in ICU patient
Yuko Shiraishi,Tizuru Matsumura,Tomoko Utsumi,Mariko Oura,Sizuyo Saito
Kagawa Prefectural College of Health Sciences, 761-0123 Kita,gunn,muretown,281-1,kagawa,Japan
In a consecutive series of 421 patients who had staid over 4 days in ICU of our hospital during a year of 2000,interview was carried out 21 patients with semi-structured question.Narration was taped,transcribed and analyzed in inductive method.Delirium experience was noted in 4 patients,3 male and 1 female,age ranged from 61 to 73. The contents were as followsFreminiscence of memory in the past,louder sound perception,delusion,lowering of actual sense and reality tasting,felling of lost self]control and auditory hallucination.A common characteristic of these experiences were not similar to the same as usual dreams which occur during normal sleep. The patients remembered their experiences clearly,and 2 without any feelings of fear or anxiety,and 2 with discomfort and fear.All patients had hesitation to tell their experience of delirium to others,because they recognized their experience abnormal and unreal.The patients had no memory of perception of pain as well as care of nursing during the period of their delirium. Granberg(1999)described that nursing intervention and noisy environment could be the trigger for delirium,and patients who had not delirium experience reported that they had been trust and confidence in nursing care. It is important for us to understand reality of patients' mental experience and to reduce their anxiety in addition to physical care in order to comprehensive nursing care in ICU.
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