Hashimoto H, Yamashiro M
Department of Surgery, Tokyo Metropolitan Geriatric Hospital.
Nihon Ronen Igakkai Zasshi. 1994 Aug;31(8):633-8. doi: 10.3143/geriatrics.31.633.
Postoperative delirium and abnormal behavior were studied in 160 patients aged 60 and over with relation to their QOL assessed before surgical operation. QOL was assessed physically, psychologically, mentally and socially. Physical status was assessed with ability in daily life, seeing, hearing and severity of disease. Psychological condition (depression) was assessed by using GDS (Geriatric Depression Scale of Sheikh), Mentality (dementia) was assessed by using CDR (Clinical Dementia Rating) and HDS-R (Revised version of Hasegawa's dementia Scale). Sociality was assessed by social life and familial environment. Postoperatively 37.1% of males and 28.9% of females developed delirium and abnormal behaviour. Abnormal behaviour of demented patients was not defined as due to delirium or as dementia itself, so it was included in the classification "delirium and abnormal behaviour" because of the same aspect in terms of practical nursing care. The following factors were found to be statistically related to the occurrence of postoperative delirium and abnormal behaviour: disability in daily life, dementia, disturbance of hearing. Scores of HDS-R was closely related with the possibility of postoperative delirium and abnormal behaviour.
对160名60岁及以上的患者术后谵妄和异常行为进行了研究，并将其与手术前评估的生活质量相关联。从身体、心理、精神和社会方面对生活质量进行评估。身体状况通过日常生活能力、视力、听力和疾病严重程度进行评估。心理状况（抑郁）使用GDS（谢赫老年抑郁量表）进行评估，精神状况（痴呆）使用CDR（临床痴呆评定量表）和HDS-R（长谷川痴呆量表修订版）进行评估。社交能力通过社交生活和家庭环境进行评估。术后，37.1%的男性和28.9%的女性出现谵妄和异常行为。痴呆患者的异常行为未被定义为由谵妄引起或痴呆本身，因此由于在实际护理方面具有相同的方面，它被纳入“谵妄和异常行为”分类中。发现以下因素与术后谵妄和异常行为的发生在统计学上相关：日常生活能力残疾、痴呆、听力障碍。HDS-R评分与术后谵妄和异常行为的可能性密切相关。
