Possibility of Introducing the Japanese Version of the NEECHAM Confusion Scale as a Strategy for Prevention of Postoperative Delirium

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  • 日本語版NEECHAM混乱・錯乱状態スケールの術後せん妄対策としての導入可能性
  • ニホンゴバン NEECHAM コンラン ・ サクラン ジョウタイ スケール ノ ジュツゴ セン モウタイサク ト シテ ノ ドウニュウ カノウセイ

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In this study, nurses working in a digestive surgery ward used the Japanese version of the NEECHAM Confusion scale to screen 84 elderly patients (>65 years) for delirium and confusion on days 1–7 after gastrointestinal surgery. Subsequently, 31 nurses completed the questionnaires about the possibility of introducing the scale as a strategy for prevention of postoperative delirium. As a result, 22.6% of the nurses reported that using the scale improved their observation and judgment skills, and 76.7% reported that the burden of its implementation was very heavy. Furthermore, regarding the possible introduction of this scale, 35.5% felt that the scale could not be introduced in current busy wards (units), but would like to it to be introduced if they had sufficient time. Another 38.7% did not wish the scale to be introduced, and 22.6% chose “Anything can be said about it.” As future subjects, the necessity of prior training, environmental management such as the amount of business, and supervision/case conferences with a viewpoint how to use the NEECHAM efficiently in patient care were suggested.

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