Yafteh

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Beiranvand A¹, Fallahi M², Ashayeri H³, Rahgozar M⁴

1. Instructor, Department of nursing, Faculty of nursing, Lorestan University of medical sciences

2. Assistant professor, Department of nursing, Faculty of nursing, Iran University of medical sciences

3. Associate professor, Department of psychology medicine, Faculty of medicine, Iran University of medical sciences

4. Assistant professor, Department of statistic, Faculty of medicine, Iran University of medical sciences

Abstract

Background: Usually the incidence rate of delirium after hip surgery in elders is high. It causes several complication,bad prognosis and even mortality. Due to several side effects of drugs, music can be a nonpharmacological unrisk method for prevention of delirium. The purpose of the present study was to determin the effect of music on post operative delirium in elder women who underwent hip surgery hospitalized in orthopaedic ward.

Materials and methods: The present study is a semi experimental research. The samples were including 100 old women over 65 years of age with hip fracture in khorramabad Shohada hospital during 4 month. They were allocated according to inclusion criteria and sampling method to 2 equal groups of intervention and control, each with 50 persons. The tools of gathering data were demographic questionnaire, screening questionnaire and mini-mental state examination(MMSE). First, patient`s cognitive state were assessed by MMSE. Music was played for persons in intervention group for 20 minute, three times daily from 1 day before surgery until 4 days after surgery,while participants in the control group received standard care. During the intervention ,patient`s cognitive state was assessed by MMSE two times daily. Then patient`s were divided in 2 groups before and after scores in intervention group were compared.

Results: Findings showed that there is significant difference between before and after scores in intervention group(p=0/018). This difference even was significant with modification of before cognitive scores (p<0.001) and age (p<0.001)of intervention group.

Conclusion: This study provides evidence that music listening is an effective and unrisk tool for prevention of post hip surgical delirium in elders.

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Asaee R1, Nasari H2,Hoseini S3 1. Assistant professor, Department of Physiology, Faculty of Medicine, Lorestanl University of Medical Sciences, Khorramabad, Iran 1. Assistant professor, Department of Psychiatry, Faculty of Medicine, Lorestanl University of Medical Sciences, Khorramabad, Iran 2. G.P, Khorramabad, Iran Abstract Background: Delirium is common in elderly persons and in hospitalized patients especially after surgical procedures. But many of them are undetected and don’t receive treatment so they involve with increased mortality and morbidity, adverse outcomes, length of hospital stay and mental disability sequels. Unfortunetly , despite the importance of this syndrom , physicians and staff are able to diagnose only one thirth of the patients. Material and methods: In this cross sectional study, 240 inpatiants (120 from surgery ward and 120 from miernal medicine ward) from Shohadaye Ashayer hospital of Khorramabad were selected randomly. The diagnostic criteria for delirium were Mini-Mental state examination (MMSE) questionnaire, and patients daily examination for 4 days by MMSE. Results: Delirium was observed in 37 (30.8%) of the patients of internal medicine ward and 25 (20.8%) of the patients of surgery ward. 27 (22.5%) of the patients of internal medicine ward and 37 (30.8%) of the patients of surgery ward were suspicious for delirium. In age group of 58-77 years in surgery ward and patients over 77 years in internal medicine ward had the most frequency of delirium. There was significant relationship (p=0.01) between two sex in surgery ward. But there was not significant difference (p=0.92) between two sex in internal medicine ward for delirium. Conclusion: Reading the results of this study and frequency of delirum in surgery and internal medicine wards, presence of a psychiatrist in mentioned wards is necessary of early diagnosis and control of delirium.