الفهرس 
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Abstract
Postoperative delirium is one of serious complications following hip fracture surgery. It
is a medical emergency that is associated with greater rates of morbidity and mortality among
the geriatric patients. Due to the high prevalence of postoperative delirium and its associated
complications, it is of utmost importance to identify delirium risk factors as a key element for
a successful delirium prevention program. Gerontological nurses play a critical role in
identifying patients at risk for delirium and using preventive interventions in different surgical
departments. Furthermore, early identification as well as prompt and optimal management of
postoperative delirium with nursing interventions would contribute to secondary prevention
by reducing the severity of delirium and increasing the speed of recovery.
The aim of this study was to:
Determine the effect of nursing interventions program on incidence and severity of
postoperative delirium among hospitalized geriatric patients undergoing hip fracture surgery.
Materials and Method
A- Materials:
Design: The study followed a quasi-experimental research design.
Setting: The study was carried out at the orthopedic department of El-Hadara Orthopedic and
Traumatology University Hospital, Alexandria, Egypt.
Subjects: The study subjects comprised eighty (80) geriatric patients aged 60 years and
above, undergoing hip fracture surgery, able to communicate, free from preoperative delirium,
with intact cognitive function, and have no or mild depression. The subjects were randomly
assigned into two equal groups (study and control) where each group consists of 40 surgical
geriatric patients.
Tools of the study: Five tools were used for data collection.
Tool (I): Saint Louis University Mental Status (SLUMS) Examination:
This scale was used to assess the preoperative cognitive function of geriatric patients.
The total score for this scale is 30 and it is classified depending on the respondent’s level of
education; in case of ”High school education”, 27 to 30 indicate normal cognitive function.
While, in case of ”Less than high school education”, 25 to 30 indicates normal cognitive
function. A specific score for ”Illiterate respondents” was added in which 24 to 30 indicates
normal cognitive function.
Tool (II): Geriatric Depression Scale–Short Form (GDS-SF):
This scale was used to assess the presence of preoperative depression among surgical
geriatric patients. The total score of this scale ranged from 0 to 15 and were classified as
follows; a score from 0 to 4 indicates no depression, 5 to 8 indicates mild depression, 9 to 11
indicates moderate depression, and 12-15 indicates severe depression.