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Published on: January 11, 2020
Knowledge, attitudes and practices regarding diagnosis and management of delirium at the Cayetano Heredia Hospital
Grethel Díaz-Vargas1, Abigail Quiñones-Condezo1, Karlos Acurio-Ortiz2
1Médica cirujana, Universidad Peruana Cayetano Heredia. Lima, Perú.. grethelzarimah@hotmail.com.
Introduction:
delirium is a prevalent syndrome in clinical practice. The objective of this study was to identify the knowledge, attitudes and practices about delirium among medical professionals in a tertiary referral hospital, as well as to evaluate the validity of the instrument created for this purpose.
Methods:
A 3 phase cross sectional study was carried out: 1- content validation, 2- application of the instrument and 3- Construct validation.
Results:
After satisfactory content validation, the instrument was applied to 148 participants. Regarding knowledge about delirium, there was an average of 57.8% correct answers (95% CI 52.5-63.1) with no significant difference between attending physicians, residents and final year medical students. 25% (n=37) reported using the Confusion Assessment Method, 31.1% (n=46) reported feeling confident in the use of antipsychotics in the management of delirium, and 86.5% (n=128) reported using at least one non-pharmacological measure.
Conclusions:
Deficiencies in knowledge and management of delirium were evident in healthcare workers. The instrument had optimal content validation but unsatisfactory construct validation. Emphasizing the importance of doing a psychometric analysis with individuals prior to applying the instrument.
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