妄想干预对重症监护室护士认知负荷的影响:一个多中心集群随机对照试验
Shan Zhang1, Meihua Ji1,2, Wei Cui1
1School of Nursing, Capital Medical University, Beijing, China.
International journal of nursing practice
|September 8, 2023
概括
在重症监护室 (ICU) 实施妄想干预措施显著增加了护士的整体,内在和外部认知负载. 德国护士的认知负荷没有变化,这突出了为管理护士认知负荷而制定定制策略的需要.
科学领域:
- 护理研究 护理研究
- 认知心理学 认知心理学
- 密集护理医学 密集护理医学
背景情况:
- 高认知负载是重症监护室 (ICU) 护士的一个普遍问题.
- 在狂妄症干预实施期间,ICU护士所经历的特定类型的认知负载尚未得到充分理解.
研究的目的:
- 描述和探索妄干预对ICU护士所经历的认知负载的影响.
- 区分对内在,外在和内在认知负载的影响.
主要方法:
- 进行了一个集群随机对照试验,涉及六个ICU.
- 护士接受了 Delirium 捆绑干预加上通常的护理或仅仅是通常的护理.
- 多维认知负载量表 (MDT-CL) 测量了内在,外在和外在的认知负载.
主要成果:
- 与对照组相比,干预组观察到整体,内在和外部认知负载的显著增加.
- 两组之间在基本认知负载上没有发现显著差异.
- 统计学显著性是通过反复测量差异分析来确定的 (总体,内在和外在负载的P<0.001).
结论:
- 在ICU中的妄想干预可以显著改变护士的认知负载,特别是增加内在和外部负载.
- 了解这些特定的负载类型对于制定有针对性的支持策略至关重要.
- 进一步的研究应该集中在减轻增加的认知负载以优化护理实践和患者护理.
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