关于儿科重症监护病房护士 Delirium 的态度,知识和做法:在中国四川的一项多站点横截面研究
YueEr Zhang1, JingYing Xie2, MengLin Tang3
1Department of Pain Management, West China Hospital ,Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, China.
BMC nursing
|April 29, 2024
概括
儿科重症监护室 (PICU) 的护士表现出对妄的知识不足,尽管他们的态度和行为充足. 建议进行常规的妄想评估和培训,以改善关怀,并预防重症儿童的不良结果.
科学领域:
- 关键护理医学 关键护理医学
- 护理研究 护理研究
- 儿科健康 儿科健康
背景情况:
- 痴呆症是儿科重症监护室 (PICU) 中的一种严重并发症,与患者不良结果有关.
- 有效的妄想管理需要知识博和熟练的护理人员.
- 了解影响护士知识,态度和行为的因素对于制定有针对性的干预措施至关重要.
研究的目的:
- 评估和分析影响PICU护士关于痴呆症的知识,态度和行为的因素.
- 确定护士对妄的理解可能缺乏的特定领域.
- 为培养教育策略的发展提供信息,以改善PICU中的痴呆症护理.
主要方法:
- 进行了一项横截面描述性研究,涉及中国五所教学医院6个PICU的215名PICU护士.
- 一项使用自制和验证问卷的在线调查评估了护士与 Delirium Care 相关的知识,态度和实践.
- 统计分析包括描述性统计,t测试,ANOVA,等级总和测试和多变量回归以确定知识,态度和行为的预测因素.
主要成果:
- 只有14.4%的护士对妄有很好的理解,平均知识得分为9.01±3.86,整体合格率为49.8%.
- 虽然护士表现出足够的态度 (平均得分为40.95 ± 5.62) 和行为 (平均得分为40.33 ± 8.01),但只有40.9%的护士接受了相关的妄想训练.
- 医院层面的因素,如妄想评估协议和特定培训,约占知识,态度和实践得分的变化10-17%左右.
结论:
- PICU护士对痴呆症的临床表现,影响因素和相关药物的知识缺乏.
- 护士通常保持适当的态度和信心,加上在小儿病患者中管理妄的良好做法.
- 建议实施常规的妄想评估和PICU护士的综合培训计划,以加强妄想的预防和管理.
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