评估教育干预对ICU护士 Delirium 知识的有效性:一种准实验方法
Jamal Qaddumi1,2, Khaled Awawdi2, Mahdi Tarabeih1,2
1Department of Nephrology, An-Najah National University Hospital, Omar Ibn Al-Khattab St., Nablus P.O. Box 7, Palestine.
Nursing reports (Pavia, Italy)
|June 25, 2025
概括
一个教育计划显著提高了重症监护室 (ICU) 护士对妄想的了解,提高了他们识别和管理严重病患者这种疾病的能力. 建议继续教育,以获得持续的能力和更好的患者结果.
科学领域:
- 临界护理医学 临界护理医学
- 神经科学是一个神经科学.
- 护理教育 护理教育
背景情况:
- 痴呆症是重症病患者在重症监护室 (ICU) 中常见的并发症.
- 它与不良结果有关,包括增加死亡率,延长住院时间和增加医疗保健费用.
- 有效的管理依赖于医疗保健专业人员的早期识别和干预.
研究的目的:
- 评估教育干预对ICU护士对妄想的知识和理解的影响.
- 评估该计划在提高护士使用标准化工具识别和管理妄想的能力方面的有效性.
主要方法:
- 使用了一个准实验性的,测试前测试后测试的设计.
- 有114名ICU护士参与,在教育计划之前和之后填写了25项调查问卷.
- 干预包括演讲,教育材料和视频会议,专注于妄想和评估工具,如ICU的混评估方法 (CAM-ICU).
主要成果:
- 在干预前,护士们对痴呆症诊断和管理工具的认识有限.
- 干预后,中位数知识得分显著增加 (p < 0.001),表明理解得到改善.
- 护士报告说,他们对痴呆症识别和管理的信心增加了,50%的人认为CAM-ICU是用户友好的,尽管关于混合型痴呆症和可修改的风险因素的知识差距仍然存在.
结论:
- 有针对性的教育计划可以显著提高ICU护士在管理妄想方面的能力.
- 持续的教育和将妄想评估工具纳入日常实践是长期保留知识的关键.
- 在痴呆症管理方面提高护理专业知识,可以在ICU环境中带来更好的患者结果.
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