通过多模式教育干预改善重症监护病房护士 Delirium 评估表现
Rui-Ling Chang1, Shu-Fen Siao2, Shih-Chi Ku3
1Department of Nursing, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
Nursing in critical care
|September 8, 2025
概括
一个多式模式的教育干预显著改善了重症监护室 (ICU) 的护士.
科学领域:
- 关键护理医学 关键护理医学
- 护理 护理 护理
- 老年医学 老年医学
背景情况:
- 痴呆症是重症监护室 (ICU) 中常见且严重的并发症,影响老年人和通风患者.
- 准确的妄想评估至关重要,但往往是不一致的.
- 在没有结构化培训的情况下,重症监护室 (ICU) 护士使用重症监护 Delirium 查清单 (ICDSC) 可能会受到限制.
研究的目的:
- 评估ICU护士使用重症监护室痴呆症查清单 (ICDSC) 的痴呆症评估表现.
- 评估多式模式教育干预措施对改善妄想评估绩效的有效性.
主要方法:
- 在台湾北部的三个医疗ICU中进行了干预前后研究.
- 使用ICDSC的护士的表现与经过培训的专家护士的评估进行了比较.
- 实施了为期3个月的多式联通教育干预,包括讲座,场景审查和床边指导.
- 使用科恩的卡帕和格韦特的AC1统计数据进行了评估.
主要成果:
- 在ICU护士和专家评估之间的基线协议是不理想的 (kappa = 0.63).
- 多模式教育干预显著改善了协议 (kappa = 0.74).
- 在评估意识,注意力,定向,精神运动活动和睡眠-清醒周期方面,有显著的改善.
- 对于85岁以上的患者和身体受束的人来说,协议仍然很差.
结论:
- 一个结构化,多模式的教育干预显著提高了ICU护士使用ICDSC的妄评估表现.
- 一对一的指导和基于场景的学习特别有效.
- 需要额外的策略来评估非常老的患者和那些在身体限制下的人.
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