| 王怡,任学芳,徐燕.神经外科护士谵妄知信行现状调查[J].上海护理,2021,21(7): |
| 神经外科护士谵妄知信行现状调查 |
| Survey of knowledge,attitude and practice on delirium among neurosurgical nurses |
| DOI： |
| 中文关键词: 神经外科 护士 谵妄 知信行 |
| 英文关键词:neurosurgery nurse delirium knowledge,attitude and practice |
| 基金项目:上海市卫生和计划生育委员会面上项目(201840108)；复旦大学临床医学与护理学双一流建设经费(2018-22-40) |
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| 中文摘要: |
| [目的]了解神经外科护士的谵妄知信行现状，为制定谵妄行为干预提供参考。[方法]采用方便抽样法，于2019年3月-2019年4月选取上海市两所三甲医院以及一所二甲医院的在职神经外科护士为研究对象。采用ICU谵妄知信行问卷调查神经外科护士谵妄知信行水平，并分析其影响因素。[结果]共回收有效问卷369份，有效回收率为94.62%。在DICU知识方面，主观表示对DICU知识“非常清楚”的神经外科护士占5.5%，客观考察题成绩优良者占1.1％；在 DICU态度方面，表示应学习和掌握DICU知识的神经外科护士分别占85.1％和86.7％，认为应接受正规培训并承担识别工作者占87.5%和77.0％，表示对DICU知识感兴趣者占64.8％，认为自身DICU知识掌握能满足临床需要者占41.5%；在DICU行为方面，表示在工作中能够关注、评价、记录、反馈患者精神状况者分别占85.9％、71.1％、63.6％、84.8%，能在工作中积累相关知识者占63.1％。学历和医院等级可影响神经外科护士的DICU认知；护理工作年限可影响神经外科护士的DICU态度；学历可影响神经外科护士的DICU行为（P＜0.05）。[结论]神经外科护士谵妄相关知识匮乏，对待谵妄的态度欠积极，但对护理行为主观评价良好。建议护理管理者加强对神经外科护士的谵妄知识培训，调动学习积极性，并建立系统的规范化谵妄管理相关操作流程体系，促进良好的谵妄护理行为习惯的养成，从而进一步改善神经外科谵妄的诊疗水平及护理质量。 |
| 英文摘要: |
| Objective：To evaluate the knowledge，attitude and practice on delirium among neurosurgical nurses，and to provide references for behavioral intervention of delirium.Methods：From March 2019 to April 2019，on-the-job neurosurgical nurses from two Class III Grade A hospitals and one Class II Grade A hospital in Shanghai were selected as the subjects by convenience sampling.Neurosurgical nurses' knowledge，attitude and practice level was investigated by ICU delirium（DICU） knowledge，attitude and practice questionnaire, and the influencing factors were analyzed.Results：A total of 369 valid questionnaires were collected with an effective recovery rate of 94.62%.Regarding knowledge of DICU，neurosurgical nurses who subjectively expressed ‘very clear’ about this accounted for 5.5%, and those who performed well in objective examination accounted for 1.1%.As for attitudes towards DICU，neurosurgical nurses who believed that they should learn and master it accounted for 85.1% and 86.7%，respectively.Those who considered that they should receive formal training and undertake the recognition work accounted for 87.5% and 77.0%，respectively.64.8% of them were interested in DICU knowledge，and only 41.5% believed that their knowledge of DICU can meet clinical needs.In terms of DICU behavior, the mental status of patients were focused by 85.9% of the neurosurgical nurses,those who could evaluate, record and feedback it was respectively accounted for 71.1%, 63.6% and 84.8%.63.1%?were able to accumulate relevant knowledge at work.Education background and hospital grade can affect DICU knowledge of neurosurgical nurses.Nursing service years can influence their DICU attitude.Education background can influence their DICU behavior (P＜0.05).Conclusion：Neurosurgical nurses generally lacked of knowledge on delirium，and their attitude toward delirium was also not positive enough，but they had good good subjective evaluations of their nursing behaviors.It’s suggested that nursing managers should strengthen the delirium knowledge training for neurosurgical nurses，mobilize their learning enthusiasm，and establish a systematic standardized operation process system about delirium management , so as to promote the cultivation of their good nursing behavior habits, and than further improvement will be achieved on the diagnosis and treatment level and nursing quality of delirium in neurosurgery . |
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