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心血管外科护士对谵妄的知识水平。

Cardiovascular surgery nurses' level of knowledge regarding delirium.

作者信息

Demir Korkmaz Fatma, Gok Fadime, Yavuz Karamanoglu Ayla

机构信息

Faculty of Nursing, Ege University, Izmir, Turkey.

Health School, Pamukkale University, Denizli, Turkey.

出版信息

Nurs Crit Care. 2016 Sep;21(5):279-86. doi: 10.1111/nicc.12184. Epub 2015 May 5.

Abstract

BACKGROUND

Studies have shown that nurses have a crucial role in the recognition of delirium; however, they have insufficient knowledge regarding the issue.

OBJECTIVE

The aim of the study is to determine the knowledge level of cardiovascular surgery nurses regarding delirium.

METHODS

A survey design was used. The population of the study consisted of 124 nurses employed at the cardiovascular surgery wards and intensive care units of universities as well as state and private hospitals located in two different cities in Turkey between May and June 2014. The sample consisted of 97 nurses employed at the aforementioned institutions and time. Data were collected using the questionnaire form depicting the demographic characteristics of the nurses and the knowledge form including the level of nurses' knowledge regarding delirium. For the evaluation of data, number, percentage, Kruskal-Wallis, Mann-Whitney U- and independent-samples t-test were used.

RESULTS

Nurses were between 18 and 47 years of age with a mean 29·8 (SD = 6·80, the youngest = 18 and the oldest = 47) years. They spent a minimum of 1, a maximum of 25 and a median value of 3 (interquartile range, IQR: 5) years working in cardiovascular surgery. As for the scores received from the knowledge form regarding delirium, the lowest was zero, the highest was 60, and the average score was 41·18 ± 12·50 (a moderate level of knowledge). It was found that the nurses working in intensive care units, those who were chief nurses and those who received in-service training scored higher than the others.

CONCLUSIONS

Cardiovascular surgery nurses had a moderate level of knowledge regarding delirium. This may result in the neglect of delirium or a misdiagnosis.

RELEVANCE TO CLINICAL PRACTICE

It is recommended that training is provided that includes recognition, assessment and application of appropriate interventions to minimise the incidence of delirium.

摘要

背景

研究表明,护士在谵妄的识别中起着关键作用;然而,他们对这个问题的了解并不充分。

目的

本研究的目的是确定心血管外科护士对谵妄的知识水平。

方法

采用调查设计。研究人群包括2014年5月至6月期间在土耳其两个不同城市的大学以及公立和私立医院的心血管外科病房和重症监护病房工作的124名护士。样本包括在上述机构工作的97名护士。使用描述护士人口统计学特征的问卷形式和包括护士对谵妄知识水平的知识形式收集数据。为了评估数据,使用了数字、百分比、Kruskal-Wallis检验、Mann-Whitney U检验和独立样本t检验。

结果

护士年龄在18至47岁之间,平均年龄为29.8岁(标准差=6.80,最小年龄=18岁,最大年龄=47岁)。他们在心血管外科工作的时间最短为1年,最长为25年,中位数为3年(四分位间距,IQR:5)。至于从关于谵妄的知识形式中获得的分数,最低分为零,最高分为60分,平均分数为41.18±12.50(知识水平中等)。发现重症监护病房的护士、护士长和接受在职培训的护士得分高于其他人。

结论

心血管外科护士对谵妄的知识水平中等。这可能导致对谵妄的忽视或误诊。

与临床实践的相关性

建议提供包括识别、评估和应用适当干预措施以尽量减少谵妄发生率的培训。

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