Luo H B, Wang X T, Tang B, Zhu Z N, Guo H L, Li Z Z, Sun J H, Liu D W
Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.
Zhonghua Nei Ke Za Zhi. 2017 Dec 1;56(12):930-934. doi: 10.3760/cma.j.issn.0578-1426.2017.12.008.
To investigate doctors' and nurses' perceptions and implementation of delirium management in intensive care unit. A total of 197 doctors and nurses in 2 general ICUs and 3 special ICUs at Peking Union Medical College Hospital finished a self-designed questionnaire of delirium management. There were 47 males and 150 females, 43 doctors and 154 nurses who participated in the survey.One hundred and twenty five participators were from general ICU and the others from special ICU. The ICU staff had a significant difference on the perceptions and implementation of delirium management(< 0.001) including. Doctors and nurses scored lowest in "family engagement and empowerment" and "sleep management" with (4.620±2.393) and (5.430±2.153) respectively. There was a significant difference between nurses and doctors in the management of analgesia and sedation (< 0.05).Doctors and nurses from different ICUs had significant discrepancy in the implementation of "delirium assessment" (< 0.05). The ICU staff should improve the perceptions and the implementation of delirium management,especially in special ICUs. Delirium management should be included as a routine care in ICU to improve patients' outcome.
调查医生和护士对重症监护病房谵妄管理的认知及实施情况。北京协和医院2个综合重症监护病房和3个专科重症监护病房的197名医生和护士完成了一份自行设计的谵妄管理调查问卷。参与调查的有47名男性和150名女性,43名医生和154名护士。125名参与者来自综合重症监护病房,其余来自专科重症监护病房。重症监护病房工作人员在谵妄管理的认知和实施方面存在显著差异(<0.001),包括。医生和护士在“家庭参与和赋权”及“睡眠管理”方面得分最低,分别为(4.620±2.393)和(5.430±2.153)。护士和医生在镇痛和镇静管理方面存在显著差异(<0.05)。来自不同重症监护病房的医生和护士在“谵妄评估”的实施方面存在显著差异(<0.05)。重症监护病房工作人员应提高对谵妄管理的认知和实施水平,尤其是在专科重症监护病房。谵妄管理应纳入重症监护病房的常规护理,以改善患者的预后。