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ICU 护士对谵妄的认识。

Awareness of Delirium by ICU Nurses.

机构信息

Department of Nursing, Birzeit University, Ramallah, Palestine .

出版信息

Crit Care Nurs Q. 2021;44(2):263-267. doi: 10.1097/CNQ.0000000000000359.

DOI:10.1097/CNQ.0000000000000359
PMID:33595972
Abstract

Delirium is a critical issue in the intensive care unit (ICU), and the correct diagnosis and treatment of this disorder by the ICU team are doubtful on many occasions due to a lack of information. This research is intended to test the awareness and control of ICU delirium by the ICU nurses. A nonexperimental, quantitative, descriptive, cross-sectional study was conducted using a previously adopted and translated to Arabic and validated questionnaire. The sample include nurses who work in ICUs of 10 Palestinian hospitals (private and public) located in the West Bank and Jerusalem participated in this study; each gave consent to be part of this study. Approval was received from the Palestinian Ministry of Health and the Ethical Committee at Birzeit University. Version 19 of the Social Sciences Statistical Package (SPSS) software was used to analyze the data. The results showed that ICU nurses hold moderate to low levels of knowledge and lack of adequate clinical experience to handle delirium. Delirium is a common complication in the ICU that increases morbidity and mortality and increases the length of ICU stay, therefore the cost of health care rise and the quality of life is decreased. In clinical practice, there are no assessment guidelines and protocols for patients with delirium.

摘要

谵妄是重症监护病房(ICU)的一个关键问题,由于信息不足,ICU 团队在许多情况下对这种疾病的正确诊断和治疗存在疑问。这项研究旨在测试 ICU 护士对 ICU 谵妄的认识和控制。采用先前采用并翻译成阿拉伯语和验证的问卷进行了非实验性、定量、描述性、横断面研究。该样本包括在西岸和耶路撒冷的 10 家巴勒斯坦医院(私立和公立)的 ICU 工作的护士参加了这项研究;每个人都同意成为这项研究的一部分。巴勒斯坦卫生部和比尔泽特大学伦理委员会批准了这项研究。使用社会科学统计软件包(SPSS)第 19 版分析数据。结果表明,ICU 护士的知识水平中等偏低,缺乏处理谵妄的足够临床经验。谵妄是 ICU 中的常见并发症,会增加发病率和死亡率,并延长 ICU 住院时间,从而增加医疗保健成本并降低生活质量。在临床实践中,没有针对谵妄患者的评估指南和方案。

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