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护士在谵妄护理中的知识与主观压力:基于网络的教学模块对护士能力的影响。

Nurses' Knowledge and Subjective Strain in Delirium Care: Impact of a Web-based Instructional Module on Nurses Competence.

作者信息

Jose Sinu, Cyriac Maneesha C, Dhandapani Manju

机构信息

Postgraduate Institute of Medical Education and Research, PGIMER, Chandigarh, India.

Bel-Air College of Nursing, Panchgani, Maharashtra, India.

出版信息

Indian J Crit Care Med. 2024 Feb;28(2):111-119. doi: 10.5005/jp-journals-10071-24626.

Abstract

BACKGROUND

Delirium, a prevalent condition among elderly individuals admitted to hospitals, particularly in intensive care settings, necessitates specialized medical intervention. The present study assessed the proficiency of nurses in the management of delirium and their subjective experience of stress while providing care for patients with delirium in emergency rooms and critical care units.

MATERIALS AND METHODS

The study adopted a quantitative descriptive approach, utilizing standardized self-reporting measures that assessed the nurses' expertise and perceived burden of care. A cohort of 86 nurses from a tertiary care hospital in North India participated in the study. Additionally, the impact of the web-based instructional module in enhancing the nurses' knowledge in delirium management was assessed by one group pretest-posttest quasi-experimental study.

FINDINGS

The research revealed that nurses exhibited significant deficiencies in their knowledge, particularly in relation to the symptoms and causes of delirium. The most significant source of subjective stress was attributed to hyperactive delirium-associated behaviors, characterized by uncooperative and aggressive conduct. The utilization of the web-based instructional program significantly enhanced the comprehension of nurses about the management of delirium.

CONCLUSION

This study revealed a significant knowledge gap among nurses in delirium management and emphasizes the considerable subjective stress, particularly in dealing with hyperactive delirium-associated behaviors. The positive impact of the web-based instructional program underscores its potential as a valuable tool for enhancing nurses' knowledge and addressing these challenges in healthcare settings.

HOW TO CITE THIS ARTICLE

Jose S, Cyriac MC, Dhandapani M. Nurses' Knowledge and Subjective Strain in Delirium Care: Impact of a Web-based Instructional Module on Nurses Competence. Indian J Crit Care Med 2024;28(2):111-119.

摘要

背景

谵妄是住院老年人中常见的一种情况,尤其是在重症监护环境中,需要专门的医疗干预。本研究评估了护士在管理谵妄方面的能力以及他们在急诊室和重症监护病房为谵妄患者提供护理时的主观压力体验。

材料与方法

本研究采用定量描述性方法,使用标准化的自我报告措施来评估护士的专业知识和感知到的护理负担。来自印度北部一家三级护理医院的86名护士参与了该研究。此外,通过一组前测-后测准实验研究评估了基于网络的教学模块对提高护士谵妄管理知识的影响。

研究结果

研究发现护士在知识方面存在显著不足,尤其是在谵妄的症状和病因方面。主观压力的最主要来源归因于与谵妄相关的多动行为,其特征为不合作和攻击性行为。基于网络的教学计划的使用显著提高了护士对谵妄管理的理解。

结论

本研究揭示了护士在谵妄管理方面存在显著的知识差距,并强调了相当大的主观压力,特别是在应对与谵妄相关的多动行为方面。基于网络的教学计划的积极影响凸显了其作为一种有价值的工具在提高护士知识水平和应对医疗环境中这些挑战方面的潜力。

如何引用本文

Jose S, Cyriac MC, Dhandapani M. 护士在谵妄护理中的知识与主观压力:基于网络的教学模块对护士能力的影响。《印度重症监护医学杂志》2024;28(2):111 - 119。

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