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沙特阿拉伯重症监护环境中护士警报疲劳的水平及影响因素:一项多中心横断面研究

Levels and Factors of Nurses' Alarm Fatigue in Critical Care Settings in Saudi Arabia: A Multicenter Cross-Sectional Study.

作者信息

Alkubati Sameer A, Alsaqri Salman Hamdan, Alrubaiee Gamil G, Almoliky Mokhtar Abdu, Alqalah Talal Ali Hussein, Pasay-An Eddieson, Alrasheeday Awatif Mansoor, Elsayed Shimmaa Mohamed

机构信息

Department of Medical Surgical Nursing, University of Hail, Hail, Saudi Arabia.

Department of Community Health, University of Hail, Hail, Saudi Arabia.

出版信息

J Multidiscip Healthc. 2024 Feb 22;17:793-803. doi: 10.2147/JMDH.S452933. eCollection 2024.

DOI:10.2147/JMDH.S452933
PMID:38410522
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10896094/
Abstract

BACKGROUND

A continuous and high frequency of alarms from monitoring and treatment devices can lead to nurses' sensory exhaustion and alarm fatigue in critical care settings.

AIM

The purpose of this study was to evaluate the level of alarm fatigue and determine the relationship between nurses' sociodemographic and work-related factors and the level of alarm fatigue in critical care settings in Hail City, Saudi Arabia.

METHODS

Between May and July 2023, 298 nurses who worked in the emergency, intensive care, and critical care units of all the public hospitals in Hail City participated in a cross-sectional survey. Sociodemographic and work-related sheet and the Nurses' Alarm Fatigue Questionnaire were used to collect data.

RESULTS

The total mean score of alarm fatigue was 26.38±8.30 out of 44. The highest score was observed for the item "I pay more attention to the alarms in certain", while the lowest score were observed for the items "I turn off the alarms at the beginning of every shift" with mean scores of 2.51 and 1.61, respectively. Nurses who were males, older than 30 years and Saudi citizens had significantly higher mean scores of alarm fatigue than their counterparts. In addition, significantly higher mean scores of alarm fatigue were noticed for nurses experienced for 10 years or more and who had regular morning shifts. Multiple linear regression showed that male (p=0.014), age (p=0.012), and Saudi nationality (p <0.029) were the independent factors affecting the level of fatigue alarm among nurses.

CONCLUSION

Nurses working in critical care settings at hospitals in Hail city are exposed to average levels of alarm fatigue, which can be influenced by sex, age, nationality, and experience of nurses. Therefore, it is imperative to manage alarm fatigue in critical care units by considering work-related and personality-related factors to ensure patient safety.

摘要

背景

在重症监护环境中,监测和治疗设备持续且高频的警报会导致护士出现感觉疲惫和警报疲劳。

目的

本研究旨在评估沙特阿拉伯海勒市重症监护环境中护士的警报疲劳程度,并确定护士的社会人口统计学和工作相关因素与警报疲劳程度之间的关系。

方法

2023年5月至7月期间,海勒市所有公立医院的急诊科、重症监护室和危重症监护室的298名护士参与了一项横断面调查。使用社会人口统计学和工作相关问卷以及护士警报疲劳问卷收集数据。

结果

警报疲劳的总平均得分为26.38±8.30(满分44分)。“我更关注某些警报”这一项得分最高,而“我在每次轮班开始时关闭警报”这一项得分最低,平均得分分别为2.51和1.61。男性、年龄大于30岁的护士以及沙特公民的警报疲劳平均得分显著高于其对应人群。此外,工作10年及以上且经常上早班的护士的警报疲劳平均得分显著更高。多元线性回归显示,男性(p = 0.014)、年龄(p = 0.012)和沙特国籍(p < 0.029)是影响护士疲劳警报程度的独立因素。

结论

海勒市医院重症监护环境中的护士面临中等程度的警报疲劳,其可能受到护士的性别、年龄、国籍和工作经验的影响。因此,必须通过考虑工作相关和个性相关因素来管理重症监护病房的警报疲劳,以确保患者安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c57/10896094/b7aca98cba1c/JMDH-17-793-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c57/10896094/b7aca98cba1c/JMDH-17-793-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c57/10896094/b7aca98cba1c/JMDH-17-793-g0001.jpg

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