Alshurtan Kareema, Ali Alshammari Fatimah, Alshammari Alhanouf B, Alreheili Shatha H, Aljassar Shadan, Alessa Jassam A, Al Yateem Hisham A, Almutairi Manahel, Altamimi Alanud F, Altisan Hamad A
Internal Medicine, University of Hail College of Medicine, Hail, SAU.
College of Medicine, University of Hail, Hail, SAU.
Cureus. 2024 Apr 29;16(4):e59263. doi: 10.7759/cureus.59263. eCollection 2024 Apr.
Introduction Delirium is a common and serious neuropsychiatric disorder, of acute onset, present at any age, but more common in older adults, and very common in clinical practice. It combines mental and behavioral symptoms with a fluctuating course, with worsening of the condition in the afternoon and at night, with important repercussions on increased mortality, greater risk of cognitive impairment, and hospitalization costs. Delirium's impact extends to patients, families, and healthcare systems, emphasizing the need for public awareness and education in Saudi Arabia. Methodology It is a cross-sectional conducted in Saudi Arabia that aims to assess knowledge, risk factors, and attitudes regarding delirium among all Saudi and non-Saudi residents aged 18 and older. A 36 self-administered questionnaire, standardized Nordic, was used. Data were cleaned in Microsft Excel (Microsoft Corporation, USA) and analyzed using IBM SPSS Statistics (IBM Corp., Armonk, NY). This study was conducted in Saudi Arabia from May 2023 till March 2024. Results Our study involved 1,470 participants from Saudi Arabia, primarily females (79.1%), Saudi nationals (89.9%), and unmarried individuals (65.4%). Most participants were aged 18-24 (59.5%) and held bachelor's degrees (57.3%). Commonly recognized delirium risk factors included increasing age (63.3%), dementia (58.2%), and longer ICU stays (48.7%). The participants showed moderate knowledge of delirium symptoms and consequences. Attitudes varied, with many agreeing that delirium requires intervention (30.7%) but fewer considering it preventable (17.1%). Sociodemographic factors, including gender and age, significantly influenced knowledge and attitudes, while education levels did not. Conclusion Our study found that gender and age influenced knowledge and attitudes, highlighting the importance of targeted education. Future research should further investigate the effectiveness of such interventions in enhancing knowledge and awareness and promoting preventive actions.
引言
谵妄是一种常见且严重的神经精神障碍,起病急,可发生于任何年龄,但在老年人中更为常见,在临床实践中也极为普遍。它兼具精神和行为症状,病程波动,病情在下午和夜间会加重,对死亡率增加、认知障碍风险加大以及住院费用产生重要影响。谵妄的影响波及患者、家庭和医疗保健系统,凸显了沙特阿拉伯提高公众意识和开展教育的必要性。
方法
这是一项在沙特阿拉伯进行的横断面研究,旨在评估18岁及以上的所有沙特和非沙特居民对谵妄的认知、风险因素及态度。采用了一份经标准化的36项北欧自填式问卷。数据在Microsoft Excel(美国微软公司)中进行清理,并使用IBM SPSS Statistics(IBM公司,纽约州阿蒙克)进行分析。本研究于2023年5月至2024年3月在沙特阿拉伯开展。
结果
我们的研究涉及1470名来自沙特阿拉伯的参与者,主要为女性(79.1%)、沙特国民(89.9%)和未婚人士(65.4%)。大多数参与者年龄在18 - 24岁之间(59.5%),拥有本科学历(57.3%)。常见的公认谵妄风险因素包括年龄增长(63.3%)、痴呆(58.2%)和在重症监护病房停留时间较长(48.7%)。参与者对谵妄症状和后果的了解程度中等。态度各不相同,许多人同意谵妄需要干预(30.7%),但较少有人认为它是可预防的(17.1%)。社会人口统计学因素,包括性别和年龄,对认知和态度有显著影响,而教育水平则没有。
结论
我们的研究发现性别和年龄会影响认知和态度,凸显了针对性教育的重要性。未来的研究应进一步调查此类干预措施在提高认知和意识以及促进预防行动方面的有效性。