Nie Jing, Li Wen-Jun, Jiang Zheng-Ying
Department of Intensive Critical Unit, Chongqing University Cancer Hospital, No. 181 of Hanyu Road, Shapingba District, Chongqing, 400030, China.
BMC Nurs. 2024 Oct 21;23(1):773. doi: 10.1186/s12912-024-02379-w.
The aim of this study was to assess the current status of delirium care self-efficacy among nurses in the intensive care unit (ICU) and the level of their knowledge about delirium in the ICU, more importantly, to analyze factors influencing the delirium care self-efficacy of ICU nurses and to provide a theoretical basis for ICU nursing managers to develop strategies for effective delirium care and management.
The study was based on a sample of 283 ICU nurses from eight hospitals in Chongqing selected using a convenience sampling method between July 2023 and September 2023. The tools used included a general information questionnaire, the Chinese version of the Delirium Care Self-Efficacy of ICU Nurses Scale, and the Chinese version of the ICU Delirium Knowledge Level Questionnaire.
The self-efficacy score (47.84 ± 9.93) of ICU nurses was positively correlated with the delirium knowledge level score (12.32 ± 3.47, r = 0.591, P < 0.001). Multivariate linear regression analysis identified the gender of the nurse, hospital level (tier), duration of ICU work experience, whether the nurse was a specialized ICU nurse, whether the nurse received delirium-related training, and the level of knowledge about delirium (all P < 0.05) as the influencing factors for the delirium care self-efficacy of ICU nurses.
It is recommended that ICU nursing managers offer targeted interventions based on the influencing factors to improve the delirium care self-efficacy of ICU nurses and their delirium knowledge levels, thereby reducing the incidence of delirium and improving the quality of care provided for patients with delirium in the ICU.
本研究旨在评估重症监护病房（ICU）护士谵妄护理自我效能感的现状及其对ICU谵妄的知识水平，更重要的是，分析影响ICU护士谵妄护理自我效能感的因素，为ICU护理管理者制定有效的谵妄护理和管理策略提供理论依据。
本研究以2023年7月至2023年9月采用便利抽样法从重庆8家医院选取的283名ICU护士为样本。使用的工具包括一般信息问卷、中文版ICU护士谵妄护理自我效能量表和中文版ICU谵妄知识水平问卷。
ICU护士的自我效能感得分（47.84±9.93）与谵妄知识水平得分（12.32±3.47，r = 0.591，P < 0.001）呈正相关。多因素线性回归分析确定护士的性别、医院级别（层级）、ICU工作年限、是否为专科ICU护士、是否接受过谵妄相关培训以及谵妄知识水平（均P < 0.05）为影响ICU护士谵妄护理自我效能感的因素。
建议ICU护理管理者根据影响因素提供有针对性的干预措施，以提高ICU护士的谵妄护理自我效能感及其谵妄知识水平，从而降低谵妄的发生率，提高ICU谵妄患者的护理质量。
