沙特阿拉伯哈伊勒地区急性护理环境中影响护士谵妄知识的因素：一项横断面研究。
Factors Influencing Nurses' Knowledge About Delirium in Acute Care Settings in Hail Region, Saudi Arabia: A Cross-Sectional Study.
作者信息
Almoliky Mokhtar A, Alkubati Sameer A, Alsaqri Salman H, Saleh Khalil A, Sultan Mujeeb A, Al-Ahdal Saddam Ahmed, Balawi Anas Mahmoud, Moatakef Hajer Ibrahim
机构信息
Department of Medical Surgical Nursing, University of Hail, Hail, Saudi Arabia.
Nursing Department, Faculty of Medicine and Health Sciences, Taiz University, Taiz, Yemen.
出版信息
Risk Manag Healthc Policy. 2024 Dec 21;17:3257-3266. doi: 10.2147/RMHP.S494402. eCollection 2024.
BACKGROUND
The factors influencing nurses' knowledge of delirium in acute care settings have not been fully investigated in Saudi Arabia. Therefore, this study aimed to investigate these factors among nurses in acute care settings in the northern region of Saudi Arabia.
METHODOLOGY
A cross-sectional study was conducted using a convenience sample of 234 acute care nurses at the main public hospitals in the Hail region of Saudi Arabia. Data were collected using a structured, self-administered questionnaire, from November 2023 to February 2024. Multiple linear regression was used to identify factors of knowledge about delirium.
RESULTS
Of the acute care nurses, 7.3% had a good level of overall knowledge about delirium, while 66.1% and 26.6% showed poor and moderate levels, respectively. Most nurses (78.2%) had poor knowledge of delirium assessment. Significantly higher scores on delirium assessment were observed for nurses who reported receiving in-service training on delirium ( = 0.006) and when a clear job description was applied ( = 0.031), whereas significantly higher scores on knowledge about risk factors were observed for those who had previous experience in caring for delirious patients ( <0.001), received educational sessions on delirium ( = 0.001), and participated in training on delirium care ( <0.001). Lack of previous experience in caring for delirious patients and participation in delirium care training were significant factors for lower knowledge about delirium scores (CI=-5.750 --1.200, <0.001).
CONCLUSION
In-service training, daily clinical discussion, availability of instructional materials, and specific training on delirium significantly influence nurses' knowledge about delirium, particularly regarding delirium assessment and early recognition. Enhancing these factors could improve nurses' knowledge and the care and management of patients complaining of delirium in acute care settings.
背景
在沙特阿拉伯，急性护理环境中影响护士谵妄知识的因素尚未得到充分研究。因此，本研究旨在调查沙特阿拉伯北部地区急性护理环境中护士的这些因素。
方法
采用横断面研究，对沙特阿拉伯哈伊勒地区主要公立医院的234名急性护理护士进行便利抽样。2023年11月至2024年2月期间，使用结构化的自填问卷收集数据。采用多元线性回归来确定谵妄知识的影响因素。
结果
在急性护理护士中，7.3%对谵妄有良好的总体认知水平，而66.1%和26.6%的护士分别表现出较差和中等水平。大多数护士（78.2%）对谵妄评估的知识掌握较差。报告接受过谵妄在职培训的护士（P = 0.006）以及应用了明确工作描述的护士（P = 0.031）在谵妄评估方面的得分显著更高，而有照顾谵妄患者既往经验的护士（P<0.001）、接受过谵妄教育课程的护士（P = 0.001）以及参加过谵妄护理培训的护士（P<0.001）在危险因素知识方面的得分显著更高。缺乏照顾谵妄患者的既往经验和参与谵妄护理培训是谵妄知识得分较低的重要因素（置信区间=-5.750 - -1.200，P<0.001）。
结论
在职培训、日常临床讨论、教学材料的可用性以及谵妄专项培训显著影响护士对谵妄的知识，特别是在谵妄评估和早期识别方面。加强这些因素可以提高护士的知识水平以及急性护理环境中谵妄患者的护理和管理水平。
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