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创伤重症监护病房护士谵妄相关应激、自我效能感、以患者为中心的护理对谵妄护理绩效的影响:一项横断面描述性调查研究

Impact of Delirium-Related Stress, Self-Efficacy, Person-Centred Care on Delirium Nursing Performance Among Nurses in Trauma Intensive Care Units: A Cross-Sectional Descriptive Survey Study.

作者信息

Seong Ga-Hee, Park Hyung-Ran

机构信息

College of Nursing, Research Institute of Nursing Science, Chungbuk National University, Cheongju 28644, Chungbuk, Republic of Korea.

出版信息

Healthcare (Basel). 2025 May 25;13(11):1243. doi: 10.3390/healthcare13111243.

Abstract

: Enhancing delirium nursing performance in trauma intensive care units (TICUs), where the prevalence of delirium is high, causes early detection of delirium and improves the quality of nursing care. TICU nurses experience various stress levels while caring for patients with delirium, which negatively affects their performance. Self-efficacy improves delirium nursing performance based on their capacity. Person-centred care identifies the holistic needs of patients in TICUs, which stimulates their recovery. This study aimed to examine the relationship of delirium-related stress, self-efficacy, and person-centred care with delirium nursing performance and identify factors influencing delirium nursing performance among nurses in TICUs. : This cross-sectional descriptive survey study was conducted on 170 TICU nurses from eight hospitals in Korea from 22 July to 30 September 2024. Data was collected using self-reported questionnaires after informed consent was provided. Data were analysed using multiple regression analysis. : Delirium nursing performance showed significant positive correlations with person-centred care ( = 0.51, < 0.001) and self-efficacy ( = 0.41, < 0.001). Regression analysis revealed person-centred care (β = 0.46, < 0.001) and self-efficacy ( = 0.24, = 0.004) as significant predictors of delirium nursing performance in TICUs, accounting for 28.6% of the variance. : Interventions focused on person-centred care may help improve delirium nursing performance and practice holistic care.

摘要

在谵妄发生率较高的创伤重症监护病房(TICU)提高谵妄护理绩效,可实现谵妄的早期发现并改善护理质量。TICU护士在护理谵妄患者时会经历不同程度的压力,这对他们的绩效产生负面影响。自我效能感基于其能力可提高谵妄护理绩效。以患者为中心的护理能够识别TICU患者的整体需求,从而促进他们的康复。本研究旨在探讨与谵妄相关的压力、自我效能感以及以患者为中心的护理与谵妄护理绩效之间的关系,并确定影响TICU护士谵妄护理绩效的因素。 :本横断面描述性调查研究于2024年7月22日至9月30日对韩国八家医院的170名TICU护士进行。在获得知情同意后,使用自填式问卷收集数据。数据采用多元回归分析进行分析。 :谵妄护理绩效与以患者为中心的护理(r = 0.51,p < 0.001)和自我效能感(r = 0.41,p < 0.001)呈显著正相关。回归分析显示,以患者为中心的护理(β = 0.46,p < 0.001)和自我效能感(β = 0.24,p = 0.004)是TICU谵妄护理绩效的显著预测因素,解释了28.6%的变异。 :侧重于以患者为中心的护理的干预措施可能有助于提高谵妄护理绩效并实施整体护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6455/12155541/32c4cd466642/healthcare-13-01243-g001.jpg

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