重症监护护士谵妄评估影响因素的调查：一项横断面描述性研究。
Investigation of the factors affecting delirium evaluation by intensive care nurses: a cross-sectional descriptive study.
作者信息
Öztürk Zeynep, Kaya Merve, Aksoy Meryeme, Özlü Zeynep Karaman
机构信息
Department of Psychiatric Nursing, Faculty of Health Sciences, Erzurum Technical University, Erzurum, Türkiye.
Department of Surgery Nursing, Faculty of Nursing, Atatürk University, Erzurum, Türkiye.
出版信息
BMC Nurs. 2025 Jul 24;24(1):968. doi: 10.1186/s12912-025-03638-0.
BACKGROUND
Studies have shown that as nurses' knowledge and awareness regarding delirium increase, their ability to evaluate and manage delirium improves significantly. Identifying the key factors that influence how nurses evaluate delirium is essential for enhancing early detection and proper management. The aim of this study was to examine the factors influencing the evaluation of delirium by intensive care nurses.
METHODS
This cross-sectional descriptive study was conducted in a university hospital with 13 adult ICUs. The sample consisted of 110 ICU nurses selected using Cochran's formula, based on a known population, 95% confidence level, and 5% margin of error. Data were collected between March 15 and 27, 2022, using three instruments: Personal Information Form, Delirium Attitude Questionnaire, and Delirium Knowledge Test for Intensive Care Nurses (DKT-ICN).
RESULTS
The mean level of knowledge of nurses on delirium assessment was found to be 13.92 ± 4.09 according to the DKT-ICN scale. According to the logistic regression analysis, the significant variables affecting the delirium assessment in the intensive care unit were the duration of intensive care experience (B = 0.404, p =.004; OR = 1.498), DKT-ICN score (B = 0.283, p =.004; OR = 1.327), female gender (B = -1.260, p =.041; OR = 0.284) and working in the medical intensive care unit (B = 2.477, p <.001; OR = 11.908). The model explained 49.1% of the variance in delirium assessment.
CONCLUSIONS
This study indicate that nurses' knowledge levels, unit of employment, gender, and duration of intensive care experience are significant determinants of delirium assessment practices. It is recommended that targeted training programs be developed to improve nurses' delirium assessment skills, that comprehensive surveys be used in future research, and that organizational and attitudinal factors be investigated using mixed methods designs.
CLINICAL TRIAL NUMBER
Not applicable.
背景
研究表明，随着护士对谵妄的知识和意识的提高，他们评估和管理谵妄的能力会显著改善。识别影响护士评估谵妄方式的关键因素对于加强早期检测和妥善管理至关重要。本研究的目的是探讨影响重症监护护士评估谵妄的因素。
方法
这项横断面描述性研究在一家拥有13个成人重症监护病房的大学医院进行。样本由110名重症监护护士组成，根据已知总体、95%置信水平和5%误差幅度，使用 Cochr an公式选取。2022年3月15日至27日期间，使用三种工具收集数据：个人信息表、谵妄态度问卷和重症监护护士谵妄知识测试（DKT-ICN）。
结果
根据DKT-ICN量表，护士对谵妄评估的平均知识水平为13.92±4.09。根据逻辑回归分析，影响重症监护病房谵妄评估的显著变量是重症监护经验时长（B = 0.404，p = 0.004；OR = 1.498）、DKT-ICN得分（B = 0.283，p = 0.004；OR = 1.327）、女性性别（B = -1.260，p = 0.041；OR = 0.284）以及在医疗重症监护病房工作（B = 2.477，p < 0.001；OR = 11.908）。该模型解释了谵妄评估中49.1%的方差。
结论
本研究表明，护士的知识水平、工作科室、性别和重症监护经验时长是谵妄评估实践的重要决定因素。建议制定有针对性的培训计划以提高护士的谵妄评估技能，在未来研究中使用综合调查，并采用混合方法设计调查组织和态度因素。
临床试验编号
不适用。
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