ICU护士对疼痛、躁动和谵妄管理的知信行调查

doi:10.3969/j.issn.1672-1756.2018.02.024

ICU护士对疼痛、躁动和谵妄管理的知信行调查

莫苗苗张小培叶日春陈娇林满秋朱丽红王金林张雅琴刘文硕魏琳

湖南中医药大学护理学院，长沙市 410208（莫苗苗）；广东省中医院脑病一科（莫苗苗，张小培，陈娇，林满秋，朱丽红，王金林，张雅琴，刘文硕）；护理部（叶日春，魏琳）

出版日期:2018-02-25 发布日期:2018-02-25

Knowledge, attitudes and practices on pain, agitation, and delirium among nurses in Intensive Care Unit

Online:2018-02-25 Published:2018-02-25

摘要/Abstract

摘要： 目的：调查ICU护士疼痛、躁动和谵妄管理的知信行现状，分析其影响因素，为相关实践培训提供参考。方法：采用便利抽样方法，对252名ICU护士进行调查，调查工具为自行设计的一般资料调查表，ICU护士疼痛、躁动和谵妄知识问卷、态度问卷和行为问卷。结果：ICU护士疼痛、躁动和谵妄管理的知识得分为(28.67±8.00)分，态度得分为(40.10±5.59)分，行为得分为(27.15±9.22)分。多重线性回归分析得出，影响ICU护士实践行为的因素有：知识得分、医院级别和是否接受相关培训，可解释总体变异的14.6%。结论：ICU护士疼痛、躁动和谵妄管理知识相对不足，态度较为积极，实践行为亟待加强，提示管理者需要加强ICU护士相关培训，尤其是谵妄评估、每日唤醒实践、减少保护性约束和维持正常昼夜节律等方面，以提高其对疼痛、躁动和谵妄的管理水平。

Abstract: Objective: To investigate ICU nurses' knowledge, attitudes, and practices on pain, agitation, and delirium (PAD). Methods: A convenience sampling method was implemented. The questionnaire composed of demographics data, questions related to knowledge, attitudes, and practices on PAD. Results: Totally 252 nurses from 28 hospitals were included. The score of ICU nurses' knowledge, attitudes, and practices on PAD was 28.67±8.00, 40.10±5.59, and 27.15±9.22 respectively. Multiple regression analysis showed PAD training, knowledge and hospital's level were the influencing factors of practice. Conclusions: ICU nurses' knowledges on PAD are insufficient. Their attitudes are positive. Their practices need to be improved. Training on PAD management are suggested to enhance clinical outcomes.

莫苗苗张小培叶日春陈娇林满秋朱丽红王金林张雅琴刘文硕魏琳. ICU护士对疼痛、躁动和谵妄管理的知信行调查[J]. , 2018, 18(2): 253-259.