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。
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.
出处
《中国护理管理》
CSCD
北大核心
2018年第2期253-259,共7页
Chinese Nursing Management
关键词
重症监护室
护士
疼痛
躁动
谵妄
知信行
Intensive Care Unit
nurse
pain
agitation
delirium
knowledge, attitudes, and practices
作者简介
莫苗苗。本科,护师;通信作者:魏琳。硕士,副主任护师,护理部副主任,E—mail:weilin22@126.com