大连市149名急重症监护病房护士ICU谵妄的知信行调查分析  

Knowledge, Attitude and Practice of ICU Delirium among 149 EICU Nurses

作　　者：潘亚丽[1] 关红[1] 张丽伟[1] 张来军[1] 韩婷婷[1] 王丽娜[1] 王秋节 

机构地区：[1]大连医科大学附属第二医院护理部,辽宁大连116023

出　　处：《护理学报》2016年第1期10-15,共6页Journal of Nursing（China）

基　　金：辽宁省教育科学"十二五"规划2015年度课题(JG15DB110)

摘　　要：目的了解急重症监护病房(emergence intensive care unit,EICU)护士对ICU谵妄知识、态度、行为现状,并分析ICU谵妄知识、态度及行为的相关性,为提高急重症监护病房护士ICU谵妄知识及护理技能提供依据。方法采用自行设计的ICU谵妄知识、态度、行为问卷,对大连市5所三级甲等医院的149名急重症监护病房护士进行调查,收集数据采用描述性分析、方差分析及Pearson相关分析。结果 149名急重症监护病房护士ICU谵妄知识、态度、行为得分分别为(21.26±5.34)分、(18.65±5.71)分、(10.86±3.40)分,得分均偏低。不同年龄、护理工作年限及急重症监护病房工作年限的护士在ICU谵妄知识掌握情况得分比较,差异有统计学意义(P<0.05);不同年龄、性别的护士对ICU谵妄护理的态度得分比较,差异有统计学意义(P<0.05);不同性别护士ICU谵妄护理行为得分比较,差异有统计学意义(P<0.05)。急重症监护病房护士ICU谵妄知识与态度呈负相关(r=-0.19,P=0.02),对ICU谵妄的态度与行为呈正相关(r=0.64,P=0.00)。结论急重症监护病房护士ICU谵妄知识水平偏低,ICU谵妄认知态度欠积极,ICU谵妄患者评估及护理行为运用不足,需加强急重症监护病房护士ICU谵妄知识教育,端正其ICU谵妄预防和护理态度,提高其ICU谵妄护理运用能力,以减少急重症患者ICU谵妄的发生。Objective To learn the knowledge, attitude and behavior （KAP） of ICU delirium of EICU nurses and to provide the guidance to enhance their knowledge of ICU delirium and improve their nursing skill. Methods A total of 149 EICU nurses from five third-level first-class hospitals in Dalian were investigated with a self-designed questionnaire on KAP of ICU delirium. Results The score of EICU nurses’ knowledge, attitude and behavior was 21.26±5.34, 18.65±5.71 and 10.86±3.40 respectively, which indicated nurses’ a low level of KAP. The score of nurses’ knowledge was significantly different among nurses with different age and work experiences （P〈0.05） and the score of nurses’ attitude was significantly different among nurses with different age （P〈0.05）. The knowledge of EICU nurses was significantly negatively correlated with the attitude（r=-0.19, P=0.02）, but the attitude and behavior of nurses were significantly positively correlated （ r=0.64, P=0.00）. Conclusion EICU nurses have inadequate knowledge of ICU delirium, but their attitude of the cognition of ICU delirium is not positive enough, meanwhile their assessment and nursing behavior of ICU delirium patients are deficient. It is necessary to strengthen the education on ICU delirium for EICU nurses to reduce the occurrence of ICU delirium.

关 键 词：急重症监护病房 护士 ICU谵妄 知识 态度 行为 

分 类 号：R192.6[医药卫生—卫生事业管理]