ICU护士对疼痛、躁动和谵妄管理的知信行调查  

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

作　　者：莫苗苗 张小培[2] 叶日春[3] 陈娇[2] 林满秋[2] 朱丽红[2] 王金林[2] 张雅琴 刘文硕 魏琳[3] 

机构地区：[1]湖南中医药大学护理学院,长沙市410208 [2]广东省中医院脑病一科 [3]广东省中医院护理部

出　　处：《中国护理管理》2018年第2期253-259,共7页Chinese Nursing Management

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.

关 键 词：重症监护室 护士 疼痛 躁动 谵妄 知信行 

分 类 号：R47[医药卫生—护理学]