护士对创伤后谵妄预见性护理措施的认知与态度:一项混合研究  

Perceptions and attitudes of trauma nurses towards proactive nursing measures for post-traumatic delirium:a mixed study

作　　者：李金儒 舒勤 Li Jinru;Shu Qin(School of Nursing,Army Medical University,Chongqing 400038,China)

机构地区：[1]陆军军医大学护理系野战护理教研室,重庆400038

出　　处：《创伤外科杂志》2025年第4期301-307,共7页Journal of Traumatic Surgery

摘　　要：目的 了解创伤护理人员对创伤后谵妄(PTD)预见性护理措施的认知和态度,为改进PTD护理能力培训策略提供参考。方法 基于循证原则检索建库至2024年4月30日BMJ Best Practice、UpToDate、WHO、英国国家卫生与临床优化研究所、国际指南协作网、Cochrane Library、PubMed、Embase、中国知网、万方数据库、中国生物医学数据库、维普数据库、医脉通等数据库,采用以循证为基础所自行编制的问卷对6家三甲医院急诊科、ICU的护士进行调查,调查内容包括护士基本情况、护士对52条PTD预见性护理循证措施重要性(代表认知)和可行性(代表态度)的评分。结果 共纳入15篇文献,汇总形成包含疼痛管理、安全管理、社会支持、早期活动、环境优化、基础护理、睡眠管理、认知训练8个方面的52条证据。共发放问卷210份,回收有效问卷208份,有效问卷回收率99.0%。调查对象对芳香疗法的重要性认知与可行性得分最低,分别为(3.8±1.1)分、(3.6±1.2)分,除此之外,重要性认知均分为(4.4±0.9)分,可行性均分为(4.2±1.0)分。创伤护理人员对PTD护理措施的认知与可行性之间存在正相关,Pearson相关性得分为0.92,P<0.001,各护理措施之间的相关系数在0.53~0.79之间,P<0.001。结论 参与调查的创伤护理人员对PTD预见性护理措施的认知水平普遍较高,但仍存在一定的提升空间,其认知与态度间呈现正相关,提示护理管理者可以结合认知行为理论观点,制定针对性培训策略。Objective To assess the cognition and attitude of trauma nurses towards proactive nursing measures for post-traumatic delirium(PTD),and to provide reference for following training strategies.Methods Based on the principle of evidence,literature retraction until Apr.30,2024 was conducted at the websites or databases of BMJ Best Practice,UpToDate,WHO,National Institute for Health and Care Excellence(UK),Guidelines International Network,Cochrane Library,PubMed,Embase,CNKI,Wanfang Database,China Biology Medicine disc,VIP Database,and Yimaitong,to formulate a scope review and develop a list of proactive nursing evidence for PTD.A stratified purposive sample method was used to survey trauma nurses in the emergency departments and ICUs of 6 tertiary hospitals in China,from Mar.24 to Apr.30,2024,using the self-made evidence-based questionnaire.The survey included basic information,and their scoring from importance(representing cognition)and feasibility(representing attitude)of evidence-based proactive nursing measures for PTD.Results A total of 15 articles were included,and 52 proactive nursing measures were compiled from 8 aspects,including pain management,safety management,social support,early activities,environmental optimization,basic nursing,sleep management,and cognitive training.A total of 210 questionnaires were distributed,yielding 208 valid responses,resulting in a collection rate of 99.0%.Trauma nurses reported the lowest importance perception and feasibility for aromatherapy,with the scores being 3.8±1.1 and 3.6±1.2,respectively.For other measures,the mean importance perception score was 4.4±0.9 and the mean feasibility score was 4.2±1.0.There was a positive correlation between trauma nurses’perceptions and feasibility of PTD proactive nursing measures,with the Pearson correlation score reaching as high as 0.92(P<0.001),and the correlation coefficients between each measure ranged from 0.53 to 0.79(P<0.001).Conclusion The evidence-based proactive nursing measures summarized in this study are scientifical

关 键 词：创伤 创伤后谵妄 认知行为理论 预见性护理 

分 类 号：R641[医药卫生—外科学]