骨科护士对患者术后谵妄管理知信行现状及学习需求的调查研究

doi:10.3761/j.issn.1672-9234.2022.02.010

摘要/Abstract

摘要：

目的了解骨科护士对患者术后谵妄管理的知信行现状及学习需求情况,为相关培训提供参考。方法采用自行编制的问卷对四川省11所三级医院的骨科护士进行网络问卷调查。结果共回收有效问卷444份,骨科护士对患者术后谵妄管理知信行总得分率为72.67%,其中知识、态度、行为得分率分别为57.68%、80.85%、82.48%。单因素分析结果显示,不同职称的骨科护士对患者术后谵妄管理知识得分差异有统计学意义（P<0.05）,不同医院等级、不同医院性质、有无监护病房工作经历、是否照护过谵妄患者、有无参加过谵妄相关培训的骨科护士对患者术后谵妄管理知识、态度、行为得分差异均有统计学意义（P<0.05）。仅19.59%的骨科护士参加过谵妄相关知识的培训,最迫切的学习内容为术后谵妄的诊断和鉴别、定义和分类、危险因素。结论骨科护士对术后谵妄管理相关知识掌握不足,但态度、行为较积极,管理者应加强并完善骨科护理人员术后谵妄管理的相关培训,提高护士对术后谵妄的认知并促进更好的临床实践。

关键词: 问卷调查, 在职培训, 谵妄, 护士, 骨科, 知信行

Abstract:

Objective To investigate orthopedic nurses’ knowledge,attitude,practice（KAP） and their learning needs on postoperative delirium（POD） management. Methods A self-designed online questionnaire was used to measure nurses’ KAP on POD management in orthopedics departments of 11 tertiary hospitals in Sichuan Province. Results A total of 444 questionnaires were finally collected. The total score rate of the orthopedic nurses’ KAP of POD management was 72.67%,among which the score rates of knowledge,attitude and practice were 57.68%,80.85% and 82.48%,respectively. Univariate factor analysis showed that the POD management knowledge scores of orthopedic nurses with different professional titles were significantly different（P<0.05）. And there were statistically significant differences in POD management knowledge,attitude,and practice scores in nurses with different hospital levels,different hospital properties,having working experience or not in the intensive care unit,caring for delirium patients or not,participating in delirium related training or not（P<0.05）. Only 19.59% of orthopedic nurses had participated in the delirium-related training. The most urgent related learning needs were the diagnosis and identification,definition and classification,and risk factors of postoperative delirium. Conclusion Orthopedic nurses are lack of knowledge about POD,but their attitude and practice towards POD management are positive. Nursing managers should strengthen training on postoperative delirium for orthopedic nurses to improve nurses’ cognition of POD management and promote better clinical practice.

Key words: Questionnaires, Inservice Training, Delirium, Nurses, Orthopedics, Knowledge, attitude, practice

谢静颖, 陈佳丽, 宁宁, 李佩芳, 屈俊宏. 骨科护士对患者术后谵妄管理知信行现状及学习需求的调查研究[J]. 中华护理教育, 2022, 19(2): 150-155.

XIE Jing-ying, CHEN Jia-li, NING Ning, LI Pei-fang, QU Jun-hong. Knowledge,attitude,practice and learning needs on postoperative delirium management in nurses of orthopedic departments[J]. Chinese Journal of Nursing Education, 2022, 19(2): 150-155.

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