ICU医务人员谵妄评估体验的现象学研究

The phenomenological study on ICU medical staff about delirium evaluation experience

目的了解ICU医务人员谵妄评估的体验,找出阻碍谵妄评估的因素。方法采用个人深入访谈法,收集8名ICU医务人员对谵妄评估经验的资料,运用现象学分析法进行分析形成质性描述。结果临床上对于谵妄评估没有广泛开展,评估量表较少正规应用,主要影响因素为重视度不够、知识欠缺、工作繁忙时间不足。结论谵妄评估的广泛推进需要学校、医院、各级医学学会以及国家管理部门等多方面努力,对谵妄评估量表的应用进行研究,提高重视度、加强培训以推进医护人员对于谵妄早期评估。

Objective To Learn about the experience of ICU medical staff about delirium assessments.Identify the obstacles to the delirium assessment. Methods Personal interviews were used to collect information on the evaluation experience of eight medical staff.Analyze using phenomenological analysis to form a qualitative description.the evaluation of sputum has not been widely carried out in clinic. Results There are very few formal assessment scales.The main influencing factors are insufficient attention,lack of knowledge,busy work,and insufficient time. Conclusion The wide application of delirium evaluation requires the efforts of schools,hospitals,medical societies at all levels,and national administrative departments to study the application of delirium assessment scales,improve attention,and strengthen training to promote the early evaluation of medical staff.