宁夏三级甲等医院ICU医护人员谵妄知识水平与需求的调查研究

Delirium knowledge needs of health care professionals in the intensive care unit of hospitals in Ningxia

目的了解宁夏三级甲等医院ICU医护人员谵妄知识水平和需求现状。方法采用自行设计的问卷对宁夏4所三级甲等医院的149名ICU医护人员进行问卷调查,问卷内容包括谵妄防控知识知晓情况、谵妄知识获取及期望获取的途径。结果 ICU医护人员谵妄知识得分为(56.10±18.24)分,Logistic回归分析结果显示医护人员的年龄、专业是谵妄知识水平的影响因素,OR值分别为1.113和4.547;79.19%的医护人员认为工作经验积累是其获得谵妄知识的主要来源,69.13%的医护人员表示从未接受过谵妄知识相关培训。结论 ICU医护人员谵妄知识知晓水平偏低,且远不能满足临床应用需求。建议加强对在职医护人员的系统培训,以提高ICU医护人员早期预防和识别谵妄的能力。

Objective To investigate the delirium knowledge and needs of health care professionals in the intensive care unit of hospitals in Ningxia. Methods The health care professionals from 4 hospitals of Ningxia were selected by convenience sampling. These health care professionals were investigated by questionnaires to know their delirium knowledge,knowledge acquisition ways,and the ways they expected to get the knowledge. Results The mean score of delirium knowledge of health care professionals was (56.10 ±18.24). Logistic regression analysis showed that age and profession were the influencing factors of delirium knowledge,OR values were 1.113 and 4.547. Over 79.19% of the participants considered clinical experience as their main source of knowledge about ICU delirium. 69.13% of the participants had never received any education on ICU delirium. Conclusion Health professionals in hospitals of Ningxia have lower level of knowledge on ICU delirium and the knowledge they have is far beyond enough to meet their clinical needs. It is suggested to adopt the model of clinical practice together with school education to train health care professionals and the students. By this way,the ability of detecting delirium early can be greatly improved.