ICU护士对ICU谵妄认知、态度与评估的研究进展
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摘要
本文从ICU护士对ICU谵妄的认知及评估现状、对ICU谵妄管理的态度,以及影响护士对ICU谵妄认知、态度及评估的因素等方面进行综述,旨在为相关研究及护士对ICU谵妄的临床管理提供参考。
This paper provides a comprehensive review of the literature on nurses' cognition, assessment and attitude of delirium in ICU, and the influencing factors of nurses' cognition, assessment and attitude, and to provides some references for further research and clinical management of ICU delirium.
This paper provides a comprehensive review of the literature on nurses' cognition, assessment and attitude of delirium in ICU, and the influencing factors of nurses' cognition, assessment and attitude, and to provides some references for further research and clinical management of ICU delirium.
引文
[1]National Cli nical Guideli ne Center.Delirium:diagnosis,prevention and management.(2010-07).https://www.ncbi.nlm.nih.gov/books/NBK65558/pdf/Bookshelf_NBK65558.pdf.
[2]Pandharipande PP,Patel MB,Bar r J.Management of pain,agitation,and delirium in critically ill patients.Pol Arch Med Wewn,2014,124(3):114-123.
[3]Inouye SK,Robinson T,Blaum C,et al.American Geriatrics Society Abstracted Clinical Practice Guideline for Postoperative Delirium in older adults.J Am Geriatr Soc,2015,63(1):142-150.
[4]陈鹏.机械通气患者谵妄发生率、高危因素及预后调查:一项前瞻性调查研究.杭州:浙江大学,2013.Chen P.Investigation of the incidence,risk factors and prognosis of delirium in mechanically ventilated patients:a prospective study.Hangzhou:Zhejiang University,2013.
[5]Pandharipande PP,Girard TD,Ely EW.Longterm cognitive impairment after critical illness.New England Journal of Medicine,2013,370(2):184-186.
[6]Partridge JS,Martin FC,Harari D,et al.The delirium experience:what is the effect on patients,relatives and staff and what can be done to modify this?.International Journal of Geriatric Psychiatry,2013,28(8):804-812.
[7]Schiemann A,Hadzidiakos D,Spies C.Managing ICU delirium.Curr Opin Crit Care,2011,17(2):131-140.
[8]Pun BT,Boehm L.Delirium in the intensive care unit:assessment and management.AACNAdv Crit Care,2011,22(3):225-237.
[9]王春立,吴瑛,黄洁,等.ICU谵妄亚型发生率及风险因素分析.护理研究,2011,25(11):3058-3061.Wang CL,Wu Y,Huang J,et al.Analysis of incidence and risk factors of ICU delirium subtypes.Chinese Nursing Research,2011,25(11):3058-3061.
[10]Bellelli G,Morandi A,Zanetti E,et al.Recognition and management of delirium among doctors,nurses,physiotherapists,and psychologists:an Italian survey.Int Psychogeriatr,2014,26(12):2093-2102.
[11]胥利,赵庆华,刘丽萍,等.ICU护士对ICU谵妄认知的调查分析.中华护理杂志,2012,47(7):645-647.Xu L,Zhao QH,Liu LP,et al.ICU nurses cognition of ICU delirium.Chinese Journal of Nursing,2012,47(7):645-647.
[12]董建,王玲,岳鹏.对ICU护士ICU谵妄认知的质性研究.中华现代护理杂志,2013,19(29):3608-3610.Dong J,Wang L,Yue P.Qualitative research on the cognition of ICU nurses ICU delirium.Chinese Journal of Modern Mursing,2013,19(29):3608-3610.
[13]钟明利,陈芳,徐婷婷,等.重症医学科护士对谵妄基本知识认知调查分析.//第三届世界灾害护理大会论文集.遵义医学院附属院,2014:1407-1409.Zhong ML,Chen F,Xu TT,et al.Investigation and analysis of basic knowledge of delirium among nurses in intensive care department.//Papers of the Third World Conference on Disaster Nursing.Affiliated Hospital of Zunyi Medical College,2014:1407-1409.
[14]Meako ME,Thompson HJ,Cochrane BB,et al.Orthopaedic nurses'knowledge of delirium in older hospitalized patients.Orthop Nurs,2011,30(4):241-249.
[15]胥利.重庆市三级甲等医院ICU护士ICU谵妄知信行调查研究.重庆:重庆医科大学,2012.Xu L.Investigation on ICU nurses'delirium knowledge,belief and behavior in Chongqing Grade A Hospital.Chongqing:Chongqing Medical University,2012.
[16]杨霞,许娟娟.护士对ICU谵妄知信行现状调查.护理学杂志,2017,32(3):61-64.Yang X,Xu JJ.Nurses'knowledge,attitude and Practice on delirium in ICU.Journal of Nursing Science,2017,32(3):61-64.
[17]Mossello E,Tesi F,Di Santo SG,et al.Recognition of delirium features in clinical practice:data from the"Delirium Day 2015"national survey.J Am Geriatr Soc,2018,66(2):302-308.
[18]潘亚丽,关红,张丽伟,等.大连市149名急重症监护病房护士ICU谵妄的知信行调查分析.护理学报,2016,23(1):10-15.Pan YL,Guan H,Zhang LW,et al.Investigation and analysis of ICU delirium knowledge and practice among 149 ICU nurses in Dalian City.Journal of Nursing(China),2016,23(1):10-15.
[19]Thomas C,Kreisel SH,Oster P,et al.Diagnosing delirium in older hospitalized adults with dementia:adapting the confusion assessment method to international classification of diseases,tenth revision,diagnostic criteria.J Am Geriatr Soc,2012,60(8):1471-1478.
[20]Barr J,Fraser GL,Puntillo K,et al.Clinical practice guidelines for the management of pain,agitation,and delirium in adult patients in the intensive care unit.Crit Care Med,2013,70(1):53-58.
[21]李智,田永明,李霞,等.某医院ICU护士谵妄评估现状及障碍因素调查.中国护理管理,2016,16(6):843-848.Li Z,Tian YM,Li X,et al.Investigation on the status quo and obstacles of delirium assessment among ICU nurses in a hospital.Chinese Nursing Management,2016,16(6):843-848.
[22]吴传芹,李国宏,朱艳萍.ICU护士对谵妄知信行及评估的障碍因素现状调查.广东医学,2018,39(14):2204-2209,2213.Wu CQ,Li GH,Zhu YP.Investigation on the status quo of barrier factors of nurses'perception,belief and assessment of delirium.Guangdong Medical Journal,2018,39(14):2204-2209,2213.
[23]Elliott SR.ICU delirium:a survey into nursing and medical staff knowledge of current practices and perceived barriers towards ICUdelirium in the intensive care unit.Intensive Crit Care Nurs,2014,30(6):333-341.
[24]马宝府,张兵.ICU护士预防患者谵妄的研究进展.护理实践与研究,2017,14(11):20-22.Ma BF,Zhang B.ICU research progress on prevention of delirium among nurses.Nursing Practice and Research,2017,14(11):20-22.
[25]邢佳悦.ICU护士对ICU谵妄认知状况调查与管理建议.中医药管理杂志,2016,24(21):14-16.Xing JY.ICU nurses'cognition of ICU delirium and management suggestions.Journal of Traditional Chinese Medicine Management,201624(21):14-16.
[26]Demir KF,Gok F,Yavuz KA.Cardiovascular surgery nurses'level of knowledge regarding delirium.Nurs Crit Care,2016,21(5):279-286.
[27]刘文娟,邢金燕,接亚琦.山东省ICU医护人员对ICU谵妄认知态度的调查分析.中国实用护理志,2017,33(2):130-134.Liu WJ,Xing JY,Jie YQ.Investigation and analysis on the cognition and attitude of ICU medical staff to delirium in Shandong Province.Chinese Journal of Practical Nursing,2017,33(2):130-134.
[28]Trogrli?Z,Ista E,Ponssen HH.Attitudes,knowledge and practices concerning delirium:a survey among intensive care unit professionals.Nurs Crit Care,2017,22(3):133-140.
[29]Zamoscik K,Godbold R,Freeman P.Intensive care nurses'experiences and perceptions of delirium and delirium care.Intensive Crit Care Nurs,2017(40):94-100.
[30]李丽芬,刘瑶.重症监护室护士对患者谵妄的认知状况调查分析.中医药管理杂志,2014,22(13):2211-2212.Li LF,Liu Y.Investigation and analysis of nurses cognitive status of delirium in ICU.Journal of Traditional Chinese Medicine Management,201422(13):2211-2212.
[31]Flagg B,McDowell S,Buelow JM.Nursing identification of delirium.Clin Nurs Spec,2010,24(5):260-266.
[32]Selim AA,Ely EW.Delirium the underrecognised syndrome:survey of healthcare professionals'awareness and practice in the intensive care units.Journal Clin Nurs,2017,26(5/6):813-824.
[33]Trogrli?Z,Vander JM,Bakker J.Asystematic review of implementation strategies for assessment,prevention,and management of ICUdelirium and their effect on clinical outcomes.Crit Care,2015,9(19):157-173.
[34]Koster S,Hensens AG,Schuurmans MJ,et al.Risk factors of delirium after cardiac surgery:a systematic review.Eur J Cardiovasc Nurs,2011,10(4):197-204.
[35]Jung JH,Lim JH,Kim EJ,et al.The experience of delirium care and clinical feasibility of the CAM-ICU in a Korean ICU.Clin Nurs Res,2013,22(1):95-111.
[36]K a r abu lut N,Ya ma n AY.Nu r si ng management of delirium in the postanesthesia care unit and intensive care unit.J Perianesth Nurs,2016,31(5):397-405.
[37]?zsaban A,Acaroglu R.Delirium assessment in intensive care units:practices and perceptions of Turkish nurses.Nurs Crit Care,2016,21(5):271-279.
[38]Oxenb?ll M,Egerod I,Christensen V.Nurses'and physicians'perceptions of Confusion Assessment Method for the intensive care unit for delirium detection:focus group study.Nursing in Critical Care,2018,23(1):16-22.
[2]Pandharipande PP,Patel MB,Bar r J.Management of pain,agitation,and delirium in critically ill patients.Pol Arch Med Wewn,2014,124(3):114-123.
[3]Inouye SK,Robinson T,Blaum C,et al.American Geriatrics Society Abstracted Clinical Practice Guideline for Postoperative Delirium in older adults.J Am Geriatr Soc,2015,63(1):142-150.
[4]陈鹏.机械通气患者谵妄发生率、高危因素及预后调查:一项前瞻性调查研究.杭州:浙江大学,2013.Chen P.Investigation of the incidence,risk factors and prognosis of delirium in mechanically ventilated patients:a prospective study.Hangzhou:Zhejiang University,2013.
[5]Pandharipande PP,Girard TD,Ely EW.Longterm cognitive impairment after critical illness.New England Journal of Medicine,2013,370(2):184-186.
[6]Partridge JS,Martin FC,Harari D,et al.The delirium experience:what is the effect on patients,relatives and staff and what can be done to modify this?.International Journal of Geriatric Psychiatry,2013,28(8):804-812.
[7]Schiemann A,Hadzidiakos D,Spies C.Managing ICU delirium.Curr Opin Crit Care,2011,17(2):131-140.
[8]Pun BT,Boehm L.Delirium in the intensive care unit:assessment and management.AACNAdv Crit Care,2011,22(3):225-237.
[9]王春立,吴瑛,黄洁,等.ICU谵妄亚型发生率及风险因素分析.护理研究,2011,25(11):3058-3061.Wang CL,Wu Y,Huang J,et al.Analysis of incidence and risk factors of ICU delirium subtypes.Chinese Nursing Research,2011,25(11):3058-3061.
[10]Bellelli G,Morandi A,Zanetti E,et al.Recognition and management of delirium among doctors,nurses,physiotherapists,and psychologists:an Italian survey.Int Psychogeriatr,2014,26(12):2093-2102.
[11]胥利,赵庆华,刘丽萍,等.ICU护士对ICU谵妄认知的调查分析.中华护理杂志,2012,47(7):645-647.Xu L,Zhao QH,Liu LP,et al.ICU nurses cognition of ICU delirium.Chinese Journal of Nursing,2012,47(7):645-647.
[12]董建,王玲,岳鹏.对ICU护士ICU谵妄认知的质性研究.中华现代护理杂志,2013,19(29):3608-3610.Dong J,Wang L,Yue P.Qualitative research on the cognition of ICU nurses ICU delirium.Chinese Journal of Modern Mursing,2013,19(29):3608-3610.
[13]钟明利,陈芳,徐婷婷,等.重症医学科护士对谵妄基本知识认知调查分析.//第三届世界灾害护理大会论文集.遵义医学院附属院,2014:1407-1409.Zhong ML,Chen F,Xu TT,et al.Investigation and analysis of basic knowledge of delirium among nurses in intensive care department.//Papers of the Third World Conference on Disaster Nursing.Affiliated Hospital of Zunyi Medical College,2014:1407-1409.
[14]Meako ME,Thompson HJ,Cochrane BB,et al.Orthopaedic nurses'knowledge of delirium in older hospitalized patients.Orthop Nurs,2011,30(4):241-249.
[15]胥利.重庆市三级甲等医院ICU护士ICU谵妄知信行调查研究.重庆:重庆医科大学,2012.Xu L.Investigation on ICU nurses'delirium knowledge,belief and behavior in Chongqing Grade A Hospital.Chongqing:Chongqing Medical University,2012.
[16]杨霞,许娟娟.护士对ICU谵妄知信行现状调查.护理学杂志,2017,32(3):61-64.Yang X,Xu JJ.Nurses'knowledge,attitude and Practice on delirium in ICU.Journal of Nursing Science,2017,32(3):61-64.
[17]Mossello E,Tesi F,Di Santo SG,et al.Recognition of delirium features in clinical practice:data from the"Delirium Day 2015"national survey.J Am Geriatr Soc,2018,66(2):302-308.
[18]潘亚丽,关红,张丽伟,等.大连市149名急重症监护病房护士ICU谵妄的知信行调查分析.护理学报,2016,23(1):10-15.Pan YL,Guan H,Zhang LW,et al.Investigation and analysis of ICU delirium knowledge and practice among 149 ICU nurses in Dalian City.Journal of Nursing(China),2016,23(1):10-15.
[19]Thomas C,Kreisel SH,Oster P,et al.Diagnosing delirium in older hospitalized adults with dementia:adapting the confusion assessment method to international classification of diseases,tenth revision,diagnostic criteria.J Am Geriatr Soc,2012,60(8):1471-1478.
[20]Barr J,Fraser GL,Puntillo K,et al.Clinical practice guidelines for the management of pain,agitation,and delirium in adult patients in the intensive care unit.Crit Care Med,2013,70(1):53-58.
[21]李智,田永明,李霞,等.某医院ICU护士谵妄评估现状及障碍因素调查.中国护理管理,2016,16(6):843-848.Li Z,Tian YM,Li X,et al.Investigation on the status quo and obstacles of delirium assessment among ICU nurses in a hospital.Chinese Nursing Management,2016,16(6):843-848.
[22]吴传芹,李国宏,朱艳萍.ICU护士对谵妄知信行及评估的障碍因素现状调查.广东医学,2018,39(14):2204-2209,2213.Wu CQ,Li GH,Zhu YP.Investigation on the status quo of barrier factors of nurses'perception,belief and assessment of delirium.Guangdong Medical Journal,2018,39(14):2204-2209,2213.
[23]Elliott SR.ICU delirium:a survey into nursing and medical staff knowledge of current practices and perceived barriers towards ICUdelirium in the intensive care unit.Intensive Crit Care Nurs,2014,30(6):333-341.
[24]马宝府,张兵.ICU护士预防患者谵妄的研究进展.护理实践与研究,2017,14(11):20-22.Ma BF,Zhang B.ICU research progress on prevention of delirium among nurses.Nursing Practice and Research,2017,14(11):20-22.
[25]邢佳悦.ICU护士对ICU谵妄认知状况调查与管理建议.中医药管理杂志,2016,24(21):14-16.Xing JY.ICU nurses'cognition of ICU delirium and management suggestions.Journal of Traditional Chinese Medicine Management,201624(21):14-16.
[26]Demir KF,Gok F,Yavuz KA.Cardiovascular surgery nurses'level of knowledge regarding delirium.Nurs Crit Care,2016,21(5):279-286.
[27]刘文娟,邢金燕,接亚琦.山东省ICU医护人员对ICU谵妄认知态度的调查分析.中国实用护理志,2017,33(2):130-134.Liu WJ,Xing JY,Jie YQ.Investigation and analysis on the cognition and attitude of ICU medical staff to delirium in Shandong Province.Chinese Journal of Practical Nursing,2017,33(2):130-134.
[28]Trogrli?Z,Ista E,Ponssen HH.Attitudes,knowledge and practices concerning delirium:a survey among intensive care unit professionals.Nurs Crit Care,2017,22(3):133-140.
[29]Zamoscik K,Godbold R,Freeman P.Intensive care nurses'experiences and perceptions of delirium and delirium care.Intensive Crit Care Nurs,2017(40):94-100.
[30]李丽芬,刘瑶.重症监护室护士对患者谵妄的认知状况调查分析.中医药管理杂志,2014,22(13):2211-2212.Li LF,Liu Y.Investigation and analysis of nurses cognitive status of delirium in ICU.Journal of Traditional Chinese Medicine Management,201422(13):2211-2212.
[31]Flagg B,McDowell S,Buelow JM.Nursing identification of delirium.Clin Nurs Spec,2010,24(5):260-266.
[32]Selim AA,Ely EW.Delirium the underrecognised syndrome:survey of healthcare professionals'awareness and practice in the intensive care units.Journal Clin Nurs,2017,26(5/6):813-824.
[33]Trogrli?Z,Vander JM,Bakker J.Asystematic review of implementation strategies for assessment,prevention,and management of ICUdelirium and their effect on clinical outcomes.Crit Care,2015,9(19):157-173.
[34]Koster S,Hensens AG,Schuurmans MJ,et al.Risk factors of delirium after cardiac surgery:a systematic review.Eur J Cardiovasc Nurs,2011,10(4):197-204.
[35]Jung JH,Lim JH,Kim EJ,et al.The experience of delirium care and clinical feasibility of the CAM-ICU in a Korean ICU.Clin Nurs Res,2013,22(1):95-111.
[36]K a r abu lut N,Ya ma n AY.Nu r si ng management of delirium in the postanesthesia care unit and intensive care unit.J Perianesth Nurs,2016,31(5):397-405.
[37]?zsaban A,Acaroglu R.Delirium assessment in intensive care units:practices and perceptions of Turkish nurses.Nurs Crit Care,2016,21(5):271-279.
[38]Oxenb?ll M,Egerod I,Christensen V.Nurses'and physicians'perceptions of Confusion Assessment Method for the intensive care unit for delirium detection:focus group study.Nursing in Critical Care,2018,23(1):16-22.