A Cross-Sectional Survey on Nurses' Utilization of Risk Assessment and Screening for Postoperative Delirium in Older Patients Following Hip Fracture Surgery in Tertiary Hospitals in Jiangsu Province, China.

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Risk Management and Healthcare Policy Pub Date : 2024-10-19 eCollection Date: 2024-01-01 DOI:10.2147/RMHP.S481087
Jing Yang, Mei Liu, Lei Yang, Shujing Fang, Guangling Wang, Zejuan Gu
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引用次数: 0

Abstract

Objective: To analyze the current utilisation of delirium risk assessment and screening for older patients after hip fracture surgery in tertiary hospitals in Jiangsu Province, China.

Methods: This cross-sectional study was conducted from April 1 to April 30, 2023 among nurses working in orthopedics from Level III hospitals in Jiangsu Province, China. Data were collected using a self-designed questionnaire that focused on the utilisation of delirium risk assessment and prevention measures for older patients after hip fracture surgery. The questionnaire was administered through the online platform Questionnaire Star. Differences between data were analyzed using chi-square and rank-sum tests.

Results: A total of 616 nurses from 48 hospitals in Jiangsu province responded to the survey. Among them, 50.17% reported having no training in delirium management, 66.88% did not assess patients for delirium risk, and 73.21% did not screen patients for delirium in their clinical practice. It was observed that nurses with longer tenure, nurses specialising in orthopaedics, and nurses with ICU experience were more attentive to delirium risk assessment and delirium screening of patients (P<0.001).

Conclusion: Medical institutions must focus on strengthening nurses' training in delirium management for older patients after hip fracture surgery, improve their ability to undertake risk assessment and risk screening, unify delirium management norms, and ultimately improve nurses' delirium management ability.

中国江苏省三级医院护士对髋部骨折术后老年患者术后谵妄风险评估和筛查使用情况的横断面调查。
目的:分析江苏省三级医院老年髋部骨折术后谵妄风险评估和筛查的使用现状:分析目前江苏省三级医院对髋部骨折术后老年患者进行谵妄风险评估和筛查的情况:本横断面研究于 2023 年 4 月 1 日至 4 月 30 日在江苏省三级医院骨科护士中进行。研究采用自行设计的调查问卷收集数据,重点关注老年髋部骨折术后患者谵妄风险评估和预防措施的使用情况。问卷通过在线平台 "问卷星 "发放。数据之间的差异采用卡方检验和秩和检验进行分析:共有来自江苏省 48 家医院的 616 名护士参与了调查。其中,50.17%的护士表示未接受过谵妄管理培训,66.88%的护士未对患者进行谵妄风险评估,73.21%的护士在临床实践中未对患者进行谵妄筛查。据观察,任期较长的护士、骨科专业护士和有重症监护室经验的护士更注重谵妄风险评估和患者谵妄筛查(结论:医疗机构必须重视加强对髋部骨折术后老年患者谵妄管理护士的培训,提高其进行风险评估和风险筛查的能力,统一谵妄管理规范,最终提高护士的谵妄管理能力。
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来源期刊
Risk Management and Healthcare Policy
Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.20
自引率
2.90%
发文量
242
审稿时长
16 weeks
期刊介绍: Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.
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