儿科重症监护室护士谵妄知识、谵妄护理自信和谵妄评估准确性的多面儿科谵妄教育计划的影响:一组前测后测设计

Song Yi Nam, Sujae Choi, Samuel Oh, J. Choi, Ki Young Park
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摘要

目的:本研究旨在探讨针对儿科重症监护病房(PICU)护士开展的多层面儿童谵妄教育计划对其谵妄知识、谵妄护理信心和谵妄评估准确性的影响。方法:本研究采用单组前测后测设计。研究对象是首尔S综合医院PICU 2个病房的50名护士。前两周,所有参与者都参加了一个小时的讲座,并进行了基于案例的实践,并在接下来的两周内将该计划应用于临床实践时获得了反馈。所有参与者在四周干预期之前和之后都完成了测试测量。谵妄评估的准确性使用韩国版康奈尔儿童谵妄评估来测量。数据分析采用卡方检验和配对t检验。结果:实施小儿谵妄教育项目后,护士谵妄知识(x2 =11.65, p =.001)、谵妄护理信心(t=9.71, p<.001)、谵妄评估准确率(t=6.07, p<.001)均显著提高。结论:小儿谵妄教育方案对PICU护士是有效的。为了在未来的临床实践中积极应用该程序,必须制定各种儿童谵妄病例和每个主题的具体策略。为了实现这一目标,需要对多个组织进行长期干预和研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of a Multifaceted Pediatric Delirium Education Program for Pediatric Intensive Care Unit Nurses on their Delirium Knowledge, Self-confidence in Delirium Nursing, and Delirium Assessment Accuracy: A One Group Pretest-Posttest Design
Purpose : This study aimed to identify the effects of a multifaceted pediatric delirium education program for pediatric intensive care unit (PICU) nurses on their delirium knowledge, confidence in delirium nursing, and delirium evaluation accuracy.Methods : This study used a one-group pretest-posttest design. The participants were 50 nurses in two units of the PICU at S General Hospital in Seoul. All participants took a 1-hour lecture with case-based practice for the first two weeks, and received feedback as they applied the program to clinical practice over the next two weeks. Test measures were completed before and after the four week intervention period for all participants. The delirium evaluation accuracy was measured using the Korean version of the Cornell Assessment of Pediatric Delirium. Data were analyzed using the chi-square and paired t-tests.Results : After the Pediatric Delirium Education Program, nurses’ delirium knowledge (x2 =11.65, p =.001), confidence in delirium nursing (t=9.71, p<.001), and delirium evaluation accuracy (t=6.07, p<.001) improved significantly.Conclusions : Pediatric delirium education programs for PICU nurses were effective. For active application of the program in clinical practice in the future, various cases of childhood delirium and specific strategies for each subject must be developed. To achieve this, long-term intervention and research for multiple organizations are required.
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