A multicenter survey on the current status of delirium knowledge among geriatric nurses in Sichuan province_West China Medical Journal

Authors：

XU Li , YAN Jing , ZHANG Meng ,  ZHANG Xuemei

Department of Geriatrics, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

ZHANG Xuemei, Email: zxm0709@126.com

Keywords：

Sichuan province; geriatric nurses; delirium knowledge; survey

DOI：

10.7507/1002-0179.202003507

Video：

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Abstract Full text Figures/Tables Video References Cited by

Methods To explore the level of delirium knowledge of geriatric nurses in Sichuan province and analyze the factors, so as to provide the basis for systematic and targeted knowledge training on delirium and clinical management. Methods Using the self-designed “the Questionnaire of Elderly Delirium Knowledge”, geriatric nurses from 22 hospitals in Sichuan province were investigated through a convenient sampling method from September 2018 to February 2019. Results A total of 475 geriatric nurses were investigated. The average delirium knowledge score of the 475 geriatric nurses was 69.51±12.42. Multiple linear regression analysis showed that the main factors affecting the score of delirium-related knowledge were the education of nurses (P=0.037), technical title (P<0.001), years of working in the geriatric department (P=0.001), and the level of working hospital (P=0.001). Conclusions The level of delirium knowledge of geriatric nurses is low and can not meet the needs of clinical work. Nursing managers should carry out delirium knowledge training according to the different characteristics of nurses.

Citation： XU Li, YAN Jing, ZHANG Meng, ZHANG Xuemei. A multicenter survey on the current status of delirium knowledge among geriatric nurses in Sichuan province. West China Medical Journal, 2022, 37(4): 575-580. doi: 10.7507/1002-0179.202003507 Copy

1.	Inouye SK, Westendorp RG, Saczynski JS. Delirium in elderly people. Lancet, 2014, 383(9920): 911-922.
2.	Mittal V, Muralee S, Williamson D, et al. Review: delirium in the elderly: a comprehensive review. Am J Alzheimers Dis Other Demen, 2011, 26(2): 97-109.
3.	黃艷, 張蒙, 高浪麗, 等. 生活項目干預方案預防住院老年患者譫妄的效果研究. 中華護理雜志, 2019, 54(6): 855-861.
4.	鄧傳瑤, 王艷艷, 謝冬梅, 等. 基于住院老年人生活項目的多學科綜合干預模式預防術后譫妄的效果. 實用老年醫學, 2019, 33(1): 12-15.
5.	盧文寧, 高德偉, 王蓉, 等. 老年骨折患者譫妄的發生率及危險因素分析. 中華老年心腦血管病雜志, 2017, 19(12): 1291-1294.
6.	Inouye SK, Marcantonio ER, Kosar CM, et al. The short-term and long-term relationship between delirium and cognitive trajectory in older surgical patients. Alzheimers Dement, 2016, 12(7): 766-775.
7.	Tropea J, LoGiudice D, Liew D, et al. Poorer outcomes and greater healthcare costs for hospitalised older people with dementia and delirium: a retrospective cohort study. Int J Geriatr Psychiatry, 2017, 32(5): 539-547.
8.	Inouye SK, Bogardus ST Jr, Charpentier PA, et al. A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med, 1999, 340(9): 669-676.
9.	胥利, 趙慶華, 劉麗萍, 等. ICU 護士對 ICU 譫妄認知的調查分析. 中華護理雜志, 2012, 47(7): 645-647.
10.	董建, 王玲, 岳鵬. 對 ICU 護士 ICU 譫妄認知的質性研究. 中華現代護理雜志, 2013, 19(29): 3608-3610.
11.	趙文婷, 張雪梅. 四川省老年科護士靜脈血栓栓塞癥預防知識水平現狀調查. 中國護理管理, 2018, 18(4): 482-487.
12.	Young J, Murthy L, Westby M, et al. Diagnosis, prevention, and management of delirium: summary of NICE guidance. BMJ, 2010, 341: c3704.
13.	楊璐, 高浪麗, 廖玉麟, 等. 老年譫妄的循證研究進展. 實用醫院臨床雜志, 2015, 12(3): 161-164.
14.	陸小川, 宋曉華, 俞瑞東, 等. 老年患者髖關節術后早期譫妄的危險因素分析. 老年醫學與保健, 2019, 25(3): 335-338.
15.	馮勤, 李玲, 馬望, 等. 癌癥終末期患者譫妄的發生情況及影響因素分析. 中華護理雜志, 2019, 54(2): 238-243.
16.	Yue J, Tabloski P, Dowal SL, et al. NICE to HELP: operationalizing national institute for health and clinical excellence guidelines to improve clinical practice. J Am Geriatr Soc, 2014, 62(4): 754-761.
17.	Adamis D, Sharma N, Whelan PJ, et al. Delirium scales: a review of current evidence. Aging Ment Health, 2010, 14(5): 543-555.
18.	Wong CL, Holroyd-Leduc J, Simel DL, et al. Does this patient have delirium? Value of bedside instruments. JAMA, 2021, 304(7): 779-786.
19.	Wei LA, Fearing MA, Sternberg EJ, et al. The confusion assessment method: a systematic review of current usage. J Am Geriatr Soc, 2008, 56(5): 823-830.
20.	李立群, 王建寧, 詹夢梅, 等. 急診科老年患者譫妄評估工具的研究進展. 中華護理雜志, 2019, 54(5): 776-780.
21.	鄭丹萍, 金娜, 豐榮, 等. 綜合醫院護士早期識別老年性譫妄的影響因素. 護理學雜志, 2010, 25(1): 85-88.
22.	江淑敏. 利用 PRECEDE 模式對 ICU 護士譫妄教育干預的研究. 濟南: 山東大學, 2014.
23.	Fong TG, Tulebaev SR, Inouye SK. Delirium in elderly adults: diagnosis, prevention and treatment. Nat Rev Neurol, 2009, 5(4): 210-220.
24.	Overshott R, Vernon M, Morris J, et al. Rivastigmine in the treatment of delirium in older people: a pilot study. Int Psychogeriatr, 2010, 22(5): 812-818.
25.	Ghandour A, Saab R, Mehr DR. Detecting and treating delirium—key interventions you may be missing. J Fam Pract, 2011, 60(12): 726-734.
26.	Gill SS, Bronskill SE, Normand SL, et al. Antipsychotic drug use and mortality in older adults with dementia. Ann Intern Med, 2007, 146(11): 775-786.
27.	Rood P, Huisman-de Waal G, Vermeulen H, et al. Effect of organisational factors on the variation in incidence of delirium in intensivecare unit patients: a systematic review and meta-regression analysis. Aust Crit Care, 2018, 31(3): 180-187.
28.	Lach HW, Leach KM, Butcher HK. Evidence-based practice guide-line: changing the practice of physical restraint use in acute-care. J Gerontol Nurs, 2016, 42(2): 17-26.
29.	National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, Pan Pacif Pressure Injury Alliance. Prevention and treatment of pressure ulcer: clinical practice guideline. [2020-03-20]. https://www.ehob.com/media/2018/04/prevention-and-treatment-of-pressure-ulcers-clinical-practice-guidline.pdf.
30.	De Jonghe B, Constantin JM, Chanques G, et al. Physical restraint in mechanically ventilated ICU patients: a survey of French practice. Intensive Care Med, 2013, 39(1): 31-37.
31.	白睿敏, 劉延錦, 張帥. 鄭州市 ICU 護士譫妄護理相關知識的掌握情況及影響因素分析. 中華現代護理雜志, 2018, 24(6): 697-700.
32.	賈平, 閔麗華. 重癥監護室護士對譫妄的認知狀況分析. 實用醫院臨床雜志, 2011, 8(6): 154-155.

1. Inouye SK, Westendorp RG, Saczynski JS. Delirium in elderly people. Lancet, 2014, 383(9920): 911-922.
2. Mittal V, Muralee S, Williamson D, et al. Review: delirium in the elderly: a comprehensive review. Am J Alzheimers Dis Other Demen, 2011, 26(2): 97-109.
3. 黃艷, 張蒙, 高浪麗, 等. 生活項目干預方案預防住院老年患者譫妄的效果研究. 中華護理雜志, 2019, 54(6): 855-861.
4. 鄧傳瑤, 王艷艷, 謝冬梅, 等. 基于住院老年人生活項目的多學科綜合干預模式預防術后譫妄的效果. 實用老年醫學, 2019, 33(1): 12-15.
5. 盧文寧, 高德偉, 王蓉, 等. 老年骨折患者譫妄的發生率及危險因素分析. 中華老年心腦血管病雜志, 2017, 19(12): 1291-1294.
6. Inouye SK, Marcantonio ER, Kosar CM, et al. The short-term and long-term relationship between delirium and cognitive trajectory in older surgical patients. Alzheimers Dement, 2016, 12(7): 766-775.
7. Tropea J, LoGiudice D, Liew D, et al. Poorer outcomes and greater healthcare costs for hospitalised older people with dementia and delirium: a retrospective cohort study. Int J Geriatr Psychiatry, 2017, 32(5): 539-547.
8. Inouye SK, Bogardus ST Jr, Charpentier PA, et al. A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med, 1999, 340(9): 669-676.
9. 胥利, 趙慶華, 劉麗萍, 等. ICU 護士對 ICU 譫妄認知的調查分析. 中華護理雜志, 2012, 47(7): 645-647.
10. 董建, 王玲, 岳鵬. 對 ICU 護士 ICU 譫妄認知的質性研究. 中華現代護理雜志, 2013, 19(29): 3608-3610.
11. 趙文婷, 張雪梅. 四川省老年科護士靜脈血栓栓塞癥預防知識水平現狀調查. 中國護理管理, 2018, 18(4): 482-487.
12. Young J, Murthy L, Westby M, et al. Diagnosis, prevention, and management of delirium: summary of NICE guidance. BMJ, 2010, 341: c3704.
13. 楊璐, 高浪麗, 廖玉麟, 等. 老年譫妄的循證研究進展. 實用醫院臨床雜志, 2015, 12(3): 161-164.
14. 陸小川, 宋曉華, 俞瑞東, 等. 老年患者髖關節術后早期譫妄的危險因素分析. 老年醫學與保健, 2019, 25(3): 335-338.
15. 馮勤, 李玲, 馬望, 等. 癌癥終末期患者譫妄的發生情況及影響因素分析. 中華護理雜志, 2019, 54(2): 238-243.
16. Yue J, Tabloski P, Dowal SL, et al. NICE to HELP: operationalizing national institute for health and clinical excellence guidelines to improve clinical practice. J Am Geriatr Soc, 2014, 62(4): 754-761.
17. Adamis D, Sharma N, Whelan PJ, et al. Delirium scales: a review of current evidence. Aging Ment Health, 2010, 14(5): 543-555.
18. Wong CL, Holroyd-Leduc J, Simel DL, et al. Does this patient have delirium? Value of bedside instruments. JAMA, 2021, 304(7): 779-786.
19. Wei LA, Fearing MA, Sternberg EJ, et al. The confusion assessment method: a systematic review of current usage. J Am Geriatr Soc, 2008, 56(5): 823-830.
20. 李立群, 王建寧, 詹夢梅, 等. 急診科老年患者譫妄評估工具的研究進展. 中華護理雜志, 2019, 54(5): 776-780.
21. 鄭丹萍, 金娜, 豐榮, 等. 綜合醫院護士早期識別老年性譫妄的影響因素. 護理學雜志, 2010, 25(1): 85-88.
22. 江淑敏. 利用 PRECEDE 模式對 ICU 護士譫妄教育干預的研究. 濟南: 山東大學, 2014.
23. Fong TG, Tulebaev SR, Inouye SK. Delirium in elderly adults: diagnosis, prevention and treatment. Nat Rev Neurol, 2009, 5(4): 210-220.
24. Overshott R, Vernon M, Morris J, et al. Rivastigmine in the treatment of delirium in older people: a pilot study. Int Psychogeriatr, 2010, 22(5): 812-818.
25. Ghandour A, Saab R, Mehr DR. Detecting and treating delirium—key interventions you may be missing. J Fam Pract, 2011, 60(12): 726-734.
26. Gill SS, Bronskill SE, Normand SL, et al. Antipsychotic drug use and mortality in older adults with dementia. Ann Intern Med, 2007, 146(11): 775-786.
27. Rood P, Huisman-de Waal G, Vermeulen H, et al. Effect of organisational factors on the variation in incidence of delirium in intensivecare unit patients: a systematic review and meta-regression analysis. Aust Crit Care, 2018, 31(3): 180-187.
28. Lach HW, Leach KM, Butcher HK. Evidence-based practice guide-line: changing the practice of physical restraint use in acute-care. J Gerontol Nurs, 2016, 42(2): 17-26.
29. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, Pan Pacif Pressure Injury Alliance. Prevention and treatment of pressure ulcer: clinical practice guideline. [2020-03-20]. https://www.ehob.com/media/2018/04/prevention-and-treatment-of-pressure-ulcers-clinical-practice-guidline.pdf.
30. De Jonghe B, Constantin JM, Chanques G, et al. Physical restraint in mechanically ventilated ICU patients: a survey of French practice. Intensive Care Med, 2013, 39(1): 31-37.
31. 白睿敏, 劉延錦, 張帥. 鄭州市 ICU 護士譫妄護理相關知識的掌握情況及影響因素分析. 中華現代護理雜志, 2018, 24(6): 697-700.
32. 賈平, 閔麗華. 重癥監護室護士對譫妄的認知狀況分析. 實用醫院臨床雜志, 2011, 8(6): 154-155.

West China Medical Journal

A multicenter survey on the current status of delirium knowledge among geriatric nurses in Sichuan province

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