A Study of Knowledge and Recognition on Postoperative Delirium Among Postanesthesia Care Unit (PACU) Nurses.

IF 1.6 4区医学 Q2 NURSING Journal of Perianesthesia Nursing Pub Date : 2024-10-16 DOI:10.1016/j.jopan.2024.07.019

Ya-Chuen Hsu, Shou-Yu Wang, Shu-Fen Su, Li-Wei Lin

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Abstract

Purpose: Postoperative delirium (POD) is a syndrome that often occurs after surgery. Nursing staff are the first-line personnel who have the most time and close contact with postoperative patients. If delirium is not recognized immediately, it will affect the patient's prognosis and increase clinical care requirements and health care costs. This study explores postanesthesia care unit (PACU) nursing staff's knowledge and ability to recognize POD in patients.

Design: A cross-sectional study was conducted with purposive sampling to recruit nurses from hospital PACUs in central and southern Taiwan. Data were collected from April to December 2019 using a questionnaire survey on knowledge of POD and videos to test delirium recognition abilities.

Methods: A total of 178 nurses from 9 hospitals met the inclusion criteria for participation; 2 participants were unable to attend because of taking leave, resulting in 176 valid questionnaires.

Findings: The percentage of correct answers for POD knowledge was 63.84%, and for recognizing POD was 59.1%, both at a moderate level. Nurses' advanced skills significantly influenced their POD knowledge and recognition abilities. There was a positive correlation between PACU nurses' POD knowledge and recognition abilities (r = 0.23, P < .01).

Conclusions: PACU nurses demonstrated a moderate level of knowledge and ability to recognize POD in patients. Those with higher-level nursing skills showed better POD knowledge and recognition abilities. Nurses with better POD knowledge exhibited higher recognition abilities.

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关于麻醉后护理病房 (PACU) 护士对术后谵妄的了解和认识的研究。

目的：术后谵妄（POD）是手术后经常出现的一种综合征。护理人员是与术后患者接触时间最长、接触最密切的一线人员。如果不能及时发现谵妄，将影响患者的预后，增加临床护理需求和医疗费用。本研究探讨了麻醉后护理病房（PACU）护理人员识别患者谵妄的知识和能力：设计：本研究采用横断面研究法，从台湾中部和南部的医院 PACU 护士中进行有目的的抽样调查。数据收集时间为 2019 年 4 月至 12 月，采用问卷调查方式了解 POD 知识，并通过视频测试谵妄识别能力：共有来自9家医院的178名护士符合参与标准，其中2人因请假未能参加，有效问卷为176份：POD知识答对率为63.84%，POD识别率为59.1%，均处于中等水平。护士的高级技能对其 POD 知识和识别能力有很大影响。PACU 护士的 POD 知识与识别能力之间存在正相关（r = 0.23，P 结论：PACU 护士的 POD 知识与识别能力之间存在正相关：PACU 护士在识别患者 POD 方面的知识和能力处于中等水平。护理技能水平较高的护士具有更好的 POD 知识和识别能力。对 POD 有更多了解的护士表现出更高的识别能力。

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来源期刊

Journal of Perianesthesia Nursing NURSING-

CiteScore

2.20

自引率

17.60%

发文量

279

审稿时长

90 days

期刊介绍： The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.