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.	黄艳, 张蒙, 高浪丽, 等. 生活项目干预方案预防住院老年患者谵妄的效果研究. 中华护理杂志, 2019, 54(6): 855-861.
4.	邓传瑶, 王艳艳, 谢冬梅, 等. 基于住院老年人生活项目的多学科综合干预模式预防术后谵妄的效果. 实用老年医学, 2019, 33(1): 12-15.
5.	卢文宁, 高德伟, 王蓉, 等. 老年骨折患者谵妄的发生率及危险因素分析. 中华老年心脑血管病杂志, 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, 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.
10.	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.
11.	赵文婷, 张雪梅. 四川省老年科护士静脉血栓栓塞症预防知识水平现状调查. 中国护理管理, 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.	杨璐, 高浪丽, 廖玉麟, 等. 老年谵妄的循证研究进展. 实用医院临床杂志, 2015, 12(3): 161-164.
14.	陆小川, 宋晓华, 俞瑞东, 等. 老年患者髋关节术后早期谵妄的危险因素分析. 老年医学与保健, 2019, 25(3): 335-338.
15.	冯勤, 李玲, 马望, 等. 癌症终末期患者谵妄的发生情况及影响因素分析. 中华护理杂志, 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, 王建宁, 詹梦梅, 等. 急诊科老年患者谵妄评估工具的研究进展. 中华护理杂志, 2019, 54(5): 776-780.
21.	郑丹萍, 金娜, 丰荣, 等. 综合医院护士早期识别老年性谵妄的影响因素. 护理学杂志, 2010, 25(1): 85-88.
22.	江淑敏. 利用 PRECEDE 模式对 ICU 护士谵妄教育干预的研究. 济南: 山东大学, 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, 刘延锦, 张帅. 郑州市 ICU 护士谵妄护理相关知识的掌握情况及影响因素分析. 中华现代护理杂志, 2018, 24(6): 697-700.
32.	贾平, 闵丽华. 重症监护室护士对谵妄的认知状况分析. 实用医院临床杂志, 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. 黄艳, 张蒙, 高浪丽, 等. 生活项目干预方案预防住院老年患者谵妄的效果研究. 中华护理杂志, 2019, 54(6): 855-861.
4. 邓传瑶, 王艳艳, 谢冬梅, 等. 基于住院老年人生活项目的多学科综合干预模式预防术后谵妄的效果. 实用老年医学, 2019, 33(1): 12-15.
5. 卢文宁, 高德伟, 王蓉, 等. 老年骨折患者谵妄的发生率及危险因素分析. 中华老年心脑血管病杂志, 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, 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.
10. 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.
11. 赵文婷, 张雪梅. 四川省老年科护士静脉血栓栓塞症预防知识水平现状调查. 中国护理管理, 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. 杨璐, 高浪丽, 廖玉麟, 等. 老年谵妄的循证研究进展. 实用医院临床杂志, 2015, 12(3): 161-164.
14. 陆小川, 宋晓华, 俞瑞东, 等. 老年患者髋关节术后早期谵妄的危险因素分析. 老年医学与保健, 2019, 25(3): 335-338.
15. 冯勤, 李玲, 马望, 等. 癌症终末期患者谵妄的发生情况及影响因素分析. 中华护理杂志, 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, 王建宁, 詹梦梅, 等. 急诊科老年患者谵妄评估工具的研究进展. 中华护理杂志, 2019, 54(5): 776-780.
21. 郑丹萍, 金娜, 丰荣, 等. 综合医院护士早期识别老年性谵妄的影响因素. 护理学杂志, 2010, 25(1): 85-88.
22. 江淑敏. 利用 PRECEDE 模式对 ICU 护士谵妄教育干预的研究. 济南: 山东大学, 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, 刘延锦, 张帅. 郑州市 ICU 护士谵妄护理相关知识的掌握情况及影响因素分析. 中华现代护理杂志, 2018, 24(6): 697-700.
32. 贾平, 闵丽华. 重症监护室护士对谵妄的认知状况分析. 实用医院临床杂志, 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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