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194名ICU护士对重症患者谵妄知识-态度-行为的现况调查.doc

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194名ICU护士对重症患者谵妄知识-态度-行为的现况调查.doc
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194 ICU - - ICU , , 2017 1 4 5 ICU ICU - - , ICU 12.9%, 35.1% ICU , 49.1%, , ICU , ICU ICU , ICU ICU ; , , ICU , ICU ICU; ; ; ; ; ; (1991-) , , , , (1983-) , , , , ( ) , [1-3], ICU 24%~53%, 69%~75% ICU ICU , , [1-2,4-5] [6-7], ICU , , , , ICU ICU ICU ICU - - ICU ICU , ICU , ICU ICU , ICU 1 1.1 , 2017 1 4 5 ( ) ICU : (1) ; (2) ICU ; (3) : (1) ; (2) 1.2 1.2.1 [8-12] , 5 ( ICU 1 ICU 1 ICU 1 ICU 1 ICU 1 ) , 4 , (1) : ICU (2) ICU : (1) ICU , 6 , ICU , , (2) ICU , 15 1 , , 1 , 0 , 16 , 10 , , ICU (3) ICU : ICU ICU 18 , Likert 5 , 5 4 3 2 1 , 18~90 , , ICU (4) ICU : ICU , 6 , Likert 4 , 4 3 2 1 6~24 , , ICU 30 5 0.905, 0.901 1.2.2 (https://www.wjx.cn/jq/11981330.aspx) , , 250 , 194 , 77.6% 1.2.3 SPSS 24.0 , ICU , ICU ICU ;ICU 2 2.1 194 ICU , : 21 (10.8%) , 173 (89.2%) ; 25~34 (70.6%) ; :10 51 (26.3%) ; : 42 (21.6%) , 151 (77.8%) , 1 (0.5%) ; : 140 (72.2%) , 52 (26.8%) , 1 (0.5%) , 1 (0.5%) ;ICU :10 18 (9.3%) 2.2 ICU ICU 194 ICU , ICU 25 (12.9%) , 147 (75.8%) , 22 (11.3%) 68 (35.1%) , 1 (41.2%) , , (88.2%) (76.5%) (67.7%) (66.2%) , (52.9%) (64.7%) (64.7%) (57.4%) 2.3 ICU ICU (7 , 49.1% 3 , 1 1 ICU 3 (n=194) 2.4 ICU ICU ICU ICU , 3 , 2 2 ICU 3 ) 2.5 ICU ICU 194 ICU ICU , , 3 3 ICU ICU ) 3 3.1 ICU , , 12.9% ICU , 35.1% , [13] ICU 6.5%, 26.9% [12,14-15] , 44.0%~69.3% , [16], 54.29% , , , , , , , ICU , , , ICU , , ICU ICU , , [6] , , , , , , , , 3.2 ICU 3.2.1 ICU ICU , ICU , 49.1%, , [8-9,12-13,15] , ICU , ICU , ICU ICU , , , ICU , ICUICU , ICU [17-19] ICU ICU , ICU , ICU ICU , ICU , ICU , ICU , , ICU , , , ICU ICU 3.2.2 ICU ICU , ICU , [8] , ICU , ICU , ICU , ICU ICU , , , ICU ICU , ICU ICU , ICU , ICU ICU , , , , , ICU , ICU , , , ICU ICU [19] 3/4 , , , ICU , ICU , ICU ICU [20-22] , ICU ICU , 2013 ICU ICU ICU , [23], ICU , ICU 3.2.3 ICU ICU , ICU , [8] ICU , 24 h , ICU , ICU , , , ICU , , , [24] [17] ICU , , , ICU , , , , ICU , ICU , ICU , ICU , ICU ICU , ICU ICU ; , , ICU , ICU , ICU , , [1]Van den Boogaard M, Schoonhoven L, Van der Hoeven J G, et al.Incidence and Short-term Consequences of Delirium in Critically Ill Patients:A Prospective Observational Cohort Study[J].Int J Nurs Stud, 2012, 49 (7) :775-783.DOI:10.1016s/j.ijnurstu.2011.11.016. [2]Sharma A, Malhotra S, Grover S, et al.Incidence, Prevalence, Risk Factor and Outcome of Delirium in Intensive Care Unit:A Study From India[J].Gen Hosp Psychiatry, 2012, 34 (6) :639-646.DOI:10.1016/j.genhosppsych.2012.06.009. [3]Barr J, Fraser G L, Puntillo K, et al.Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit[J].Critical Care Medicine, 2013, 41 (1) :263-306.DOI:10.1097/CCM.0b013e3182783b72. [4]Mori S, Takeda J R, Carrara F S, et al.Incidence and Factors Related to Delirium in an Intensive Care Unit[J].Rev Esc Enferm USP, 2016, 50 (4) :587-593.DOI:10.1590/S0080-623420160000500014. [5] . : [D]. : , 2013. [6] , .ICU [J]. , 2015, 14 (9) :77-79.DOI:10.3969/j.issn.1671-8283.2015.09.021. [7] , , . ICU ICU [J]. , 2013, 19 (29) :3608-3610.DOI:10.3760/cma.j.issn.1674-2907.2013.29.013. [8] , , , . 149 ICU [J]. , 2016, 23 (1) :10-15.DOI:10.16460/j.issn1008-9969.2016.01.010. [9] , , , . ICU [J]. , 2015, 29 (1B) :222-224.DOI:10.3969/j.issn.10096493.2015.02.033. [10]Gesin G, Russell B B, Lin A P, et al.Impact of a Delirium Screening Ability to Evaluate it Correctly[J].Am J Crit Care, 2012, 21 (1) :1-11.DOI:10.4037/ajcc 2012605. [11]Baker N D, Taggart H M, Nivens A, et al.Delirium:Why Are Nurses Confused?[J].Medsurg Nurs, 2015, 24 (1) :15-22. [12] Delirium in the Medical ICU:An Asian Perspective[J].Intensive Crit Care Nurs, 2014, 30 (1) :54-60.DOI:10.1016/j.iccn.2013.08.004. [13] , , , .ICU ICU [J]. , 2012, 47 (7) :645-647.DOI:10.3761/j.issn.0254-1769.2012.07.025. [14]Elliott S R.ICU delirium:A Survey into Nursing and Medical Staff Knowledge of Current Practices and Perceived Barriers Towards ICU Delirium in the Intensive Care Unit[J].Intensive Crit Care Nurs, 2014, 30 (6) :333-338.DOI:10.1016/j.iccn.2014.06.004. [15]Trogrlic Z, Ista E, Ponssen H H, et al.Attitudes, Knowledge and Practices Concerning Delirium:A Survey Among Intensive Care Unit Professionals[J].Nurs Crit Care, 2017, 22 (3) :133-140.DOI:10.1111/nicc.12239. [16] , , , . ICU [J]. , 2014, 31 (17) :26-29.DOI:10.3969/j.issn.1008-9993.2014.17.007. [17] , , , . ICU [J]. , 2016, 51 (3) :336-339.DOI:10.3761/j.issn.0254-1796.2016.03.016. [18] , .ICU [J]. , 2015, 15 (3) :378-380.DOI:10.3969/j.issn.1672-1756.2015.03.035. [19] , , , . ICU [J]. , 2017, 23 (18) :2357-2361.DOI:10.3760cma.j.issn.1674-2907.2017.18.009. [20] , , , .ICU [J]. , 2014, 20 (13) :1611-1612.DOI:10.3760/cma.j.issn.1674-2907.2014.13.046. [21]Jun Gwon Choi.Delirium in the Intensive Care Unit[J].Korean J Anesthesiol, 2013, 65 (3) :195-202.DOI:org/10.4097/kjae.2013.65.3.195. [22]Salluh J I, Stevens R D.Increasing the Awareness of Delirium in Critically Ill Patients[J].Rev Bras Ter Itensive, 2013, 25 (2) :75-76.DOI:10.5935/0103-507X.20130015. [23]Barr J, Fraser G L, Puntillo K, et al.Clinical Practice Guidelines for the Management of Pain, Agitat
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