Analysis of the accuracy of ICU nurses in evaluating Glasgow Coma Scale and its influencing factors
10.3760/cma.j.issn.1674-2907.2018.06.006
- VernacularTitle:ICU护士评估格拉斯哥昏迷量表的准确性现状及影响因素分析
- Author:
Hailing GUO
1
;
Jianhua SUN
;
Dandan SUN
;
Jinge WANG
;
Zunzhu LI
;
Jinbang LIU
;
Tao LIANG
Author Information
1. 100730,中国医学科学院 北京协和医院重症医学科
- Keywords:
Nurses;
Intensive care;
Glasgow Coma Scale
- From:
Chinese Journal of Modern Nursing
2018;24(6):643-646
- CountryChina
- Language:Chinese
-
Abstract:
Objective To describe the current accuracy of ICU nurses in evaluating Glasgow Coma Scale (GCS) and to analyze its influencing factors, so as to provide a basis for observing patients' consciousness level dynamically. Methods Totally 206 patients hospitalized at the Intensive Care Unit of a ClassⅢ Grade A hospital in Beijing from November 2016 to January 2017 were selected by convenience sampling. Then both researchers and clinical nurses measured the GCS of these patients respectively, and analyzed the differences in their GCS as well as its influencing factors by using SPSS 17.0 software. Results In the GCS evaluation, the members of the study group composed of primary nurses were completely consistent with 129 evaluations, with 62.6% accurate, but the congruence of evaluation on motor reaction was poor, accounting for 68.0%. According to Logistic regression analysis, the consistency of Acute Physiology and Chronic Health Evaluation Ⅱ(APACHE Ⅱ) score, delirium and Richmond Agtation-sedation Scale(RASS) score assessment are the influencing factors of the accuracy of GCS assessment (OR=0.904, 0.389,4.980; P<0.05). Conclusions The accuracy of GCS score evaluation is low, and the accuracy of motor reaction assessment is lower than that of eye opening response and verbal response assessment. The consistency of APACHE Ⅱ score, delirium and RASS score evaluation are the main influencing factors for the accuracy of GCS assessment.
