A multicenter survey of knowledge, attitude and practice of ICU medical staff in ICU children with delirium in children's hospitals
10.3760/cma.j.cn115682-20200930-05601
- VernacularTitle:儿童医院ICU医护人员ICU儿童谵妄知信行的多中心调查
- Author:
Yingjie DUAN
1
;
Guangyu LI
;
Bin QU
;
Lili LIU
Author Information
1. 国家儿童医学中心 首都医科大学附属北京儿童医院重症医学科 100045
- Keywords:
Child;
Delirium;
Intensive Care Units;
Knowledge, attitude and practice
- From:
Chinese Journal of Modern Nursing
2021;27(31):4221-4226
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the knowledge, attitude and practice of ICU medical staff in in ICU children with delirium in children's hospitals and analyze its influencing factors.Methods:Using the convenient sampling method, ICU medical staff from 26 children's hospitals in China were selected as the research objects from April 20, 2020 to May 10, 2020. A self-designed ICU pediatric delirium knowledge-attitude-practice questionnaire was used to investigate knowledge, attitude and practice scores of ICU medical staff in children's hospitals. Multiple linear regression analysis was used to analyze the influencing factors. A total of 740 questionnaires were collected, of which 734 were effective, with the effective recovery of 99.2%.Results:Among 734 ICU staff in children's Hospital, 78 (10.6%, 78/734) had a good knowledge of delirium and only 236 (32.2%, 236/734) had received training on ICU delirium. 395 (53.8%, 395/734) medical staff carried out clinical delirium management in ICU. And the assessment implementers were mainly doctors, accounting for 63.5% (251/395) , and nurse evaluators accounted for 36.5% (144/395) . The item with the highest score of attitude of 734 pediatric ICU medical staff towards delirium was "the need to understand the relevant knowledge of ICU delirium in clinical nursing work", with a score of (4.22±0.83) . Multiple linear regression analysis showed that the identity of medical staff, department and whether to receive training were the influential factors for the level of knowledge, attitude and practice of delirium among ICU medical staff in children's hospital ( P<0.05) . Conclusions:Pediatric ICU medical staff have insufficient knowledge of delirium and positive attitude towards ICU delirium. They have insufficient initiative in nursing behavior and the clinical development of ICU pediatric delirium management is insufficient and lacks standardization. It is recommended to carry out a diversified training program on ICU delirium related knowledge for pediatric ICU medical staff, formulate an ICU pediatric delirium assessment process and normalize the delirium assessment into clinical practice, so as to identify early delirium in ICU children and take preventive measures to reduce occurrence of delirium.
