Design and clinical application of an information module for delirium assessment in ICU
10.3760/cma.j.issn.1672-7088.2019.30.010
- VernacularTitle: ICU谵妄评估信息化模块的设计及临床应用
- Author:
Lijie QIAO
1
;
Xiangping CHEN
1
;
Yuewen LAO
1
;
Lili SUN
1
;
Qifeng TANG
1
;
Yiyu ZHUANG
2
Author Information
1. Department of Critical Care Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China
2. Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China
- Publication Type:Journal Article
- Keywords:
Intensive care;
Delirium;
Information system
- From:
Chinese Journal of Practical Nursing
2019;35(30):2368-2373
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of an information module for delirium assessment in ICU.
Methods:The information module for delirium assessment was designed according to the route chart of the Confusion Assessment Method for the Intensive Care Unit(CAM-ICU) information assessment. Totally 70 nurses Sir Run Run Shaw Hospital, Zhejiang University School of Medicine were included in the application of the information module. The compliance and accuracy of the delirium assessment and acceptance of nurses' assessment of information module were compared.
Results:The information module for delirium assessment was implanted into the clinical critical information system. The rate of compliance and accuracy of delirium assessed was 55.9%(2 728/4 877), 64.2%(231/360) before the application of information module, and 92.0%(4 360/4 740), 92.5%(333/360) after the application of information module. The difference between two groups were statistically significant (χ2=1 611.531, 85.139, P<0.01). The score of nurses′ acceptance of the input method before and after the application of information module were 69.00±4.00, 100.56±3.50, and the difference were statistically significant (t=-49.70, P<0.01).
Conclusions:The information module for delirium assessment can simplify the assessment process, improve nurses′ compliance and accuracy to assess delirium, optimize critical care management and worth spreading.
