Establishment and evaluation of anesthesia nurses training system for postoperative delirium assessment
10.3760/cma.j.cn131073.20210108.00404
- VernacularTitle:麻醉护士术后谵妄评估培训体系的建立及评价
- Author:
Yuxiang SONG
1
;
Menglin CHI
;
Yining SONG
;
Min HOU
;
Wei WANG
;
Hao LI
;
Jingsheng LOU
;
Yanhong LIU
;
Jiangbei CAO
;
Weidong MI
Author Information
1. 解放军总医院第一医学中心麻醉科，北京 100853
- Keywords:
Delirium;
Nursing assessment;
Education;
Anesthesia nurse
- From:
Chinese Journal of Anesthesiology
2021;41(4):401-405
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To establish training system for postoperative delirium (POD) assessment and evaluate the efficacy of training for anesthesia nurses.Methods:Sixteen nurse anesthetists of both sexes in our hospital were selected and received the systemic training for POD assessment.The training system included questionnaire survey, theoretical teaching, simulated visit, clinical observation, independent evaluation, centralized question-answering, evaluation of efficacy and random inspection.The level of POD knowledge tests were performed before the training and at the end of the fourth week of independent evaluation, respectively.At week 1 and 4 of independent evaluation, the diagnostic rate of POD and sensitivity and specificity of the assessment were calculated, and Kappa consistency analysis was used to assess the consistency between anesthesia nurses and training group in diagnosis of POD.In the first week of the third month after the end of training, the evaluation results were randomly inspected, the POD diagnosis rate was calculated between the anesthesia nurses and the training group, and the consistency analysis was conducted.Results:Compared with the scores of POD knowledge questionnaire and sensitivity of the assessment of the anesthesia nurses in the first week of training, the scores were significantly increased ( P<0.05), and no significant change was found in the POD diagnosis rate in the fourth week of training ( P>0.05). Compared with the training group, the diagnosis rate of POD of anesthesia nurses was significantly decreased in the first week of training ( P<0.05), and no significant change was found at the fourth week of training ( P>0.05). In the first and fourth weeks of training, the Kappa value of anesthesia nurses and the training group was 0.676 and 0.954 ( P<0.001), respectively.In the first week of the third month after the end of training, the Kappa value between anesthesia nurses and the training group in diagnosis of POD was 0.862 ( P<0.05). Conclusion:The training system of POD assessment has been successfully established, and the standardized anesthesia nurses training of POD has been achieved with good results.
