目的 挖掘重症监护病房(intensive care unit，ICU)护士护理活动减少型谵妄患者工作中存在的问题，为制订ICU活动减少型谵妄患者的护理流程提供依据。方法 采用描述性质性研究方法，对7家三级甲等医院的11名ICU护士进行半结构式深入访谈，并使用Colaizzi 7步分析法进行数据的收集及整理，分析提炼出主题。结果 分析得出ICU护士护理活动减少型谵妄患者工作体验的5个主题，分别为:ICU护士活动减少型谵妄知识不足;培训存在较多问题;医护重视程度不够;早期识别困难;管理现状不佳。结论 护理管理者应在未来优化培训内容，改善ICU护士相关知识缺乏现状;提高医护的重视程度，给予护士合理授权;选用简易筛查工具，简化日常评估过程;制订系统评估流程，提高护理质量。
Working Experiences of Intensive Care Unit Nurses in Caring for Patients with Hypoactive Delir-ium:A Qualitative Study
Objective To explore the problems faced by Intensive Care Unit(ICU)nurses in caring for pa-tients with hypoactive delirium,and to establish a reference for the development of effective nursing proto-cols accordingly.Methods By the descriptive qualitative research approach,semi-structured in-depth inter-views were conducted with 11 ICU nurses from 7 tertiary A hospitals.The Colaizzi 7-step analysis method was employed to gather and analyze the data,and to identify key themes.Results A total of 5 main themes emerged from the data analysis of ICU nurses'experiences in caring for patients with hypoactive delirium,namely the inadequate knowledge of hypoactive delirium,training deficiencies,limited attention from medi-cal professionals,challenges in early detection,and suboptimal management.Conclusions Nursing adminis-trators should optimize training in the future to improve the lack of relevant knowledge among ICU nurses,to en-hance the awareness of medical staff,to provide authorization to nurses,to use simple screening tools to simplify the daily assessment process,and to develop a systematic evaluation process to improve the quality of care.
intensive care unithypoactive deliriumwork experiencenursequalitative study
NETL
NSTL
万方数据
维普
