ICU护士参与亚谵妄综合征培训的研究进展

doi:10.3761/j.issn.2096-7446.2024.04.017

摘要/Abstract

摘要： 亚谵妄综合征是指一种介于正常和谵妄之间的精神状态,患者一般表现出谵妄的1个或多个症状,不完全满足谵妄诊断标准。该文综述了ICU护士参与亚谵妄综合征培训的理论模型、主要内容、培训效果与形式以及影响因素,旨在为ICU护士提供更加全面、规范化的培训提供参考。

关键词: 重症监护病房, 护士, 亚谵妄综合征, 在职培训, 综述文献（主题）

Abstract: Subsyndromal delirium refers to a mental state between a normal state and delirium,which generally shows one or more symptoms of delirium and does not fully meet the diagnostic criteria for delirium. This paper reviews the theoretical model,main contents,training effects,forms and influencing factors of subsyndromal delirium training for ICU nurses,aiming at providing reference for more comprehensive and standardized training for ICU nurses.

Key words: Intensive Care Units, Nurses, Subsyndromal Delirium, Inservice Training, Review Literature as Topic

崔伊宁, 邢焕民, 李黎明, 徐秀露, 朱世超, 夏明. ICU护士参与亚谵妄综合征培训的研究进展[J]. 中华急危重症护理杂志, 2024, 5(4): 380-384.

CUI Yining, XING Huanmin, LI Liming, XU Xiulu, ZHU Shichao, XIA Ming. Progress in research of ICU nurses involved in the training of subsyndromal delirium[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(4): 380-384.

参考文献

[1] Serafim RB,Dal-Pizzol F,Souza-Dantas V,et al.Impact of sub-syndromal delirium occurrence and its trajectory during ICU stay[J]. J Clin Med,2022,11(22):6797.
[2] Ojagbemi A,Bello T,Owolabi M,et al.Cognitive,functional,and mortality outcomes of attenuated delirium syndrome in stroke survivors[J]. J Geriatr Psychiatry Neurol,2021,34(6):606-612.
[3] Sanson G,Khlopenyuk Y,Milocco S,et al.Delirium after car-diac surgery. Incidence,phenotypes,predisposing and precipi-tating risk factors,and effects[J]. Heart Lung,2018,47(4):408-417.
[4] Boettger S,Nuñez DG,Meyer R,et al.Subsyndromal delirium in the intensive care setting:Phenomenological characteristics and discrimination of subsyndromal delirium versus no and full-syndromal delirium[J]. Palliat Support Care,2018,16(1):3-13.
[5] Yamada C,Iwawaki Y,Harada K,et al.Frequency and risk factors for subsyndromal delirium in an intensive care unit[J]. Intensive Crit Care Nurs,2018,47:15-22.
[6] Piao JS,Jin YJ,Lee SM.Triggers and nursing influences on delirium in intensive care units[J]. Nurs Crit Care,2018,23(1):8-15.
[7] Hickin SL,White S,Knopp-Sihota J.Nurses' knowledge and perception of deli-rium screening and assessment in the intensive care unit:long-term effectiveness of an education-based knowledge translation intervention[J]. Intensive Crit Care Nurs,2017,41:43-49.
[8] 王筱筱,段宏为,林航,等. 格林模式在健康教育中的应用进展[J]. 中国护理管理,2018,18(4):570-574.
Wang XX,Duan HW,Lin H,et al.Application of the PRECE-DE-PROCEED model in health education:a literature review[J]. Chin Nurs Manag,2018,18(4):570-574.
[9] 梁志金,刘晓芳,黄艳,等. 格林模式培训促进低年资护士胰岛素规范化注射行为[J]. 护理学杂志,2014,29(23):55-57,74.
Liang ZJ,Liu XF,Huang Y,et al.Standardizing insulin injec-tion practice in junior nurses using the PRECEDE-PROCEED model[J]. J Nurs Sci,2014,29(23):55-57,74.
[10] 苗凤凤. 三级综合医院ICU护士对亚谵妄综合征认知现状调查及干预研究[D]. 青岛:青岛大学,2020.
Miao FF.Investigation and intervention study on the cognition of ICU nurses to sub-delirium syndrome in tertiary general hospitals[D]. Qingdao:Qingdao University,2020.
[11] 容翠. 有效教学的内在标准:过程、质量与结果—基于R.M.加涅的学习理论视角[J]. 现代教育科学,2017(2):100-103.
Rong C.The internal standard of effective teaching:process,quality and result—based on gagne's learning theory[J]. Mod Educ Sci,2017(2):100-103.
[12] 林瑶. 基于加涅认知学习理论构建ICU护士对亚谵妄综合征的认知干预方案[D]. 杭州:浙江中医药大学,2018.
Lin Y.Constructing a cognitive intervention plan for ICU nurses on subdelirium syndrome based on Gane cognitive learning theory[D]. Hangzhou:Zhejiang Med Univ,2018.
[13] 裴娜. 基于体验式学习理论的谵妄教育培训在ICU护士中的干预效果研究[D]. 合肥:安徽医科大学,2016.
Pei N.Study on intervention effect of delirium education and training in ICU nurses based on experiential learning theory[D]. Hefei:Anhui Medical University,2016.
[14] Lieow JLM,Chen FSM,Song G,et al.Effectiveness of an advanced practice nurse-led delirium education and training programme[J]. Int Nurs Rev,2019,66(4):506-513.
[15] Hov KR,Neerland BE,Undseth Ø,et al.The Oslo Study of Clonidine in Elderly Patients with Delirium;LUCID:a randomised placebo-controlled trial[J]. Int J Geriatr Psychiatry,2019,34(7):974-981.
[16] Öztürk Birge A,Tel Aydin H.The effect of nonpharmacological training on delirium identification and intervention strategies of intensive care nurses[J]. Intensive Crit Care Nurs,2017,41:33-42.
[17] Kim YN,Kim DH.Effects of case-based confusion assessment methods for intensive care unit training on delirium knowledge and delirium assessment accuracy of intensive care units:a quasi-experimental study[J]. Nurse Educ Today,2021,103:104954.
[18] Byrnes T.Impact of delirium education on medical-surgical nurses' knowledge[J]. J Nurs Care Qual,2021,36(4):291-293.
[19] Ho MH,Yu L,Lin PH,et al.Effects of a simulation-based education programme on delirium care for critical care nurses:a randomized controlled trial[J]. J Adv Nurs,2021,77(8):3483-3493.
[20] Jahanbazi A,Jokar F,Kheirollahi N.The effect of scenario-based learning on the performance of nurses regarding delirium in cardiac surgery intensive care units:a quasi-experimental study[J]. Iran J Nurs Midwifery Res,2022,27(4):260-265.
[21] Fisher JM,Gordon AL,MacLullich AMJ,et al. Towards an un-derstanding of why undergraduate teaching about delirium does not guarantee gold-standard practice:results from a UK national survey[J]. Age Ageing,2015,44(1):166-170.
[22] Trogrlić et alZ,Ista E,Ponssen HH,. Attitudes,knowledge and practices concerning delirium:a survey among intensive care unit professionals[J]. Nurs Crit Care,2017,22(3):133-140.
[23] Hoch J,Bauer JM,Bizer M,et al.Nurses' competence in reco-gnition and management of delirium in older patients:development and piloting of a self-assessment tool[J]. BMC Geriatr,2022,22(1):879.
[24] Tan HY,Zhou LH,Wu S,et al.Subjective strain of care ex-perienced by pulmonary and critical care medical nurses when caring for patients with delirium:a cross-sectional study[J]. BMC Health Serv Res,2021,21(1):808.
[25] 宁丽,陆骏,李益民,等. 三级综合性医院ICU护士亚谵妄综合征知信行水平现状及影响因素研究[J]. 中华现代护理杂志,2019,25(1):93-96.
Ning L,Lu J,Li YM,et al.Knowledge-attitude-practice on sub-syndromal delirium and its influencing factors among intensive care unit nurses in Class Ⅲ general hospitals[J]. Chin J Mod Nurs,2019,25(1):93-96.
[26] 汪蓉,杨宝义,李龙倜,等. ICU护士亚谵妄综合征知信行现状调查及影响因素分析[J]. 湖北医药学院学报,2020,39(1):93-95,100.
Wang R,Yang BY,Li LT,et al.Investigation on KAP of subdelirium syndrome among ICU nurses and analysis of influencing factors[J]. China Ind Econ,2020,39(1):93-95,100.
[27] Eastwood GM,Peck L,Bellomo R,et al.A questionnaire survey of critical care nurses' attitudes to delirium assessment before and after introduction of the CAM-ICU[J]. Aust Crit Care,2012,25(3):162-169.
[28] Thomas N,Coleman M,Terry D.Nurses' experience of caring for patients with delirium:systematic review and qualitative evidence synthesis[J]. Nurs Rep,2021,11(1):164-174.
[29] 冯雅笛,杨芳宇,李京连. 智能版与纸版CAM-ICU谵妄评估的一致性研究[J]. 护理研究,2021,35(1):15-21.
Feng YD,Yang FY,Li JL,et al.A study on the consistency between intelligent and paper-based CAM ICU delirium assessment[J]. J Nurs Res,2021,35(1):15-21.
[30] Morandi A,Piva S,Ely EW,et al.Worldwide survey of the “assessing pain,both spontaneous awakening and breathing trials,choice of drugs,delirium monitoring/management,early exercise/mobility,and family empowerment”(ABCDEF) bundle[J]. Crit Care Med,2017,45(11):e1111-e1122.
[31] 彭培培,皮红英. 重症监护病房护士工作体验的质性研究[J]. 解放军护理杂志,2015,32(1):20-23.
Peng PP,Pi HY.Qualitative research on the working expe-rience of ICU nurses[J]. Nurs J Chin PLA,2015,32(1):20-23.
[32] 徐婷婷,张伟英,付聪慧,等. ICU护士护理谵妄患儿体验的质性研究[J]. 中华护理杂志,2021,56(7):972-976.
Xu TT,Zhang WY,Fu CH,et al.Qualitative research on experiences of ICU nurses in nursing children with delirium[J]. Chin J Nurs,2021,56(7):972-976.
[33] 宋春梅,吴娟. ICU护士对谵妄病人管理经验质性研究的Meta整合[J]. 护理研究,2020,34(4):613-620.
Song CM,Wu J.Meta integration of qualitative research on the management experience of delirium patients by ICU nurses[J]. Chin Nurs Res,2020,34(4):613-20.
[34] Reppas-Rindlisbacher C,Panov ED,Cuperfain AB,et al.A sur-vey of nurses' perspectives on delirium screening in older adult medical inpatients with limited English proficiency[J]. J Gerontol Nurs,2021,47(4):29-34.
[35] Tilburgs B,Rood PJT,Zegers M,et al.The implementation of nUrsiNg DEliRium preventive INterventions in the Intensive Care Unit (UNDERPIN-ICU):a qualitative evaluation[J]. Int J Nurs Stud,2023,137:104386.
[36] 胡玲,胡三莲,钱会娟. 亚谵妄综合征的诊断标准研究进展[J]. 护理研究,2019,33(7):1158-1161.
Hu L,Hu SL,Qian HJ.Research progress on diagnostic criteria for subsyndromal delirium[J]. Chin Nurs Res,2019,33(7):1158-1161.
[37] Cowie J,Nicoll A,Dimova ED,et al.The barriers and faci-litators influencing the sustainability of hospital-based inter-ventions:a systematic review[J]. BMC Health Serv Res,2020,20(1):588.
[38] 张莹莹,张广清,李佳雨,等. 基于循证构建ICU亚谵妄综合征早期识别及管理方案[J]. 护理学报,2022,29(17):7-12.
Zhang YY,Zhang GQ,Li JY,et al.Based on evidence-based construction of early identification and management plan for ICU delirium syndrome[J]. J Nurs,2022,29(17):7-12.