The Science Journal of the American Association for Respiratory Care

2007 OPEN FORUM Abstracts

INTENSIVE CARE UNIT NURSE'S KNOWLEDGE, NURSING PERFORMANCE, AND STRESS ABOUT DELIRIUM

H. Suh1, Y. Yoo2


Background: Patients in the intensive care unit have risk for delirium. Studies show that delirium is concerned with an increase in hospital stay, morbidity, and mortality. The study was conducted to survey intensive care unit nurse's knowledge, nursing performance, and stress involving delirium and to provide basic educational information to help intensive care unit nurses understand the importance of delirium and provide high-quality nursing care to delirium patients.

Method: The subjects of this study were 278 nurses from three hospitals in Seoul, who had worked at the intensive care unit more than six months. Data were collected using questionnaire from December 5, 2005 to January 10, 2006. The questionnaire included 50 questions regarding knowledge of delirium, 23 questions regarding nursing performance for delirium patients, and 20 questions regarding delirium related stress. Data were analyzed through t-test, ANOVA, Duncan's multiple range test, and Pearson correlation coefficient using SAS.

Results: The mean score of knowledge about delirium was 31.60 out of 50 and it was significantly lower among those with clinical experience of 12-35 months and 60-119 months(p=0.031) and those who didn't experience conflicts with patients' families(p=0.001). The mean score of nursing performance for delirium was 16.10 out of 23 and it was significantly higher among those who took care of 2 patients(p=0.001). The mean score of stress related to delirium was 63.92 out of 100 and it was significantly higher among those aged over 40(p=0.005), nurses who were university graduates(p=0.004), nurses who experienced conflicts with patients' families(p=0.042), and nurses who took care of 5 patients(p=0.015). No significant correlation was observed among knowledge, nursing performance, and stress about delirium.

Conclusions: We need to investigate the current state of patients with delirium and to develop systematic education programs in charge of patients with delirium.

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