nursing diagnosis impaired physical mobility atley

#Nursing diagnosis impaired physical mobility atley manual#

#Nursing diagnosis impaired physical mobility atley manual#

According to the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) (DSM-V) ( 14), combined with the clinical manifestations of delirium, scholars have divided delirium into four different clinical subtypes: hyperactive delirium, hypoactive delirium, mixed delirium, and no motor delirium ( 15, 16). Medical staff should identify the condition and each subtype accurately and pay more attention to them ( 12, 13). For terminal patients, in addition to prolonged hospitalization and increased financial burden, delirium also increases the risk of adverse events (such as falls, stress injuries, and unplanned extubation), accelerates the dying process, and makes it a painful experience for patients, families and caregivers ( 10, 11).ĭelirium has a high incidence among hospitalized patients. Patients with postoperative delirium have an 11 and 17% higher risk of death at 3 months and 1 year postoperatively, respectively ( 9). Delirium is also an increased risk predictor of re-intubation and admission to long-term health care facilities, both of which seriously affect patient prognosis ( 8). Currently, delirium occurs in one-third of hospitalized adults, age 70 and older ( 4) and in approximately 75, 50, and 90% of ICU mechanical ventilation patients, complex surgery such as hip fracture repair or cardiac surgery, and palliative patients, respectively ( 5– 7). Adding the delirium assessment into routine tasks should be considered.ĭelirium is a confused transient state of consciousness characterized by impaired consciousness, acute onset, fluctuating course, and inattention ( 1), which has been described, as far back as recorder Roman history ( 2, 3). Experience still drives nurses' assessments of delirium and subtype. Systematic and scientific training processes including subtype content and assessment tools are required. Meanwhile, the department was one of the significant KAP factors, and ICU nurses did better in delirium and subtype assessment in knowledge and practice dimension than other departments. ICU nurses achieved the highest scores.Ĭonclusion: Chinese nurses' KAP status regarding delirium and subtypes assessment were barely acceptable, and the attitude score was positive, but knowledge and practice needed improvement.

We found that age, department, technical title, familiarity with delirium, familiarity with delirium subtypes, delirium training, and subtype training affected the total KAP scores. A total of 250 (52.4%) nurses occasionally or sometimes assessed delirium subtypes, and 143 (30.0%) never assessed for delirium subtypes. A total of 451 (94.6%) participants recognized the importance of nursing work for delirium prevention. More than half (54.1%) were unaware of the delirium subtypes assessment instruments. The scoring rate for knowledge, attitude, and practice was 58.55, 83.94, and 51.70%, respectively. The total KAP score regarding delirium and subtypes assessment was 60.01 ± 6.98, and the scoring rate was 73.18%. Results: A total of 477 nurses from the general intensive care unit (ICU), specialty ICU, orthopedics, thoracic surgery, operating room, and geriatrics were 28.3, 22.4, 22.2, 10.5, and 5.2%, respectively. Its reliability and validity were verified effectively by 2-round Delphi expert consultation. The self-developed KAP questionnaire regarding delirium and subtypes assessment had four parts: knowledge, attitude, practice, and source. We investigated 477 nurses from six departments with a high prevalence.

Methods: This multicentre cross-section study was conducted in 10 tertiary hospitals in three provinces, China, from January to April 2022. Third, this study expected to explore more details regarding delirium and subtypes assessment, including assessment barriers, assessment instruments, and knowledge sources. Second, we wanted to identify factors affecting clinical nurses' KAP scores. First, we planned to investigate the KAP status regarding delirium and subtypes for nurses. Objectives: This study had three objectives. The barriers, knowledge sources, and practice details regarding subtype assessment are unclear. Several studies have investigated delirium subtypes in the knowledge dimension, but few studies have investigated delirium subtype in the attitude and practice dimensions. 3Department of Intensive Care Unit, Second Affiliated Hospital, Chongqing Medical University, Chongqing, Chinaīackground: Delirium, a confused transient state of consciousness, can be divided into hyperactive, hypoactive, mixed, and no motor subtypes, according to different clinical manifestations.2Department of Nursing, Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.1The Second Department of Nursing School, Chongqing Medical University, Chongqing, China.Wen Zhou 1,2 Qiulan Zheng 1,2 Miao Huang 1,2 Chuanlai Zhang 1,3 Huan Zhang 1,2 Li Yang 1,2 Taiqin Wu 1,2 Xiuni Gan 1,2 *