CAJ | 학술논문

目的：创建一个基于CAM－ICU的智能化谵妄评估系统并在ICU临床护士中验证其可用性。方法采用方便抽样的方法，选取68名来自北京市三甲医院的在现场试用过智能化CAM－ICU谵妄评估系统的ICU护士，使用“智能化CAM－ICU谵妄评估系统可用性评估问卷”对设计完成的评估系统界面在“科技接受模型”的指导下对其进行可用性评价。结果共68名来自不同ICU科室的临床护士参与研究，其中51．5％的护士既往接受过ICU谵妄知识的相关培训，79．4％的护士曾经护理过明确诊断为谵妄的患者，70．6％的护士曾经正确判断出患者存在谵妄症状并得到了医生的确认。五个潜在模块中各题目的平均得分介于3．4～4．0分。另外，以往接受过谵妄培训与未接受过培训的被调查者在使用态度上有差异，且接受过培训的人员认为该系统的画面设计和布局是方便操作和容易使用的，并且表示喜欢使用本系统进行谵妄评估、该系统可以提升自己评估谵妄的能力以及有助于日常护理工作，同时表示日后有使用本系统的意愿，两组评分比较差异均有统计学意义（P＜0．05）。两组人员在对该评估系统的评价比较中差异亦有统计学意义（χ2＝6．28，P＝0．012）。结论根据调查结果，智能化CAM－ICU谵妄评估系统在谵妄评估中体现了其简单、易用、方便操作的特点，尤其受到既往接受过谵妄评估培训的被调查者的认可，进一步反映了该工具在ICU谵妄评估中具有一定的可用性。
목적：창건일개기우CAM－ICU적지능화섬망평고계통병재ICU림상호사중험증기가용성。방법채용방편추양적방법，선취68명래자북경시삼갑의원적재현장시용과지능화CAM－ICU섬망평고계통적ICU호사，사용“지능화CAM－ICU섬망평고계통가용성평고문권”대설계완성적평고계통계면재“과기접수모형”적지도하대기진행가용성평개。결과공68명래자불동ICU과실적림상호사삼여연구，기중51．5％적호사기왕접수과ICU섬망지식적상관배훈，79．4％적호사증경호리과명학진단위섬망적환자，70．6％적호사증경정학판단출환자존재섬망증상병득도료의생적학인。오개잠재모괴중각제목적평균득분개우3．4～4．0분。령외，이왕접수과섬망배훈여미접수과배훈적피조사자재사용태도상유차이，차접수과배훈적인원인위해계통적화면설계화포국시방편조작화용역사용적，병차표시희환사용본계통진행섬망평고、해계통가이제승자기평고섬망적능력이급유조우일상호리공작，동시표시일후유사용본계통적의원，량조평분비교차이균유통계학의의（P＜0．05）。량조인원재대해평고계통적평개비교중차이역유통계학의의（χ2＝6．28，P＝0．012）。결론근거조사결과，지능화CAM－ICU섬망평고계통재섬망평고중체현료기간단、역용、방편조작적특점，우기수도기왕접수과섬망평고배훈적피조사자적인가，진일보반영료해공구재ICU섬망평고중구유일정적가용성。
Objective To develop a intelligentized delirium assessment system based on the Confusion Assessment Model for Intensive Care Unit ( CAM-ICU ) and test its usability among nurses in the ICU . Methods Through convenient sampling , investigators selected 68 ICU nurses from 3 hospitals in Beijing to participate in this study .Participants tried the new intelligentized system before they filled in the evaluation form named as "Usability analysis of the intelligentized CAM-ICU delirium assessment system interface evaluation questionnaire"which was adapted from the framework of "Technology Acceptance Model".Results Among the 68 ICU nurses, 51.5% had received delirium assessment training prior to the study , 79.4% had cared for delirious patient and 70.6% had actually identified delirious symptoms among the patients they cared in the past.The average score for the items in the questionnaire ranged from 3.4 to 4.0.The scores among nurses who had received delirium assessment training before the study had significant difference compared to the ones who did not (P<0.05).They had perceived that the design of the system was satisfactory , and they were willing to use this system in delirium assessment , and expressed that it could improve their ability in assessing delirium therefore promoted the overall quality nursing care of patients (χ2 =6.28,P =0.012).Conclusions The design of the intelligentized CAM-ICU delirium assessment system is simple to use and easy to operate , especially among those who have had knowledge related to delirium assessment prior to the study .It reflects that this system is useful in identification of delirious patient and can improve the accuracy of delirium diagnosis in the ICU.