섬망환자 간호수행에 미치는 영향요인

Abstract

The purpose of this study was to identify the factors influencing nursing performance of delirium patients. Data were collected from 166 nurses who worked in for more than 6 months at four general hospitals in J. province by using a self-reported questionnaire from May 20 to June 19, 2014. The collected data on Cronbach's alpha, KR-20, descriptive statistical analyses, t-test, ANOVA, Duncan test, Pearson's correlation coefficient, and stepwise multiple regression using SAS WIN 9.2 program.

The results of this study were as follows.

1) The mean score for self efficacy was 59.05 (SD=7.67) out of 85. Self-efficacy was significant differences in age (F=4.37, p=.005), educat­ion level (t=-2.26, p=.025), work position (t=-2.53, p=.012) and experie­nce of education for delirium patients (t=3.50, p<.001).

2) The mean score for knowledge of delirium was 31.39 (SD=4.92) out of 45. In sub-factors, there were 0.86 (SD=0.17) on etiology, 0.65 (SD=0.13) on sign and symptoms, 0.64 (SD=0.17) on management. Knowledge of delirium was significant differences in education level (t=-3.22, p=.002) ​and marital status(t=-2.19, p=.030).

3) The mean score for nursing performance of delirium patients was 68.15 (SD=12.04) out of 92. In sub-factors, there were 2.86 (SD=0.63) on assessment, 2.67 (SD=0.50) on intervention. Nursing performance of delirium patients was significant differences by marital status (t=-2.99, p=.003), work position (t=-3.51, p<.001), and ex­perience of education for delirium patients (t=2.42, p=.016).

4) Nursing performance of delirium patients showed a significant positive correlation with self-efficacy (r=.196, p<.001).

5) The factors that affected the nursing performance of delirium patients were work position (β=.221, t=2.58, p<.001) and experience of education for delirium patient (β=.166, t=2.24, p=.026). The factors explained 10.7% of nursing performance of delirium patients.

The results showed that the nurses' positions and knowledge of delirium affected their nursing performance of delirium patients. In order to improve nurses' nursing performance of delirium patients, nurses should make individual efforts for better performance and hospitals should provide an official support system including the establishment of a delirium program.

Key words: Delirium, Self efficacy, Knowledge of delirium, Nursing performance of delirium patients