Perceptions and attitudes of trauma nurses towards proactive nursing measures for post-trau-matic delirium:a mixed study

Li Jinru; Shu Qin

doi:10.3969/j.issn.1009-4237.2025.04.010

Abstract：Objective To assess the cognition and attitude of trauma nurses towards proactive nursing measures for post-traumatic delirium(PTD),and to provide reference for following training strategies.Methods Based on the principle of evidence,literature retraction until Apr.30,2024 was conducted at the websites or data-bases of BMJ Best Practice,UpToDate,WHO,National Institute for Health and Care Excellence(UK),Guidelines International Network,Cochrane Library,PubMed,Embase,CNKI,Wanfang Database,China Biology Medicine disc,VIP Database,and Yimaitong,to formulate a scope review and develop a list of proactive nursing evidence for PTD.A stratified purposive sample method was used to survey trauma nurses in the emergency departments and ICUs of 6 tertiary hospitals in China,from Mar.24 to Apr.30,2024,using the self-made evidence-based questionnaire.The survey included basic information,and their scoring from importance(representing cognition)and feasibility(repre-senting attitude)of evidence-based proactive nursing measures for PTD.Results A total of 15 articles were in-cluded,and 52 proactive nursing measures were compiled from 8 aspects,including pain management,safety manage-ment,social support,early activities,environmental optimization,basic nursing,sleep management,and cognitive training.A total of 210 questionnaires were distributed,yielding 208 valid responses,resulting in a collection rate of 99.0％.Trauma nurses reported the lowest importance perception and feasibility for aromatherapy,with the scores being 3.8±1.1 and 3.6±1.2,respectively.For other measures,the mean importance perception score was 4.4±0.9 and the mean feasibility score was 4.2±1.0.There was a positive correlation between trauma nurses'perceptions and feasibility of PTD proactive nursing measures,with the Pearson correlation score reaching as high as 0.92(P＜0.001),and the correlation coefficients between each measure ranged from 0.53 to 0.79(P＜0.001).Conclusion The evidence-based proactive nursing measures summarized in this study are scientifically reliable and comprehen-sively detailed.Trauma caregivers who participated in the survey generally had a high level of awareness of PTD proactive nursing measures,though some measures can be more recognized.There is a positive correlation between their cognition and attitude,suggesting that nursing managers can develop targeted training strategies based on cogni-tive behavior theory.