目的：了解南京市外科病房护士对患者术后谵妄(POD)评估依从性现状，分析其影响因素，为开展护士主导的POD知识培训和评估管理提供依据。方法：2021年9月至10月，采用修订后胥利版谵妄调查问卷对南京市392名三甲医院外科病房护士进行问卷星线上调查并对结果进行影响因素分析。结果：所调查护士在临床工作中定期开展POD评估的仅占17.09%，科室有无评估规范化流程、评估是否使用谵妄评估工具及外科工作年限是影响评估依从性的主要因素。结论：外科病房护士对患者POD评估的开展情况不理想，有必要建立POD评估相应的流程和规范，进一步加强谵妄评估工具的开发和培训。

[1] BANNON L,McGAUGHEY J,VERGHIS R,et al.The effectiveness of non-pharmacological interventions in reducing the incidence and duration of delirium in critically ill patients:a systematic review and meta-analysis[J].Intensive Care Med,2019,45(1):1-12.
[2] GLEASON L J,SCHMITT E M,KOSAR C M,et al.Effect of delirium and other major complications on outcomes after elective surgery in older adults[J].JAMA Surg,2015,150(12):1134-1140.
[3] 彭巧玲,胡维维,何月,等.高龄老年人群谵妄的影响因素分析及对认知功能影响的研究[J].现代医学,2021,49(7):760-763.
[4] 李京连,杨芳宇,吴瑛,等.北京市两所三级甲等医院ICU谵妄临床管理现状调查[J].中华现代护理杂志,2017,23(18):2357-2361.
[5] KOVAR A，CARMICHAEL H，JONES T S,et al.Early identification of patients at risk for delayed recovery of ambulation after elective abdominal surgery[J].Surg Endos,2022，36(7)：4828-4833.
[6] 关欣,王斗,邵欣.我国187家医院ICU护士谵妄知识掌握与谵妄管理开展现况的调查分析[J].中华现代护理杂志,2019,25(24):4.
[7] 王怡,任学芳,徐燕.神经外科护士谵妄知信行现状调查[J].上海护理,2021,21(7):43-47.
[8] 陈婷,景峰,蒋琰.急诊科护士急诊谵妄的知信行调查分析[C].上海：第四届上海国际护理大会,2019.
[9] 胥利.重庆市三级甲等医院ICU护士ICU谵妄知信行调查研究[D].重庆：重庆医科大学,2012.
[10] TROGRLIC Z,ISTA E,PONSSEN H H,et al.Attitudes,knowledge and practices concerning delirium:a survey among intensive care unit professionals[J].Nurs Crit Care,2017,22(3):133-140.
[11] IGWE E O,TRAYNOR V,RODGERS S,et al.Knowledge,opinions and clinical practice regarding postoperative delirium in older patients:a survey of nurses and anaesthetists[J].J Clin Anesth,2019,57:108-109.
[12] NYDAHL P,DEWES M,DUBB R,et al.Survey among critical care nurses and physicians about delirium management[J].Nurs Crit Care,2018,23(1):23-29.
[13] BILOTTA F,WEISS B,NEUNER B,et al.Routine management of postoperative delirium outside the ICU:results of an international survey among anaesthesiologists[J].Acta Anaesthesiol Scand,2020,64(4):494-500.
[14] 田豪,赵茂晶,牟胜旭,等.心血管疾病患者术后谵妄的早期识别与护理研究进展[J].海南医学,2022,33(13):1748-1751.
[15] 吴传芹,李国宏,朱艳萍.ICU护士对谵妄知信行及评估的障碍因素现状调查[J].广东医学,2018,39(14):2204-2209.
[16] OLOTU C,ASCONE L,WIEDE J,et al.The effect of delirium preventive measures on the occurrence of postoperative cognitive dysfunction in older adults undergoing cardiovascular surgery.The DelPOCD randomised controlled trial[J].J Clin Anesth,2022,78:110686.
[17] WANG Y Y,YUE J R,XIE D M,et al.Effect of the tailored,family-involved hospital elder life program on postoperative delirium and function in older adults:a randomized clinical trial[J].AMA Intern Med,2020,180(1):17-25.
[18] 罗爱林,张杰.2017版欧洲麻醉学会《基于循证和专家共识的术后谵妄指南》解读[J].临床外科杂志,2018,26(1):29-33.
[19] 冯雅笛,杨芳宇.ICU护士对谵妄评估的认知与实践调查[J].护理管理杂志,2019,19(8):584-587.
[20] EVENSEN S,HYLEN R A,LYDERSEN S,et al.The delirium screening tool 4AT in routine clinical practice:prediction of mortality,sensitivity and specificity[J].Eur Geriatr Med,2021,12(4):793-800.
[21] 李立群.中文版4AT和3D-CAM用于ICU患者谵妄评估的信效度检验及与CAM-ICU的比较[D].南昌：南昌大学,2020.
[22] 任小琼,李淑娟,杨懿,等.专科ICU患者谵妄预防管理策略的制定与实践[J].中西医结合护理(中英文),2020,6(10):235-238.
[23] 徐晓曦.多学科联合制定规范化防治路径对老年髋部骨折术后谵妄影响的研究[J].当代护士(中旬刊),2018,25(8):36-39.
[24] HUGHES C G,BONCYK C S,CULLEY D J,et al.American society for enhanced recovery and perioperative quality initiative joint consensus statement on postoperative delirium prevention[J].Anesth Analg,2020,130(6):1572-1590.
[25] 苗凤凤.三级综合医院ICU护士对亚谵妄综合征认知现状调查及干预研究[D].青岛：青岛大学,2020.
[26] 刘琴,胡霞,杨旭女,等.综合性医院外科护士对术后亚谵妄综合征知信行水平调查及影响因素分析[J].现代实用医学,2021,33(8):1084-1086.
[27] 盖玉彪,于雅洁,赵丽,等.ICU护士对谵妄的知信行及影响因素研究[J].护理管理杂志,2020,20(11):809-812.
[28] 关欣,纪媛媛,张娜芹,等.神经科护士对重症患者康复知信行现状及影响因素的调查研究[J].现代医学,2022,50(3):371-375.