بررسي مقايسه‌اي دو روش آموزشي به شيوه مولتي‌مديا و روش مرسوم بر دانش و عملكرد پرستاران در به‌كارگيري معيار CAM-ICU در بيماران بستري در بخش‌هاي مراقبت ويژه مركز آموزشي درماني دانشكده علوم پزشكي خوي در سال 1399-1400

A COMPARATIVE STUDY OF USING MULTIMEDIA an‎d TRADITIONAL METHODS ON NURSES' KNOWLEDGE an‎d PERFORMANCE IN APPLYING THE CAM-ICU CRITERION IN THE PATIENTS ADMITTED TO INTENSIVE CARE UNITS OF EDUCATIONAL-MEDICAL CENTERS OF KHOY UNIVERSITY OF MEDICAL SCIENCES IN 2020-2021

پيش‌زمينه و هدف: دليريوم نوعي اختلال شناختي نوساندار بوده كه تشخيص زودرس آن موجب كاهش عوارض و مرگ‌ومير و همچنين تسـريع و كاهش هزينه‌هاي درمان مي‌شود. ابزارهاي بسيار زيادي جهت شناسايي و غربالگري دليريوم وجود دارد، ازجمله اين ابزارها، ابزار CAM-ICU است. هدف مطالعه حاضر بررسي مقايسه‌اي دو روش آموزشي به شيوه مولتي‌مديا و روش مرسوم بر دانش و عملكرد پرستاران در به‌كارگيري معيار CAM-ICU در بيماران بستري در بخش‌هاي مراقبت ويژه مركز آموزشي درماني دانشكده علوم پزشكي خوي بوده است. ‌مواد و روش‌ كار: اين مطالعه به روش كارآزمايي باليني با گروه‌هاي موازي انجام شد. به‌منظور دستيابي به اهداف پژوهش به مراكز آموزشي درماني دانشكده علوم پزشكي شهرستان خوي مراجعه شد، تعداد 80 نفر به روش سرشماري انتخاب شدند. آن‌ها سپس به شكل تصادفي به دو گروه آموزش به روش مرسوم و مولتي‌مديا تقسيم شدند. پرسشنامه‌هاي دانش و چك‌ليست عملكرد به‌صورت پيش‌آزمون و پس‌آزمون پس از انجام مداخله در هر دو گروه تكميل شد. سپس اطلاعات توسط نرم‌افزار SPSS نسخه 22 كدبندي و تحليل گرديد. يافته‌ها: نتايج مطالعه نشان داد كه بين هيچ‌كدام از متغير‌هاي كيفي پرستاران در دو گروه مداخله و كنترل تفاوت معناداري ازنظر آماري وجود نداشت. همچنين ازنظر سطوح دانش بين دو گروه مداخله و كنترل قبل و بعد از مداخله، تفاوت معني‌داري ازنظر آماري وجود نداشت. ولي بعد از مداخله ميانگين نمره عملكرد از 2/450 در گروه مداخله به 4/575 و دانش آنان از 10/17 به 13/10 تغيير يافت (0.05

Background & Aims: Delirium is a fluctuating cognitive disorder that early diagnosis of it, reduces complications and mortality while accelerating treatment and decreasing costs. There is various used for detection and screening delirium; one of which is the CAM-ICU. The present study aimed to compare the effects of multimedia and traditional methods on nurses’ knowledge and performance in applying the CAM-ICU criterion in the patients admitted to intensive care units of Educational-Medical Centers of Khoy University of Medical Sciences. Materials & Methods: This study was performed using a clinical trial method with parallel groups. To achieve the research objectives, 80 subjects were selected from Educational-Medical Centers of Khoy University of Medical Sciences using the census method. Then they were randomly divided into two groups of multimedia and traditional methods. They then completed Knowledge Questionnaire and Performance Checklist as pretest and posttest after the intervention in both groups. Data were then coded and analyzed by SPSS software version 22. Results: The results showed that there was no statistically significant difference between any of the qualitative variables of nurses in the intervention and control groups. Also, in terms of knowledge levels, there was no statistically significant difference between the intervention and control groups before and after the intervention. However, the mean performance score changed from 2.450 to 4.575 and their knowledge changed from 10.17 to 13.10 (P <0.05) in the intervention group after the intervention. Although this increase was seen in both groups, but the increase level in the intervention group was statistically higher than that in the control group (P = 0.001). Conclusion: Based on the findings of the present study, both multimedia teaching and conventional methods have a positive and significant effect on nurses' knowledge and practice in applying the CAMICU criterion to the patients admitted to the intensive care unit; however, in terms of average performance score, the multimedia method is more effective, So the use of multimedia training method can be considered as a solution to meet the urgent needs of education in nursing.