Abstract: Objective To investigate the current situation of difficulties in managing delirium patients among ICU nurses and explore its influencing factors. Methods From May, 2024 to September, 2024, a cluster sampling method was used to select 284 ICU nurses from the First Affiliated Hospital of Anhui Medical University as the research subjects. General information questionnaire, ICU nurse delirium nursing attitude questionnaire, nurse organizational support scale, and delirium nursing stress scale were used in questionnaire survey. Results The difficulty score for managing delirium among ICU nurses was(54.17 ± 8.54)points. Multiple linear regression analysis showed that factors such as ICU work experience, specialized nursing status, delirium nursing attitude, and management factors such as delirium training and emotional support were the influencing factors of the difficulty level in managing delirium patients(P<0.05). Conclusion ICU nurses generally face difficulties in managing delirium patients. The length of ICU work experience, whether the nurse is a specialist, attitude towards delirium care, whether they have received delirium training, and emotional support have a significant impact on the difficulty of managing delirium patients. Nursing managers can implement targeted training and support interventions to reduce the pressure of delirium management on ICU nurses and improve their management of delirium patients.

Key words: delirium, intensive care unit nurse, management difficulties, influence factor