| 题名 |
加護病房混亂評估量表中文版信效度測試 |
| 并列篇名 |
Evaluation of the Reliability and Validity of the Chinese Version of the Confusion Assessment Method for the Intensive Care Unit |
| DOI |
10.6224/JN.54.4.45 |
| 作者 |
莊玟玲(Wen-Ling Chuang)；林健禾(Chien-Ho Lin)；許雯琪(Wen-Chi Hsu)；丁郁茹(Yu-Ju Ting)；林高章(Kao-Chang Lin)；馬淑清(Shu-Ching Ma) |
| 关键词 |
急性混亂 ； 譫妄 ； 加護病房 ； 混亂評估量表 ； acute confusion ； delirium ； intensive care unit ； confusion assessment method |
| 期刊名称 |
護理雜誌 |
| 卷期/出版年月 |
54卷4期（2007 / 08 / 01） |
| 页次 |
45 - 52 |
| 内容语文 |
繁體中文 |
| 中文摘要 |
This study was designed to evaluate the reliability and validity of the Chinese version of the diagnostic and statistical manual (DSM) of mental disorders written by Ely et al as a confusion assessment method for the intensive care unit (CAM-ICU) for diagnosing delirium. Purposive sampling was used to recruit 31 patients in a southern medical center ICU. Data were collected by two interviewers who used CAM-ICU to test inter-rater consistency. DSM served as the delirium diagnosis standard to test CAMICU validity and calculate sensitivity and specificity. The inter-rater reliability Kappa value for CAMICU applied to delirium diagnosis was .48(p＜.01). The validity PABAK value was .48(p＜.01) and McNemar's test value was p=.72. The sensitivity achieved by the two interviewers was 89%, versus96% for the doctor. The CAM-ICU is a method that helps ICU nursing staff to detect occurrences of delirium rapidly and easily, permitting early intervention treatment with fewer complications. |
| 英文摘要 |
This study was designed to evaluate the reliability and validity of the Chinese version of the diagnostic and statistical manual (DSM) of mental disorders written by Ely et al as a confusion assessment method for the intensive care unit (CAM-ICU) for diagnosing delirium. Purposive sampling was used to recruit 31 patients in a southern medical center ICU. Data were collected by two interviewers who used CAM-ICU to test inter-rater consistency. DSM served as the delirium diagnosis standard to test CAMICU validity and calculate sensitivity and specificity. The inter-rater reliability Kappa value for CAMICU applied to delirium diagnosis was .48(p＜.01). The validity PABAK value was .48(p＜.01) and McNemar's test value was p=.72. The sensitivity achieved by the two interviewers was 89%, versus96% for the doctor. The CAM-ICU is a method that helps ICU nursing staff to detect occurrences of delirium rapidly and easily, permitting early intervention treatment with fewer complications. |
| 主题分类 |
醫藥衛生 >
預防保健與衛生學 醫藥衛生 > 社會醫學 |
| 被引用次数 |
