加護病房混亂評估量表中文版信效度測試

Evaluation of the Reliability and Validity of the Chinese Version of the Confusion Assessment Method for the Intensive Care Unit

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)

《護理雜誌》 54卷4期 (2007/08) Pp. 45-52

https://doi.org/10.6224/JN.54.4.45

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.

關鍵字

急性混亂 ； 譫妄 ； 加護病房 ； 混亂評估量表

並列摘要

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.

並列關鍵字

acute confusion ； delirium ； intensive care unit ； confusion assessment method