查詢結果分析
相關文獻
- The Revised Hasegawa's Dementia Scale (HDS-R) as a Screening Tool for Delirium
- 修訂版長谷川氏痴呆量表的效度研究
- 血清免疫檢驗醫學--臨床應用
- T-STAT評估18~24個月自閉症類嬰幼兒效度探究
- 克氏行為量表篩檢4歲以下自閉症類疾患兒童效度探究
- 「嬰幼兒綜合發展測驗」動作分測驗與「皮巴迪動作發展量表第二版」的診斷準確度
- Performance of Antinuclear Antibody and Anti-Extractable Nuclear Antigen Antibody Tests in the Diagnosis of Autoimmune Diseases
- Diagnostic Performance of Tests for Anti-cyclic Citrullinated Peptides and Rheumatoid Factor in Rheumatoid Arthritis
- Use of Serum Level of Immunoglobulin G4 in the Differential Diagnosis of Autoimmune Pancreatitis and Pancreatic Cancer
- Falls in Home-dwelling Patients with Stroke during the First Three Months after Hospital Discharge: Immediate Mechanisms and Predictors
頁籤選單縮合
題 名 | The Revised Hasegawa's Dementia Scale (HDS-R) as a Screening Tool for Delirium=以修訂版長谷川氏失智症量表篩檢譫妄症 |
---|---|
作 者 | 陳姵蓉; 劉嘉逸; 莊永毓; | 書刊名 | Taiwanese Journal of Psychiatry |
卷 期 | 28:3 2014.09[民103.09] |
頁 次 | 頁164-170+a7 |
分類號 | 415.981 |
關鍵詞 | 迷你心智狀態檢查; 接收操作特徵曲線; 敏感度; 特異度; Mini mental status examination; MMSE; The receiver operating characteristic curve; ROC curve; Sensitivity; Specificity; |
語 文 | 英文(English) |
中文摘要 | 目的:探討修訂版長谷川氏失智症量表 (HDS-R, The Revised Hasegawa’s Dementia Scale) 作為照會精神科醫師於初次會診使用之譫妄篩檢工具之可行性。方法:以 69位林口長庚醫院各科照會精神科之個案為對象。個案首先接受精神科照會住院醫師施測 HDS-R及簡短智能測驗 (Mini-Mental State Examination, MMSE),後由督導照會之精神科專科醫師會談並依照 DSM-IV準則診斷。結果:HDS-R內部一致性佳 (Cronbach’s coefficient α = 0.894),且與 MMSE相關性高 (r = 0.972, p < 0.001)。譫妄病人之 HDS-R 分數介於 0到 23之間,平均 5.8 (S.D.= 6.5);非譫妄個案則介 4到 30之間,平均 22.9 (S.D.=7.5) (unequal variance t test, t = -9.659, d. f. = 45.978, p < 0.001),接收操作特徵曲線 (receiver-operating characteristic, ROC) 下面積為 0.946 (95% confident interval 0.875-0.997)。HDS-R篩檢譫妄最佳切分點為 16/17。結論: HDS-R可作為照會精神科醫師於初次會診時使用之譫妄篩檢工具。 |
英文摘要 | Objectives: The objective of this study was to examine the feasibility of the Revised Hasegawa’s Dementia Scale (HDS-R) in screening delirium for consultant psychiatrists at their first encounter with the patients in clinical medical/surgical settings. The authors also intended to present the sensitivity, specificity, and the cut-off scores of HDS-R scores in detecting delirium. Methods: We recruited 69 patients who have been referred to psychiatric consultation liaison (C-L) service at a medical center in northern Taiwan. HDS-R and Mini Mental State Examination (MMSE) were applied and the diagnoses were made according to DSM-IV criteria. Results: We found that Cronbach’s coefficient α HDS-R was 0.894, showing significant correlation with MMSE (r = 0.972, p < 0.001). The HDS-R scores in the delirium group were ranged from 0 to 23, with an average of 5.8 (standard deviation = 6.5). The HDS-R scores in the non-delirium group were ranged from 4 to 30, with an average of 22.9 (S. D. = 7.5, unequal variance t test, t = -9.659, degree of freedom = 45.978, p < 0.001). Area under receiver operating characteristic (ROC) curve was 0.946 (95% confident interval 0.875-0.997). The best cut-off point of HDS-R score for screening delirium was 16/17. Conclusion: HDS-R may serve as a screening tool of delirium for consultant psychiatrists who encounter the patients for the first time in the clinical medical/surgical settings. |
本系統中英文摘要資訊取自各篇刊載內容。