頁籤選單縮合
題 名 | 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 |
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作 者 | 莊玟玲; 林健禾; 許雯琪; 丁郁茹; 林高章; 馬淑清; | 書刊名 | 護理雜誌 |
卷 期 | 54:4 2007.08[民96.08] |
頁 次 | 頁45-52 |
分類號 | 419.73 |
關鍵詞 | 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; |
語 文 | 中文(Chinese) |
中文摘要 | 測試中文版「加護病房混亂評估量表」(confusion assessment method for the intensive care unit, CAMICU),於本國使用的信度與效度,及其對譫妄的鑑別價值,該工具由Ely等人依據精神疾病診斷統計分類手冊 (diagnostic and statistical manual of mental disorders, DSM) 研擬而成。於南部一所醫學中心之加護病房,經立意取樣共31名病患進行測試,由兩位訪查員以中文版CAM-ICU分別收集資料,測試評分者間的一致性;以精神科醫師的DSM-Ⅳ診斷譫妄的結果為黃金標準 (gold standard),進行效度檢定,計算中文版CAM-ICU用於譫妄鑑別時的敏感度、特異度等指標。中文版CAM-ICU用於譫妄的鑑別時,評分者間信度kappa統計數字為.4(P<.01)。同時效度,PABAK統計數字為.4 (P<.01) 與McNemar's test為p=.72。兩位訪查員與醫師於敏感度(sensitivity)各別為89%、96%。中文版CAMICU能夠作為加護病房護理人員,快速與簡便的偵測譫妄的發生,以便及早介入治療,減少合併症的產生。 |
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. |
本系統中英文摘要資訊取自各篇刊載內容。