北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学护理学院  > 期刊论文
学科主题: 护理学
题名:
Delirium assessment using Confusion Assessment Method for the Intensive Care Unit in Chinese critically ill patients
作者: Wang, Chunli1,2; Wu, Ying1; Yue, Peng1; Ely, E. Wesley3,4; Huang, Jie5; Yang, Xin6; Liu, Yisi1
关键词: Delirium ; Critical care ; Screening tool ; Reliability ; Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) ; Nursing
刊名: JOURNAL OF CRITICAL CARE
发表日期: 2013-06-01
DOI: 10.1016/j.jcrc.2012.10.004
卷: 28, 期:3, 页:223-229
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Critical Care Medicine
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: MECHANICALLY VENTILATED PATIENTS ; ASSESSMENT TOOLS ; CAM-ICU ; VALIDATION ; RELIABILITY ; VALIDITY ; IMPACT
英文摘要:

Purpose: The aim of this study was to provide a method for delirium evaluation in simplified Chinese for patients speaking this language via validation of a translation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).

Materials and Methods: Two phases were conducted including initial reliability testing (phase I) of the Attention Screening Exam (ASE) followed by reliability and validity testing of the CAM-ICU (phase II). To analyze the reliability of the ASE, each patient was assessed sequentially by ASE Visual and ASE Auditory. The patients were assessed by 2 nurse investigators using CAM-ICU and 1 neurologist using Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition separately within 2 hours in the second phase.

Results: We found that the agreement between ASE Visual and ASE Auditory was high (kappa = 0.83, P < .01, respectively). The educational level of the patients influenced the results of the inattention assessment, with the lower educational level of the patient yielding lower agreement on ASE. Even still, the kappa consistencies were all above 0.61. The sensitivities of CAM-ICU were 91.8% and 93.4%, and the specificities were 90.8%and 87.7%, respectively. The interrater reliability of 2 nurse investigators was very high, with kappa coefficient of 0.92 ( P < .001).

Conclusions: This study affirmed the validity and reliability against reference raters using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition of a brief nursing-conducted method of diagnosing delirium in ICU patients who speak simplified Chinese using the CAM-ICU. (c) 2013 Elsevier Inc. All rights reserved.

语种: 英语
项目资助者: Capital Medical University, Beijing, PR China
WOS记录号: WOS:000318552000002
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/59030
Appears in Collections:北京大学护理学院_期刊论文

Files in This Item:

There are no files associated with this item.


作者单位: 1.Capital Med Univ, Sch Nursing, Beijing, Peoples R China
2.Aging Res Tennessee Valley Vet Affairs Geriatr Re, Nashville, TN USA
3.Capital Med Univ, Xuan Wu Hosp, Beijing, Peoples R China
4.Capital Med Univ, Beijing Childrens Hosp, Natl Key Discipline Pediat, Key Lab Major Dis Children,Minist Educ,Dept Hemat, Beijing, Peoples R China
5.Vanderbilt Univ, Sch Med, Dept Internal Med, Ctr Hlth Serv Res, Nashville, TN 37212 USA
6.Peking Univ, Jishuitan Hosp, Capital Med Univ, Sch Nursing, Beijing 100871, Peoples R China

Recommended Citation:
Wang, Chunli,Wu, Ying,Yue, Peng,et al. Delirium assessment using Confusion Assessment Method for the Intensive Care Unit in Chinese critically ill patients[J]. JOURNAL OF CRITICAL CARE,2013,28(3):223-229.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[Wang, Chunli]'s Articles
[Wu, Ying]'s Articles
[Yue, Peng]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[Wang, Chunli]‘s Articles
[Wu, Ying]‘s Articles
[Yue, Peng]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2017  北京大学医学部 - Feedback
Powered by CSpace