中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2014年
7期
18-20
,共3页
ICU谵妄%护士%简体中文版护理谵妄筛查量表
ICU譫妄%護士%簡體中文版護理譫妄篩查量錶
ICU섬망%호사%간체중문판호리섬망사사량표
ICU delirium%Nurses%Simplified Chinese version NU-DESC
目的 探讨简体中文版护理谵妄筛查量表(nursing delirium screening scale,NU-DESC)在国内临床评估ICU谵妄的临床应用价值,为临床护士提供易于操作的ICU谵妄评估工具.方法 2011年7～9月应用简体中文版NU-DESC对所选取的167例国内ICU的危重症患者进行评估,并与金标准DSM-Ⅳ的诊断结果进行比较,对其有效性、可靠性及效益进行评价以分析简体中文版NU-DESC在ICU的应用价值.结果 简体中文版NU-DESC的ROC曲线下面积为0.951,灵敏度为82％,特异度为90％,假阴性率为18％,假阳性率为10％,诊断指数172％,约登指数为0.72,阳性似然比为7.99,阴性似然比为0.20,符合率为87％,Kappa值为0.71,阳性预测值为77％,阴性预测值为92％.结论 简体中文版NU-DESC简洁易懂,易被临床护士所接受,可以作为临床护士判断患者是否发生ICU谵妄的评估工具.
目的 探討簡體中文版護理譫妄篩查量錶(nursing delirium screening scale,NU-DESC)在國內臨床評估ICU譫妄的臨床應用價值,為臨床護士提供易于操作的ICU譫妄評估工具.方法 2011年7～9月應用簡體中文版NU-DESC對所選取的167例國內ICU的危重癥患者進行評估,併與金標準DSM-Ⅳ的診斷結果進行比較,對其有效性、可靠性及效益進行評價以分析簡體中文版NU-DESC在ICU的應用價值.結果 簡體中文版NU-DESC的ROC麯線下麵積為0.951,靈敏度為82％,特異度為90％,假陰性率為18％,假暘性率為10％,診斷指數172％,約登指數為0.72,暘性似然比為7.99,陰性似然比為0.20,符閤率為87％,Kappa值為0.71,暘性預測值為77％,陰性預測值為92％.結論 簡體中文版NU-DESC簡潔易懂,易被臨床護士所接受,可以作為臨床護士判斷患者是否髮生ICU譫妄的評估工具.
목적 탐토간체중문판호리섬망사사량표(nursing delirium screening scale,NU-DESC)재국내림상평고ICU섬망적림상응용개치,위림상호사제공역우조작적ICU섬망평고공구.방법 2011년7～9월응용간체중문판NU-DESC대소선취적167례국내ICU적위중증환자진행평고,병여금표준DSM-Ⅳ적진단결과진행비교,대기유효성、가고성급효익진행평개이분석간체중문판NU-DESC재ICU적응용개치.결과 간체중문판NU-DESC적ROC곡선하면적위0.951,령민도위82％,특이도위90％,가음성솔위18％,가양성솔위10％,진단지수172％,약등지수위0.72,양성사연비위7.99,음성사연비위0.20,부합솔위87％,Kappa치위0.71,양성예측치위77％,음성예측치위92％.결론 간체중문판NU-DESC간길역동,역피림상호사소접수,가이작위림상호사판단환자시부발생ICU섬망적평고공구.
Objective To investigate the clinical value of simplified Chinese version NU-DESC in assessment of ICU delirium in domestic ICU,and provide easy ICU delirium assessment tool for clinical nurses.Methods We used simplified Chinese version NU-DESC to assess patients in domestic ICU from July to September 2011,and compared with the gold standard DSM-IV diagnosis results.Their validity,reliability and effectiveness were evaluated to analyze the application value of NU-DESC in ICU.Results The area under the ROC curve of simplified Chinese version of Nu-DESC was 0.951,the sensitivity was 82％,the specificity was 90％,the false negative rate was 18％,the false positive rate was 10％,Youden's index was 0.72,the positive likelihood ratio was 7.99,the negative likelihood ratio was 0.20,the agreement rate was 87％,Kappa value was 0.71,the positive predictive value was 77％,the negative predictive value was 92％.Conclusions The simplified Chinese version NU-DESC can easily be understood,used and accepted by nurses.They can be used as an assessment tool for nurses to judge ICU delirium for ICU patients.
