Reliability and validity assessment of the Japanese version of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU)
Reliability and validity assessment of the Japanese version of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU)
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DOI：
10.1016/j.iccn.2014.10.002
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发表时间：
2015-06-01
影响因子：
5.3
通讯作者：
Yamase, Hiroaki
中科院分区：
文献类型：
--
作者：
Koga, Yuji;Tsuruta, Ryosuke;Yamase, Hiroaki
目的：谵妄可能导致严重疾病患者的不良结局，但由于筛查不足，往往被低估。重症监护病房（CAM-ICU）的混乱评估方法是一种用于评估ICU中谵妄的既定方法。的有效性和可靠性的日本版本的CAM-ICU还没有，但是，被Verified，我们进行了这项研究，以验证这些parameters.Research方法：CAM-ICU的有效性和可靠性进行了评估，在两个日本ICU。使用精神科医生组的DMS-IV-TR评估作为谵妄诊断的标准，我们比较了研究护士组和护理人员组对CAM-ICU日文版的评估。结果：根据DSM-IV-TR标准，谵妄的患病率为22.0%，根据CAM-ICU谵妄发生率，研究护士为22.0%，护理人员为19.5%。CAM-ICU敏感性评分分别为83%和78%，而特异性评分分别为95%和97%。Kappa评分者间信度良好（kappa =0.85），Cronbach α系数为0.69（95%CI：0.57-0.79）。CAM-ICU的平均评级时间为2.5-2.8分钟的研究护士和护士工作人员，foreign.Conclusion：日本版本的CAM-ICU具有可比的有效性和可靠性，在两个日本ICU的外科患者的谵妄评估工具。通过培训，CAM-ICU可以纳入日常临床实践。(c)2014爱思唯尔有限公司版权所有。
Objective: Delirium may lead to adverse outcomes in patients with serious conditions, but is often under-diagnosed due to inadequate-screening. The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) is an established method for assessing delirium in the ICU. The validity and reliability of the Japanese version of the CAM-ICU has not, however, been Verified, and we undertook this study to verify these parameters.Research methodology: CAM-ICU validity and reliability were assessed in two Japanese ICUs. Using the evaluation of the DMS-IV-TR in the psychiatrists group as the standard criteria for delirium diagnosis, we compared the evaluation of the Japanese version of the CAM-ICU between the research nurses group and the staff nurses group.Results: According to DSM-IV-TR criteria, the prevalence of delirium was 22.0%, and according to CAM-ICU delirium was found in 22.0% with Research Nurses and 19.5% with Staff Nurses. CAM-ICU sensitivity ratings were 83% and 78%, while their specificity ratings were 95% and 97%, respectively. The Kappa inter-rater reliability was good (kappa =0.85), and Cronbach's alpha coefficient was 0.69 (95% CI: 0.57-0.79). Mean rating time for the CAM-ICU was 2.5-2.8 minutes for Research Nurses and Staff Nurses, respectively.Conclusion: The Japanese version of the CAM-ICU has comparable validity and reliability as a delirium assessment tool in surgical patients in two Japanese ICUs. With training, CAM-ICU can be incorporated into daily clinical practice. (c) 2014 Elsevier Ltd. All rights reserved.