title: [Evaluation of the reliability and validity of the Chinese version of the confusion assessment method for the intensive care unit].
abstract: 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 CAM-ICU validity and calculate sensitivity and specificity. The inter-rater reliability Kappa value for CAM-ICU 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%, versus 96% 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.
authors.affiliation: Department of Nursing, Chi Mei Medical Center, R.O.C.
authors.forename: Wen-Ling
authors.initials: WL
authors.lastname: Chuang
authors.forename: Chien-Ho
authors.initials: CH
authors.lastname: Lin
authors.forename: Wen-Chi
authors.initials: WC
authors.lastname: Hsu
authors.forename: Yu-Ju
authors.initials: YJ
authors.lastname: Ting
authors.forename: Kao-Chang
authors.initials: KC
authors.lastname: Lin
authors.forename: Shu-Ching
authors.initials: SC
authors.lastname: Ma
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003221:Confusion / Q000175:diagnosis*; D003693:Delirium / Q000175:diagnosis; D004569:Electroencephalography; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales