[Evaluation of the reliability and validity of the Chinese version of the confusion assessment method for the intensive care unit].
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.
Chuang
Wen-Ling
WL
Department of Nursing, Chi Mei Medical Center, R.O.C.
Lin
Chien-Ho
CH
Hsu
Wen-Chi
WC
Ting
Yu-Ju
YJ
Lin
Kao-Chang
KC
Ma
Shu-Ching
SC
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