Development of Korean Intensive Care Delirium Screening Tool (KICDST)
Journal of Korean Academy of Nursing
;
: 149-158, 2016.
Artigo
em Coreano
| WPRIM
| ID: wpr-227322
ABSTRACT
PURPOSE:
This study was done to develop of the Korean intensive care delirium screening tool (KICDST).METHODS:
The KICDST was developed in 5steps:
Configuration of conceptual frame, development of preliminary tool, pilot study, reliability and validity test, development of final KICDST. Reliability tests were done using degree of agreement between evaluators and internal consistency. For validity tests, CVI (Content Validity Index), ROC (Receiver Operating Characteristics) analysis, known group technique and factor analysis were used.RESULTS:
In the reliability test, the degree of agreement between evaluators showed .80~1.00 and the internal consistency was KR-20=.84. The CVI was .83~1.00. In ROC analysis, the AUC (Area Under the ROC Curve) was .98. Assessment score was 4 points. The values for sensitivity, specificity, correct classification rate, positive predictive value, and negative predictive value were found to be 95.0%, 93.7%, 94.4%, 95.0% and 93.7%, respectively. In the known group technique, the average delirium screening tool score of the non-delirium group was 1.25+/-0.99 while that of delirium group was 5.07+/-1.89 (t= - 16.33, p <.001). The factors were classified into 3 factors (cognitive change, symptom fluctuation, psychomotor retardation), which explained 67.4% of total variance.CONCLUSION:
Findings show that the KICDST has high sensitivity and specificity. Therefore, this screening tool is recommended for early identification of delirium in intensive care patients.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Psicometria
/
Projetos Piloto
/
Valor Preditivo dos Testes
/
Inquéritos e Questionários
/
Curva ROC
/
Sensibilidade e Especificidade
/
Área Sob a Curva
/
Cuidados Críticos
/
Delírio
/
Diagnóstico Diferencial
Tipo de estudo:
Estudo diagnóstico
/
Estudo prognóstico
/
Estudo de rastreamento
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
Journal of Korean Academy of Nursing
Ano de publicação:
2016
Tipo de documento:
Artigo
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