护理学报2016,Vol.23Issue(5):63-66,4.DOI:10.16460/j.issn1008-9969.2016.05.063
护理谵妄筛查量表在全麻苏醒期老年患者中的应用研究
Feasibility of Nu-DESC in Screening Delirium of Elderly Patients in PACU
摘要
Abstract
Objective To evaluate the feasibility of Nu-DESC in screening delirium of elderly patients in PACU (post anesthesia care unit). Methods Elderly patients aged over 65 receiving selective non-cardiac surgery under general anesthesia and admitted in PACU were recruited and evaluated by CAM-ICU and Nu-DESC successively. With CAM-ICU serving as a standard, the sensitivity and specificity of Nu-DESC were assessed. Results A total of 303 patients were included in this research. According to the diagnosis of CAM-ICU, the incidence of delirium was 25.7% and area under the ROC curve of Nu-DESC 0.825. when threshold value reached 3, the sensitivity and specificity of Nu-DESC was 65.3% and 99.6% respectively and the kappa 0.707 (P<0.01). Conclusion Nu-DESC is a convenient and easy to master delirium detection scale. It could be used as an efficient method to screen delirium of elderly patients in PACU.关键词
PACU/谵妄/重症监护室意识模糊评估法/护理谵妄筛查量表/效度Key words
PACU/delirium/CAM-ICU/Nu-DESC/reliability分类
医药卫生引用本文复制引用
丁红,胡婉贞,肖伦华,陈寒霏,姜玉梅,张婷婷..护理谵妄筛查量表在全麻苏醒期老年患者中的应用研究[J].护理学报,2016,23(5):63-66,4.基金项目
2013年广东省医学科研基金项目 ()