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护理谵妄筛查量表在全麻苏醒期老年患者中的应用研究

丁红 胡婉贞 肖伦华 陈寒霏 姜玉梅 张婷婷

护理学报2016,Vol.23Issue(5):63-66,4.
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

丁红 1胡婉贞 1肖伦华 1陈寒霏 1姜玉梅 1张婷婷1

作者信息

  • 1. 南方医科大学南方医院 麻醉科,广东 广州 510515
  • 折叠

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 ()

护理学报

OACSTPCD

2097-6569

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