Development of Korean Adult Patients Delirium Screening Tool
10.22650/JKCNR.2023.29.2.198
- Author:
Hye Won JEONG
1
;
Sun Hee MOON
;
Myoung Lee CHOI
;
Jung A LEE
;
Shin Hye AHN
;
Ji Hye JEON
;
Ji Na YOU
;
Hee Jin KIM
;
Ji Eun BYEON
;
Sook Young KIM
;
In Suk SUNG
Author Information
1. RN, Department of Nursing, Chonnam National University Hospital ‧ Lecturer, College of Nursing, Chonnam National University, Gwangju, Korea
- From:
Journal of Korean Clinical Nursing Research
2023;29(2):198-209
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:The purpose of this study was to develop a Korean Adult Patients Delirium Screening Tool (K-APDS) for those admitted to general wards, and to verify its reliability and validity.
Methods:For the development of the tool, 12 items were derived through the results of literature review and focus group interviews with general ward nurses, and the content validity was confirmed by experts. To verify the reliability and validity of the developed tool, 317 adult patients who were admitted to general wards of three tertiary general hospitals from October to November 2022 were evaluated by the attending nurse and data were collected.
Results:After factor analysis for construct validity verification, two factors were extracted, which explained 60.1% of the total variance. After the validation of the control group, the difference in the delirium incidence scores calculated using the K-APDS between the delirium group and non-delirium group was very significant (Z=-10.82, p<.001).To verify the criterion validity, K-APDS, Delirium Observation Screening, and Pearson's correlation coefficient were checked and found to be .94 (p<.001). The predictive validity test reported that the sensitivity was 91.1%, specificity was 82.4%, positive predictive value was 52.6%, and negative predictive value was 97.8%. The reliability of K-APDS was found to be high with Cronbach’s ⍺=.91.
Conclusion:K-APDS can screen for delirium with 2 or more points, excellent validity and reliability have been verified. Therefore, this tool could be applied immediately in the clinical field, and will contribute to the early detection of delirium, enabling rapid interventions.
