Comparison of delirium assessment tool used in the old dementia patients
10.3760/cma.j.issn.1674-2907.2017.08.014
- VernacularTitle:谵妄评估工具在老年痴呆患者中的应用比较
- Author:
Xueqin GAN
1
;
Wenwu ZHANG
;
Yi'na WANG
;
Binbin PAN
;
Lei FENG
;
Dongsheng ZHOU
Author Information
1. 315201,浙江省宁波市康宁医院护理部
- Keywords:
Dementia;
Confusion assessment method;
Nursing delirium screening scale;
Validity
- From:
Chinese Journal of Modern Nursing
2017;23(8):1095-1098
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the diagnostic validity between the delirium rating methods (confusion assessment method,CAM) and the nurse used delirium screening scale(nursing delirium screening scale,NU-DESC)for the old dementia patients. Methods Patients who met the criteria for DSM-IV dementia diagnosis,the CAM and the NU-DESC was used to assess at 0,2,4,6,8 weeks after admission,and the DSM-IV was used as the gold standard diagnosis criteria for delirium. To compare the diagnostic sensitivity, specificity and consistency between the two evaluation tools using the ROC curve analysis and diagnostic consistency test. Results The criticality value of the CAM to estimate dementia patients with delirium was 26,with sensitivity 0.97,specificity 0.82,and the Kappa of the consistent with DSM-IV diagnosis was 0.60;the criticality value of the NU-DESC to estimate dementia patients with delirium was 3,with sensitivity 0.81, specificity 0.77,and the Kappa of the consistent with DSM-IV diagnosis was 0.45. For mild and moderate dementia patients,the diagnostic validity of the two tools was closer;for the severe dementia patients,the diagnostic validity of the CAM was better than the NU-DESC. Conclusions The sensitivity and specificity of the CAM used in the dementia patients were higher,the CAM was better than the NU-DESC,and could be used to screen for senile dementia patients with delirium;the NU-DESC could be used to estimate the mild and moderate dementia patients.
