Current status and influencing factors of application of the Confusion assessment method for the Intensive Care Unit (CAM-ICU)
10.3761/j.issn.0254-1769.2018.01.003
- VernacularTitle:重症患者谵妄评估的现状调查及影响因素分析
- Author:
Jianhua SUN
1
;
Hailing GUO
;
Dandan SUN
;
Mingxi ZHAO
;
Qi LI
;
Bo TANG
;
Zhennan ZHU
;
Tao LIANG
;
Xiaoting WANG
Author Information
1. 100730北京市,中国医学科学院北京协和医院重症医学科
- Keywords:
Delirium;
Confusion Assessment Method for the Intensive Care Unit;
Intensive Care;
Nurses
- From:
Chinese Journal of Nursing
2018;53(1):17-21
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the current status of application of the Confusion assessment method for the Intensive Care Unit (Cam-ICU),and to explore its influencing factors.Methods A total of 300 patients admitted to were enrolled.The researchers and nurses used Cam-ICU to assess patients' delirium,respectively,and the differences in deliriun assessment were analyzed.Results For delirium assessment,the Kappa value was 0.546 between the researchers and nurses.The consensus rate was 17.6％ for hypoactive delirium,and 77.8％ for hyperactive delirium in 44 delirium patients.Logistic regression analysis showed that APACHE Ⅱ score,RASS score and delirium type were influencing factors of accurate assessment of delirium.Conclusion The consistence of assessment of delirium by ICU nurses is generally good,but the accuracy of assessment of hypoactive delirium is the worst.
