Comparison of nursing delirium screening scale and intensive care delirium scale in the evaluation of delirium after percutaneous coronary intervention
10.3760/cma.j.cn371468-20200424-01305
- VernacularTitle:护理谵妄筛查量表与重症监护谵妄量表在PCI术后患者谵妄评估中的效果比较
- Author:
Yanhuan KUANG
1
;
Yanmin LI
;
Huiping YUAN
;
Youquan CHEN
Author Information
1. 广州医科大学附属第三医院心血管监护室 510015
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2020;29(11):1036-1041
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the evaluation ability and effect of the nursing delirium screening scale (Nu-DESC) and the intensive care delirium screening checklist (ICDSC) on the patients with delirium after percutaneous coronary intervention(PCI).Methods:A total of 128 patients who were admitted to cardiovascular surgery from June 2018 to June 2019 for PCI intervention were selected by convenient sampling method.Data were collected by general data questionnaire, restless sedation scale (RASS), Nu-DESC and ICDSC.SPSS 18.0 was used to analyze the collected data.The patients' receiver operating characteristic(ROC) curve and area under the ROC curve(AUC) were used to analyze Nu-DESC scale and ICDSC scale to evaluate the delirium ability of patients after PCI. Kappa value was used to test the consistency of the scale.Bayes discriminant analysis was used to analyze the accuracy of Nu-DESC and ICDSC in judging delirium after PCI.Results:The AUC of Nu-DESC and ICDSC was 0.902 and 0.857 respectively, and the difference between them was AUC=0.045 ( Z=3.489, P<0.001); the best critical value of Nu-DESC and ICDSC for delirium evaluation was 2 and 4. The cross validation accuracy of Nu-DESC and ICDSC for delirium determination was 87.5% and 83.6%, respectively.The delirium rates of DSM-Ⅳ, Nu-DESC and ICDSC were 33.6%, 34.4% and 43.7%, respectively. Conclusion:Compared with ICDSC, Nu-DESC is more suitable for the evaluation of delirium after PCI.
