开发一种简短版本的妄观察查量表 (s-DOSS):一个心理测量验证研究
Koen Milisen1, Sining Zeng2, Ellen Bruynseraede3
1Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven, Leuven, Belgium; Department of Geriatric Medicine, University Hospitals Leuven, Leuven, Belgium.
International journal of nursing studies
|January 31, 2026
概括
一个新的9项 Delirium Observation Screening Scale (s-DOSS) 有效地选痴呆症,保持高准确度,同时减少患者评估时间. 这种缩短的工具有助于及时检测和干预妄想.
科学领域:
- 老年学是指老年学的学科.
- 临床心理学 临床心理学
- 心理测量 心理测量 心理测量
背景情况:
- 痴呆症显著增加死亡率,发病率和住院时间,这对完全预防构成了挑战.
- 有效的查工具对于早期妄的检测和干预至关重要,以减轻医疗负担.
- 原来的13项 Delirium观察选量表 (DOSS) 已经得到验证,但耗时,需要简化.
研究的目的:
- 开发和验证一个缩短的妄想观察查量表 (s-DOSS).
- 为了减少查工作负担,在保持诊断准确性的同时进行妄想评估.
主要方法:
- 内容有效性指数 (CVI) 由14名妄想专家对项目选择进行评估.
- 从住院患者的16110例常规DOSS评估中评估了心理测量属性.
- 验证涉及在113名患者评估中将s-DOSS诊断性能与混评估方法 (CAM) 进行比较.
主要成果:
- 通过删除基于专家评级和心理测量分析的四个项目,开发了一个9项的s-DOSS.
- s-DOSS表现出强烈的心理测量特性,包括0.853.3的克朗巴赫α.
- 9项的s-DOSS实现了高诊断准确性 (92.0%),灵敏度为90.9%,特异性为92.2%,在使用两项切断时.
结论:
- 9项 s-DOSS 是一种可靠和有效的 Delirium 查工具.
- s-DOSS保持了高的诊断准确性,同时显著减少了医疗保健专业人员的工作量.
- 建议进一步进行多站点验证,以确认s-DOSS在各种临床环境中的性能.
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