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对重症监护的混评估方法的验证
Carla Cristina Nunes Teixeira Veiga1, Paulo Alexandre Oliveira Marques2,3, José Manuel Monteiro Dias4
1Specialized Nurse in Critical Care, Local Health Unit of Trás-os-Montes and Alto Douro, Hospital of S. Pedro, Vila Real, Portugal.
这项研究验证了欧洲葡萄牙语的重症监护病房 (CAM-ICU) 混评估方法流程表. 该工具可以准确地检测重症监护病房的机械通风患者的妄想.
科学领域:
- 关键护理医学 关键护理医学
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 狂妄症是成年重症监护室 (ICU) 中普遍存在但经常被忽视的并发症.
- 它显著提高了发病率,死亡率和医疗保健费用.
- 通过经过验证的工具进行早期识别对于有效管理至关重要.
研究的目的:
- 翻译,调整和验证"重症监护病房 (CAM-ICU) 混评估方法"流程表,以欧洲葡萄牙语使用.
- 建立一个可靠的工具,以评估葡萄牙语说话的ICU人群 Delirium.
主要方法:
- 在葡萄牙北部的一个ICU中进行了一项方法学,横截面,描述性-相关性研究.
- 在CAM-ICU流表经过翻译,逆向翻译,和专家验证.
- 两名训练有素的观察员对入侵性机械通风治疗的42名成年ICU患者进行了评估,与DSM-5标准相比,诊断准确度高.
主要成果:
- 在57.1%的研究参与者中, Delirium 被发现.
- 欧洲葡萄牙CAM-ICU流表显示了高的观察者间一致性 (κ=0.952),100%的敏感性和81.8-86.3%的特异性.
- 接收器运行特征 (ROC) 曲线显示曲线下的面积 (AUC) 从0.909到0.932不等,注意力不集中是关键指标.
结论:
- 欧洲葡萄牙语版本的CAM-ICU流表是一个验证和可靠的工具,用于评估非语言,机械通风ICU患者的妄想.
- 这项研究证实了它在特定的语言和文化背景中的有用性.
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