Timmers Jannie, Kalisvaart Kees, Schuurmans Marieke, de Jonghe Jos
Medisch Centrum Alkmaar, afdeling Klinische psychologie (046), Postbus 501, 1800 AM Alkmaar.
Tijdschr Gerontol Geriatr. 2004 Feb;35(1):5-14.
Delirium is a severe psychiatric syndrome that is highly prevalent in elderly general hospital patients. However, the diagnosis of delirium is often missed. The use of rating scales can be helpful in detecting and measuring delirium symptom severity. This article reviews recent developments with regard to psychometric qualities, measurement goal, content and rating procedures of some of the available rating scales in clinical practise. Studies that used delirium rating scales were searched for using the MEDLINE and subsequent examination of reference lists. Ten rating scales were selected for further evaluation. The Confusional Assessment Method (CAM), NEECHAM Confusion Scale (NEECHAM) and Delirium Observation Scale (DOS) appear to be most suitable as a screening instrument, depending on the type of rater (physician or nurse). The (revised) Delirium Rating Scale (DRS(-R-98)) seems to be particularly useful for measuring delirium severity or monitoring change.
谵妄是一种严重的精神综合征，在老年综合医院患者中非常普遍。然而，谵妄的诊断常常被漏诊。使用评定量表有助于检测和衡量谵妄症状的严重程度。本文综述了临床实践中一些可用评定量表在心理测量学特性、测量目标、内容和评定程序方面的最新进展。通过检索MEDLINE及随后对参考文献列表的查阅，搜索了使用谵妄评定量表的研究。选择了10个评定量表进行进一步评估。根据评定者类型（医生或护士），混乱评估法（CAM）、NEECHAM混乱量表（NEECHAM）和谵妄观察量表（DOS）似乎最适合作为筛查工具。（修订后的）谵妄评定量表（DRS(-R-98)）似乎对测量谵妄严重程度或监测变化特别有用。
