Kim Kyoung-Nam, Kim Cheol-Ho, Kim Kwang-Il, Yoo Hyun-Jung, Park Si-Young, Park Yeon-Hwan
Department of Nursing, Seoul National University Bundang Hospital, Bundang, South Korea.
J Korean Acad Nurs. 2012 Jun;42(3):414-23. doi: 10.4040/jkan.2012.42.3.414.
The aims of this study were to develop and test the validity of the Korean Nursing Delirium Scale (Nu-DESC) for older patients in hospital.
The Korean Nu-DESC was developed based on the Nu-DESC (Gaudreau, 2005), and revised according to nursing records related to signs and symptoms of older patients with delirium (n=361) and the results of a pilot study (n=42) in one general hospital. To test the validity of the Korean Nu-DESC, 75 older patients whom nurses suspected of delirium from 731 older patients from 12 nursing units were assessed by bedside nurses using the Korean Nu-DESC. A Receiver Operating Characteristic Curve of the Korean Nu-DESC was constructed with an accompanying Area Under the Curve (AUC).
Specific examples such as irritable, kidding, sleeping tendency, which were observed by bedside nurses in Korea, were identified in the five features of signs and symptoms of delirium in the instrument. The Korean Nu-DESC was psycho-metrically valid and had a sensitivity and specificity of .81-.76 and .97-.73, respectively. The AUC were .89, .74.
Results of this study indicate that the Korean Nu-DESC is well-suited for widespread clinical use in busy inpatients settings and shows promise as a research instrument.
本研究旨在开发并检验韩国版老年住院患者护理谵妄量表（Nu-DESC）的有效性。
韩国版Nu-DESC基于Nu-DESC（高德罗，2005年）开发，并根据一所综合医院中361例老年谵妄患者的体征和症状护理记录以及一项预试验（42例）结果进行修订。为检验韩国版Nu-DESC的有效性，来自12个护理单元的731例老年患者中有75例被护士怀疑患有谵妄，床边护士使用韩国版Nu-DESC对其进行评估。构建了韩国版Nu-DESC的受试者工作特征曲线，并计算了相应的曲线下面积（AUC）。
在该量表谵妄体征和症状的五个特征中确定了韩国床边护士观察到的诸如易怒、开玩笑、睡眠倾向等具体示例。韩国版Nu-DESC在心理测量学上是有效的，其敏感性和特异性分别为0.81 - 0.76和0.97 - 0.73。AUC分别为0.89、0.74。
本研究结果表明，韩国版Nu-DESC非常适合在繁忙的住院患者环境中广泛应用于临床，并且有望成为一种研究工具。
