里士满躁动镇静量表塞尔维亚语译本在麻醉后护理单元患者中的效度及评分者间信度
The validation and inter-rater reliability of the Serbian translation of the Richmond agitation and sedation scale in post anesthesia care unit patients.
作者信息
Stasevic Karlicic, Stasevic M, Jankovic S, Djukic Dejanovic, Dutina A, Grbic I
机构信息
Clinic for Psychiatric Disorders "Dr Laza Lazarevic", Emergency Department, Belgrade,Serbia.
University Clinic for Pharmacology, Toxicology and Clinical Pharmacology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.
出版信息
Hippokratia. 2016 Jan-Mar;20(1):50-54.
BACKGROUND
Targeted light sedation is recommended because it shortens the time of mechanical ventilation and the length of stay in an intensive care unit (ICU). However, there is no validated scale for sedation and agitation in ICU in the Serbian speaking area. The aim of the current study was to validate, verify the reliability and enable the application of the Richmond Agitation and Sedation Scale (RASS) in the Serbian speaking area.
METHODS
In this prospective cohort study, RASS was applied to 301 adult patients hospitalized in surgical ICUs by two different research team members. We tested RASS for inter-rater reliability by the correlation between them. The scale was validated by comparison to Glasgow Coma Scale (GCS) scores which was applied by the third investigator. Interrater agreement was measured using weighted kappa (k) and for correlation Spearman's test was used.
RESULTS
The inter-rater reliability of the scale was high (k ˃0.7). The degree of correlation between the RASS and the GCS during all five days of observation was high (˃0.7 for both investigators, the fifth day). In all the cases, Spearman's correlation coefficient was highly significant (p ˂0.01).
CONCLUSIONS
The Serbian translation of the RASS is a reliable and valid instrument for the assessment of the levels of sedation and agitation with patients in ICU. Hippokratia 2016, 20(1): 50-54.
背景
推荐进行目标性浅镇静，因为它能缩短机械通气时间和重症监护病房（ICU）住院时间。然而，在塞尔维亚语地区，尚无经过验证的ICU镇静和躁动评估量表。本研究的目的是在塞尔维亚语地区验证、核实里士满躁动镇静量表（RASS）的可靠性并使其得以应用。
方法
在这项前瞻性队列研究中，由两名不同的研究团队成员对301名入住外科ICU的成年患者应用RASS。我们通过二者之间的相关性测试RASS的评分者间信度。通过与由第三名研究者应用的格拉斯哥昏迷量表（GCS）评分进行比较来验证该量表。使用加权kappa（κ）测量评分者间一致性，并使用Spearman检验进行相关性分析。
结果
该量表的评分者间信度较高（κ＞0.7）。在观察的所有五天中，RASS与GCS之间的相关程度较高（两名研究者在第五天的相关系数均＞0.7）。在所有病例中，Spearman相关系数均具有高度显著性（p＜0.01）。
结论
RASS的塞尔维亚语翻译版本是评估ICU患者镇静和躁动水平的可靠且有效的工具。《希波克拉底》2016年，20(1): 50 - 54。
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