CAM 定义的老年人群中 3 分钟诊断访谈的验证。

Validation of the 3-minute diagnostic interview for CAM-defined Delirium in Chinese older adults.

机构信息

School of Nursing, Capital Medical University, Beijing, China, 100069.

出版信息

Geriatr Nurs. 2021 Jan-Feb;42(1):21-26. doi: 10.1016/j.gerinurse.2020.10.021. Epub 2020 Nov 14.

DOI:10.1016/j.gerinurse.2020.10.021

PMID:33197703

Abstract

Delirium is a common complication among older adults, but it is often unrecognized in routine practice. The 3-Minute Diagnostic Interview for CAM-defined Delirium (3D-CAM) was developed to identify delirium in the general unit. This prospective diagnostic study was conducted to validate the accuracy of the 3D-CAM Chinese version among older adults in the general units. A total of 204 hospitalized older adults from a geriatric hospital were enrolled in the study, of whom 54 were identified as positive for delirium. The sensitivity and specificity of the 3D-CAM Chinese version were 94% and 97%, respectively. The median duration of assessment using the 3D-CAM was about 3 minutes. The 3D-CAM had highly acceptable sensitivity and specificity when it was used by nurse researchers among Chinese older adults.

摘要

谵妄是老年人常见的并发症，但在常规实践中常常未被识别。3 分钟 CAM 定义的谵妄诊断访谈（3D-CAM）用于在普通病房中识别谵妄。这项前瞻性诊断研究旨在验证 3D-CAM 中文版在普通病房中老年人中的准确性。共有 204 名来自老年医院的住院老年人参与了这项研究，其中 54 人被确定为谵妄阳性。3D-CAM 中文版的灵敏度和特异性分别为 94%和 97%。使用 3D-CAM 进行评估的中位数时间约为 3 分钟。护士研究人员在中国老年人中使用 3D-CAM 时，其灵敏度和特异性具有高度可接受性。