护理评估量表用于早期诊断谵妄的验证 - Nu-DESC（西班牙语）。
Validation to Spanish of nursing assessment scale for early diagnosis of delirium - Nu-DESC.
机构信息
RN, PhD. Proffesor Universidad Nacional de Colombia.
RN. Hospital Universitario Nacional, Bogotá, Colombia.
出版信息
Invest Educ Enferm. 2023 Jun;41(2). doi: 10.17533/udea.iee.v41n2e03.
OBJECTIVE
This work aimed to determine the validity and reliability of the Colombian Spanish version of the Nursing Delirium Screening Scale (Nu-DESC).
METHODS
A psychometric study was conducted to achieve the goal of this study, which measured face validity, content validity, sensitivity, specificity and predictive values of the Nu-DESC.
RESULTS
. Face validity obtained a total Aiken V of 0.89, and content validity showed a modified Lawshe index of 0.92. When Nu-DESC was applied to 210 adult patients hospitalized in the Intensive Care Unit, it was found that 14.2% had suspected delirium. The instrument showed a sensitivity of 91.6%, specificity of 95.6%, positive predictive value of 73.3%, negative predictive value of 98.8%, good internal consistency with Cronbach's α of 0.8 and good concordance according to Cohen's Kappa index of 0.788.
CONCLUSION
The Spanish version of the Nu-DESC scale for Colombia has appropriate psychometric values for assessing delirium risk. In addition, this scale is easy to apply, so the adaptation of nursing personnel for its employability favors routine monitoring and timely detection of delirium.
目的
本研究旨在确定哥伦比亚西班牙语版护理谵妄筛查量表（Nu-DESC）的效度和信度。
方法
为实现本研究的目标，进行了一项心理测量学研究，以测量 Nu-DESC 的表面效度、内容效度、灵敏度、特异性和预测值。
结果
表面效度获得总 Aiken V 为 0.89，内容效度显示修改后的 Lawshe 指数为 0.92。当 Nu-DESC 应用于 210 名住院于重症监护病房的成年患者时，发现 14.2%的患者有疑似谵妄。该工具的灵敏度为 91.6%，特异性为 95.6%，阳性预测值为 73.3%，阴性预测值为 98.8%，内部一致性 Cronbach's α 为 0.8，根据 Cohen 的 Kappa 指数为 0.788，一致性良好。
结论
哥伦比亚西班牙语版 Nu-DESC 量表具有评估谵妄风险的适当心理计量学价值。此外，该量表易于应用，因此护理人员对其可接受性的适应有利于常规监测和及时发现谵妄。
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