Zhu Shichao, Liu Shiqing, Li Liming, Xing Huanmin, Xia Ming, Dong Guangyan
Intensive Care Unit, Henan Provincial People's Hospital, Zhengzhou, China.
Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, China.
Front Med (Lausanne). 2024 Sep 25;11:1412172. doi: 10.3389/fmed.2024.1412172. eCollection 2024.
Intensive care unit delirium (ICUD) is an acute cerebral dysfunction accompanied by a change of level of consciousness, disorientation, and cognitive dysfunction, typically occurring over a short duration ranging from hours to days and resulting from underlying medical causes. Family members may sometimes detect changes in consciousness earlier than medical staff. The Sour Seven Questionnaire is a tool to assist family members in screening for delirium, but there is currently no Chinese version. This study aimed to translate and cross-culturally debug the Sour Seven Questionnaire and test the effectiveness of the Chinese version in screening for ICUD by family members.
To create the Chinese version of the questionnaire, the questionnaire was first translated and then culturally debugged through expert consultation and cognitive interviews. Patients and their family members admitted to three ICUs in a Chinese hospital were selected to test the Chinese version of the Sour Seven Questionnaire and the results were compared with those of the validated and recommended Confusion Assessment Method for the intensive care unit (CAM-ICU) assessment.
A total of 190 ICU patients and their families were included in this study. Results of the CAM-ICU assessment showed that 73 (38.4%) patients developed ICUD compared to the 66 (34.7%) using the Chinese version of the Sour Seven Questionnaire, which had a Cohen's kappa coefficient of 0.853, a sensitivity of 0.863, and a specificity of 0.974. The positive predictive value was 0.954 and the negative predictive value was 0.919.
The Chinese version of the Sour Seven Questionnaire is a valid assessment tool for helping families screen for ICUD, and it is effective in identifying altered consciousness in patients even during online visits.
重症监护病房谵妄（ICUD）是一种急性脑功能障碍，伴有意识水平改变、定向障碍和认知功能障碍，通常在数小时至数天的短时间内发生，由潜在的医学原因引起。家庭成员有时可能比医护人员更早发现意识变化。“酸七问卷”是一种帮助家庭成员筛查谵妄的工具，但目前尚无中文版。本研究旨在翻译并跨文化调试“酸七问卷”，并测试其中文版在家庭成员筛查ICUD中的有效性。
为创建该问卷的中文版，首先对问卷进行翻译，然后通过专家咨询和认知访谈进行文化调试。选取中国一家医院三个重症监护病房收治的患者及其家属，对“酸七问卷”中文版进行测试，并将结果与经过验证和推荐的重症监护病房意识模糊评估法（CAM-ICU）评估结果进行比较。
本研究共纳入190名重症监护病房患者及其家属。CAM-ICU评估结果显示，73名（38.4%）患者发生了ICUD，而使用“酸七问卷”中文版筛查出66名（34.7%）患者发生ICUD，其Cohen's kappa系数为0.853，灵敏度为0.863，特异度为0.974。阳性预测值为0.954，阴性预测值为0.919。
“酸七问卷”中文版是帮助家庭筛查ICUD的有效评估工具，即使在在线就诊期间也能有效识别患者的意识改变。
