Wing D M, Hansen H, Martin B
Clin Nurs Res. 1994 Aug;3(3):228-42. doi: 10.1177/105477389400300306.
The purpose of this study was to develop and test a tool for assessing alcoholic denial. The primary author devised the Alcoholism Denial Assessment Tool (ADAT) based on 2 years of experience. The tool was tested for interrater reliability using chart data of 42 recently discharged alcoholism patients. The test for significance of a proportion, using z scores, indicated significance at the .001 level. Item analysis showed strong interrater reliability on all but 1 of the 16 tool items. The ADAT provides nurses with a practical assessment tool that can be used daily to monitor progress. Recognition that a patient is in denial can allow meaningful and appropriately planned treatment.
本研究的目的是开发并测试一种评估酒精成瘾否认情况的工具。第一作者基于两年的经验设计了酒精成瘾否认评估工具（ADAT）。该工具利用42名近期出院的酒精成瘾患者的图表数据进行了评分者间信度测试。使用z分数进行的比例显著性检验表明，在0.001水平上具有显著性。项目分析显示，16个工具项目中除1项外，其余各项均具有很强的评分者间信度。ADAT为护士提供了一种实用的评估工具，可每日用于监测进展情况。认识到患者处于否认状态有助于进行有意义且计划得当的治疗。
