Neelon V J, Champagne M T, Carlson J R, Funk S G
School of Nursing, University of North Carolina at Chapel Hill, USA.
Nurs Res. 1996 Nov-Dec;45(6):324-30. doi: 10.1097/00006199-199611000-00002.
This article reports the development of the NEECHAM Confusion Scale for rapid and unobtrusive assessment and monitoring of acute confusion. The scale was tested in two samples (N = 168 and 258, respectively) of elderly patients hospitalized for acute medical illness. Internal consistency and interrater reliability of the instrument were found to be high. The NEECHAM correlated well with the Mini-Mental State Examination and the sum of DSM-III-R positive items. Factor analyses identified and confirmed cognitive/behavioral and physiological domains. The NEECHAM provides a valid and reliable bedside assessment of acute confusion, particularly at its onset and in patients with "quiet" manifestations.
本文报告了用于快速、非侵入性评估和监测急性意识模糊的NEECHAM意识模糊量表的开发情况。该量表在因急性内科疾病住院的老年患者的两个样本（分别为N = 168和258）中进行了测试。发现该工具的内部一致性和评分者间信度较高。NEECHAM与简易精神状态检查表以及DSM-III-R阳性项目总和相关性良好。因子分析确定并证实了认知/行为和生理领域。NEECHAM为急性意识模糊提供了有效且可靠的床边评估，尤其是在其发作时以及有“安静”表现的患者中。
