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validation of the NEECHAM confusion scale for intensive care delirium assessment | ||
| Journal of Health Sciences & Surveillance System | ||
| مقاله 3، دوره 7، شماره 4، دی 2019، صفحه 178-182 اصل مقاله (300.57 K) | ||
| نوع مقاله: Original Article | ||
| شناسه دیجیتال (DOI): 10.30476/jhsss.2020.85687.1073 | ||
| نویسندگان | ||
| Hossein Ashtarian1؛ Nasrin Mehrabi2؛ Mohammad-Rafi Bazrafshan3؛ Mahmoud Rahmati* 4 | ||
| 1Health Education Department, Faculty of Health, Kermanshah University of Medical Sciences (KUMS), Kermanshah, Iran | ||
| 2Student research committee, School of Nursing and Midwifery, Kermanshah University of Medical Sciences (KUMS), Kermanshah, Iran | ||
| 3Department of Nursing, School of Nursing, Larestan University of Medical Sciences, Larestan, Iran. | ||
| 4Psychiatric Nursing Department, School of Nursing and Midwifery, Kermanshah University of Medical Sciences (KUMS), Kermanshah, Iran | ||
| چکیده | ||
| Introduction: Delirium measurement instruments should be highly sensitive, and their instruction for the users should also be short-term and straightforward. The objective of the present study was to investigate the validation of the NEECHAM confusion scalein predicting the delirium of ICU patients in Kermanshah health care and educational centers in 2015. Methods: This is cross-sectional descriptive-analytic research that was conducted in 2015. The researcher acquired the consent of the administrators of Imam Reza (AS) and Taleqani hospitals. A briefing session was held in ICU units, and the objective and method of the study were explained to patients to attract their cooperation. Sampling was done using convenience sampling. Some 166 patients were selected. The NEECHAM confusion scalewas used to investigate the delirium of patients. The area under the receiver operating characteristic (ROC) curve was used to assess the quality of the questionnaire. The significance level was considered 0.05. Results: Results show that 50.6 percent of the samples were female, and most of them were married (85.2%). Most of the patients lived in cities (78.9%) and were illiterate (50.3%). Also, most of the patients were housewives (44.4%). Instruments for data collection were demographic questionnaire and the NEECHAM confusion scale. The results of this study indicated that 45.2 percent of people have delirium. The NEECHAM confusion scalehas a large area under the ROC curve. Therefore, it has high predicting power in the prediction of delirium. Conclusion: according to the findings of this study, it can be said the NEECHAM confusion scalehas the validity to be able to provide accurate and rapid information about patients' delirious status. Since the cognitive impairment screening tools require regular editing; therefore, nurses working in intensive care units can use this tool to diagnose patients with delirium and prevent delirium complications quickly. | ||
| کلیدواژه‌ها | ||
| Confusion؛ Delirium؛ Intensive Care Units؛ Nurses؛ Validation Study | ||
| مراجع | ||
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1. Riekerk B, Pen EJ, Hofhuis JG, Rommes JH, Schultz MJ, Spronk PE. Limitations and practicalities of CAM-ICU implementation, a delirium scoring system, in a Dutch intensive care unit. Intensive and Critical Care Nursing. 2009;25(5):242-9.
2. Sorensen Duppils G, Johansson I. Predictive value and validation of the NEECHAM Confusion Scale using DSM-IV criteria for delirium as gold standard. Int J Older People Nurs. 2011;6(2):133-42.
3. Sadock BJ, Sadock VA. Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry: Lippincott Williams & Wilkins; 2011.
4. Elliott SR. ICU delirium: a survey into nursing and medical staff knowledge of current practices and perceived barriers towards ICU delirium in the intensive care unit. Intensive and Critical Care Nursing. 2014;30(6):333-8.
5. Faria RdSB, Moreno RP. Delirium in intensive care: an under-diagnosed reality. Revista Brasileira de terapia intensiva. 2013;25(2):137.
6. Cerejeira J, Mukaetova-Ladinska EB. A clinical update on delirium: from early recognition to effective management. Nursing research and practice. 2011;2011.
7. Schuurmans MJ, Deschamps PI, Markham SW, Shortridge-Baggett LM, Duursma SA. The measurement of delirium: review of scales. Research and theory for nursing practice. 2003;17(3):207-24.
8. Grover S, Kate N. Assessment scales for delirium: a review. World journal of psychiatry. 2012;2(4):58.
9. Guenther U, Popp J, Koecher L, Muders T, Wrigge H, Ely EW, et al. Validity and reliability of the CAM-ICU Flowsheet to diagnose delirium in surgical ICU patients. Journal of critical care. 2010;25(1):144-51.
10. Lawlor PG, Bush SH. Delirium diagnosis, screening and management. Current opinion in supportive and palliative care. 2014;8(3):286.
11. Neefjes ECW, van der Vorst MJDL, Boddaert MSA, Verdegaal BATT, Beeker A, Teunissen SCC, et al. Accuracy of the Delirium Observational Screening Scale (DOS) as a screening tool for delirium in patients with advanced cancer. BMC Cancer. 2019;19(1):160.
12. Poikajarvi S, Salantera S, Katajisto J, Junttila K. Validation of Finnish Neecham Confusion Scale and Nursing Delirium Screening Scale using Confusion Assessment Method algorithm as a comparison scale. BMC Nurs. 2017;16(7):016-0199.
13. Lawlor PG, Rutkowski NA, MacDonald AR, Ansari MT, Sikora L, Momoli F, et al. A scoping review to map empirical evidence regarding key domains and questions in the clinical pathway of delirium in palliative care. Journal of pain and symptom management. 2019;57(3):661-81. e12.
14. Sohrabi M, Jannati Y, Bagheri Nesami M, Yazdani Charaty J, Mazdarani S. Incidence of delirium and associated factors before open heart surgery. Journal of Research Development in Nursing And Midwifery. 2013;10(1):33-42.
15. Schuurmans MJ. The Neecham Confusion Scale and the Delirium Observation Screening Scale: capacity to discriminate and ease of use in clinical practice. BMC nursing. 2007;6(1):3.
16. Immers HE, Schuurmans MJ, van de Bijl JJ. Recognition of delirium in ICU patients: a diagnostic study of the NEECHAM confusion scale in ICU patients. BMC nursing. 2005;4(1):7.
17. Matarese M, Generoso S, Ivziku D, Pedone C, De Marinis MG. Delirium in older patients: a diagnostic study of NEECHAM Confusion Scale in surgical intensive care unit. Journal of clinical nursing. 2013;22(19-20):2849-57.
18. Van Rompaey B, Schuurmans MJ, Shortridge-Baggett LM, Truijen S, Elseviers M, Bossaert L. A comparison of the CAM-ICU and the NEECHAM Confusion Scale in intensive care delirium assessment: an observational study in non-intubated patients. Critical Care. 2008;12(1):R16.
19. Bazrafshan MR, Sharif F, Molazem Z, Mani A. Cultural concepts and themes of suicidal attempt among Iranian adolescents. International journal of high risk behaviors & addiction. 2015;4(1).
20. Bazrafshan M-R, Sharif F, Molazem Z, Mani A. Exploring the risk factors contributing to suicide attempt among adolescents: A qualitative study. Iranian journal of nursing and midwifery research. 2016;21(1):93.
21. Jalali A, Behrouzi MK, Salari N, Bazrafshan M-R, Rahmati M. The effectiveness of group spiritual intervention on self-esteem and happiness among men undergoing methadone maintenance treatment. Current Drug Research Reviews Formerly: Current Drug Abuse Reviews. 2019;11(1):67-72.
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