中文版PRE-DELIRIC谵妄预测模型的信度和效度研究  

Study for the reliability and validity of Chinese version PRE-DELIRIC delirium prediction model

作　　者：李云[1] 贺婷[1] 吴文娟[1] 

机构地区：[1]广东省中山市人民医院,广东中山528400

出　　处：《护士进修杂志》2015年第15期1356-1359,共4页Journal of Nurses Training

基　　金：广东省中山市科技计划项目(编号:20132A104)

摘　　要：目的分析中文版PRE-DELIRIC谵妄预测模型在ICU患者中的信度和效度。方法选取306例ICU患者作为样本，使用PRE-DELIRIC谵妄预测模型对其施测以行评价者间信度分析和预测效度分析。结果使用PRE-DELIRIC谵妄预测模型时，评价者间的信度为0．94（P〈0．01）；预测效度结果表明，当PRE-DELIRIC谵妄预测模型的阈值取42％时，灵敏度为0．848，特异度为0．946，ROC曲线下面积为0．936（95％CI：0．910～0．963）（P〈0．001）说明工具具有较好的预测效度。结论PRE—DELIRIC的评价者间信度和预测效度较好，适合对ICU患者进行谵妄发生的预测。Objective To analyze the reliability and validity of Chinese version of PRE-DELIRIC delirium prediction model for ICU patients. Method 306 patients in ICU was selected for the study. The reliability and predictive validity analysis and evaluation was conducted by using PRE-DELIRIC delirium predictive models. Result Using the PRE-DELIRIC delirium prediction model,the inter-rater reliability was 0.94 （P〈0.01）. The predictive validity results show that when the threshold values of PRE-DELIRIC delirium prediction model was 42%,the sensitivity was 0. 848,the specificity was 0. 946,the area under the ROC curve was 0. 936（95%CI：0. 910-0. 963）（P〈0. 001）. It＇s showed that the tool has good predictive validity. Conclusion The PRE-DELIRIC between evaluators has good reliability and predictive validity, It＇s suitable for predicted delirium occurred for ICU patients,

关 键 词：PRE-DELIRIC谵妄预测模型 ICU患者 谵妄 信度 效度 

分 类 号：R471[医药卫生—护理学] R473.74[医药卫生—临床医学]