康奈尔儿童谵妄评估量表对术后儿童谵妄筛查的适用性研究  

Applicability of Chinese Version of Cornell Delirium Assessment Scale for Delirium Screening in Postoperative Children

作　　者：任卫红[1] 陈仰昆[1] 姚玉玲[1] 邓勇进[1] 张红梅[1] 叶婉玲[1] 赵妙玲 黄德辉[1] 王萍 REN Wei-hong;CHEN Yang-kun;YAO Yu-ling;DENG Yong-jin;ZHANG Hong-mei;YE Wan-ling;HUANG De-hu;ZHAO Miao-ling;WANG Ping(Intensive Care Medical Center of Dongguan People's Hospital,Dongguan,Guangdong Province,523059;College of Nursing,Guangdong Medical University,Dongguan,Guangdong Province)

机构地区：[1]广东省东莞市人民医院重症医学中心,523058 [2]广东医科大学护理学院,523808

出　　处：《岭南急诊医学杂志》2022年第2期149-151,156,共4页Lingnan Journal of Emergency Medicine

基　　金：广东省医学科研基金项目(B2019144);东莞市社会科技发展项目(2019507152875)。

摘　　要：目的:评价中文版康奈尔儿童谵妄评估量表(C-CAPD)用于PICU术后儿童谵妄筛查的适用性。方法:采用方便抽样法,选取2020年7月至2021年12月东莞市人民医院PICU的81名术后患儿为研究对象。以美国精神疾病诊断标准DSM-Ⅴ为金标准检验C-CAPD对PICU术后患儿谵妄评估的诊断性效度。结果:81例PICU术后患儿DSM-V诊断谵妄的发生率为24.7%,不同年龄、性别和手术类型间谵妄的发生率无明显差异(P>0.05);用C-CAPD诊断的谵妄发生率为22.2%,两者结果一致性Kappa值为0.863(P<0.01);与DSM-V相比,C-CAPD的灵敏度为80.0%(95%CI 55.7%-93.3%),特异度为96.7%(95%CI 87.6%-99.4%),阳性预测值为88.9%(95%CI 63.9%-98.1%),阴性预测值为93.7%(95%CI 83.8%-98.0%)。结论:PICU术后儿童谵妄发生率高,C-CAPD用于PICU术后患儿谵妄评估的诊断效度好,适用于PICU护士使用。Objective:To evaluate the applicability of Chinese version of Cornell delirium assessment scale(CCAPD)for delirium screening in postoperative children of PICU. Methods:81 postoperative children admitted to PICU of Dongguan People’s Hospital from Jul 2020 to Dec 2021 were selected by convenient sampling method. The diagnostic validity of C-CAPD in the evaluation of delirium in postoperative children of PICU was tested with DSM-V as the gold standard. Results:24.7% of 81 postoperative children were detected by DSM-V as delirium. There was no significant difference in the incidence of delirium among different age,sex and operation type. The incidence of delirium diagnosed by C-CAPD was 22.2%,and the kappa value of the consistency between the two results was 0.863(P<0.01);the sensitivity of C-CAPD was 80.0%(95%CI 55.7%-93.3%),the specificity was 96.7%(95%CI 87.6%-99.4%),the positive predictive value was 88.9%(95% CI 63.9%-98.1%),and the negative predictive value was 93.7%(95% CI 83.8%-98.0%).Conclusions:The incidence of delirium in postoperative children of PICU was high. C-CAPD has good diagnostic validity in delirium assessment of postoperative patients in PICU and is suitable for PICU nurses.

关 键 词：谵妄 儿童重症监护室 康奈尔儿童谵妄评估量表 灵敏度 特异度 

分 类 号：R726[医药卫生—儿科]