Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Development and validation of the Korean Nursing Delirium Scale

한국어판 간호 섬망 선별 도구 개발 및 검증

  • Kim, Kyoung-Nam (Department of Nursing, Seoul National University Bundang Hospital) ;
  • Kim, Cheol-Ho (Geriatric Center, Seoul National University Bundang Hospital & Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Kim, Kwang-Il (Geriatric Center, Seoul National University Bundang Hospital & Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Yoo, Hyun-Jung (Geriatric Center, Seoul National University Bundang Hospital) ;
  • Park, Si-Young (Geriatric Center, Seoul National University Bundang Hospital) ;
  • Park, Yeon-Hwan (College of Nursing & The Research Institute of Nurisng Science, Seoul National University)
  • 김경남 (분당서울대학교병원 간호팀) ;
  • 김철호 (분당서울대학교병원 노인의료센터) ;
  • 김광일 (분당서울대학교병원 노인의료센터) ;
  • 유현정 (분당서울대학교병원 노인의료센터) ;
  • 박시영 (분당서울대학교병원 노인의료센터) ;
  • 박연환 (서울대학교 간호대학.간호과학연구소)
  • Received : 2011.08.05
  • Accepted : 2012.05.29
  • Published : 2012.06.30
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Abstract

Purpose: The aims of this study were to develop and test the validity of the Korean Nursing Delirium Scale (Nu-DESC) for older patients in hospital. Methods: The Korean Nu-DESC was developed based on the Nu-DESC (Gaudreau, 2005), and revised according to nursing records related to signs and symptoms of older patients with delirium (n=361) and the results of a pilot study (n=42) in one general hospital. To test the validity of the Korean Nu-DESC, 75 older patients whom nurses suspected of delirium from 731 older patients from 12 nursing units were assessed by bedside nurses using the Korean Nu-DESC. A Receiver Operating Characteristic Curve of the Korean Nu-DESC was constructed with an accompanying Area Under the Curve (AUC). Results: Specific examples such as irritable, kidding, sleeping tendency, which were observed by bedside nurses in Korea, were identified in the five features of signs and symptoms of delirium in the instrument. The Korean Nu-DESC was psycho-metrically valid and had a sensitivity and specificity of .81-.76 and .97-.73, respectively. The AUC were .89, .74. Conclusion: Results of this study indicate that the Korean Nu-DESC is well-suited for widespread clinical use in busy inpatients settings and shows promise as a research instrument.

Keywords

References

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