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이영휘 ( Lee Young-Whee ) - 인하대학교 간호학과
장성옥 ( Chang Sung-Ok ) - 고려대학교 간호대학
공은숙 ( Kong Eun-Suk ) - 예수대학교 간호학부
김남초 ( Kim Nam-Cho ) - 가톨릭대학교 간호대학
김춘길 ( Kim Chun-Gill ) - 한림대학교 간호학부
김희경 ( Kim Hee-Kyung ) - 공주대학교 간호학과
송미순 ( Song Mi-Soon ) - 서울대학교 간호대학
안수연 ( Ahn Soo-Yeon ) - 한림대학교 간호학부
조명옥 ( Cho Myung-Ok ) - 동의대학교 간호학과
최경숙 ( Choi Kyung-Sook ) - 중앙대학교 적십자간호대학
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Abstract
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Purpose: This study was undertaken to identify which delirium screening instrument would be more useful in clinical practice.
Methods: Data were collected from 118 nurses from six hospitals in five provinces in Korea. For the delirium screening three instruments were compared: NEECHAM Confusion Scale (NEECHAM), Nursing Delirium Screening Scale (Nu-DESC), Delirium Observation Scale (DOS). The MMSE-K was used for concurrent validity. The nurse subjects were surveyed as to the practical clinical value of each instrument. Cronbach"s ? coefficient and Kuder-Richardson 20 were used to confirm the reliability.
Results: The range of three scales reliability was .70~.82 and the range of correlation coefficient was .63~.82 with MMSE-K. For sensitivity of NEECHAM, Nu-DESC and DOS was 1.00, 1.00 and 0.81 respectively and specificity NEECHAM, Nu-DESC and DOS was 0.88, 0.89 and 0.89 respectively. Nurses rated the practical use of the DOS scale as significantly easier to use than the NEECHAM and Nu-DESC.
Conclusion: NEECHAM, Nu-DESC and DOS scales were acceptable in terms of reliability, validity, sensitivity and specificity. However, nurses rated the DOS scale as easier scale to use and had more relevance to their practice.
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KeyWords
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섬망, 노인
Delirium, Aged
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원문 및 링크아웃 정보
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등재저널 정보
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