Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Development of Korean Adult Patients Delirium Screening Tool

한국형 성인 환자 섬망 선별 도구 개발

  • Jeong, Hye Won (Department of Nursing, Chonnam National University Hospital . College of Nursing, Chonnam National University) ;
  • Moon, Sun Hee (College of Nursing, Chonnam National University) ;
  • Choi, Myoung Lee (Department of Nursing, Chonnam National University Hospital ) ;
  • Lee, Jung A (Department of Nursing, Chonnam National University Hospital) ;
  • Ahn, Shin Hye (Department of Nursing, Chonnam National University Hospital) ;
  • Jeon, Ji Hye (Department of Nursing, Chonnam National University Hospital) ;
  • You, Ji Na (Department of Nursing, Chonnam National University Hospital) ;
  • Kim, Hee Jin (Department of Nursing, Chonnam National University Hospital) ;
  • Byeon, Ji Eun (Department of Nursing, Chonnam National University Hospital) ;
  • Kim, Sook Young (Asan Medical Center) ;
  • Sung, In Suk (Venterans Health Service Medical Center)
  • Received : 2023.05.10
  • Accepted : 2023.06.16
  • Published : 2023.08.31
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Abstract

Purpose: The purpose of this study was to develop a Korean Adult Patients Delirium Screening Tool (K-APDS) for those admitted to general wards, and to verify its reliability and validity. Methods: For the development of the tool, 12 items were derived through the results of literature review and focus group interviews with general ward nurses, and the content validity was confirmed by experts. To verify the reliability and validity of the developed tool, 317 adult patients who were admitted to general wards of three tertiary general hospitals from October to November 2022 were evaluated by the attending nurse and data were collected. Results: After factor analysis for construct validity verification, two factors were extracted, which explained 60.1% of the total variance. After the validation of the control group, the difference in the delirium incidence scores calculated using the K-APDS between the delirium group and non-delirium group was very significant (Z=-10.82, p<.001). To verify the criterion validity, K-APDS, Delirium Observation Screening, and Pearson's correlation coefficient were checked and found to be .94 (p<.001). The predictive validity test reported that the sensitivity was 91.1%, specificity was 82.4%, positive predictive value was 52.6%, and negative predictive value was 97.8%. The reliability of K-APDS was found to be high with Cronbach's ⍺=.91. Conclusion: K-APDS can screen for delirium with 2 or more points, excellent validity and reliability have been verified. Therefore, this tool could be applied immediately in the clinical field, and will contribute to the early detection of delirium, enabling rapid interventions.

Keywords

Acknowledgement

본 논문은 2022년 병원간호사회에서 연구비를 지원받아 진행한 연구임.

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