【摘要】 [目的]研究ICU意识模糊评估法(CAM-ICU)中字母法和图片法评估注意缺损的一致性。[方法]根据Ely教授对CAM-ICU图片册的制作要求,制成图片册A和图片册B,选取进入宣武医院心脏科ICU、胸外科ICU、普外科ICU、呼吸科ICU科病人135例,分别应用图片册A、图片册B和字母法进行检查。[结果]字母法与图片册A的相关系数为0.889,母法和图片册B的相关系数为0.890;字母法与图片册A和图片册B的一致性系数(Kappa值)分别为0.831和0.847;以图片册A评估结果为标准,字母法评估注意缺损的灵敏度和特异度分别为90.7%和93.5%。[结论]字母法与图片法之间具有很好的相关性和一致性,CAM-ICU量表中注意缺损检查法可用于我国ICU病人。更多还原

【Abstract】 Objective:To study on the concordance of letter method and picture method to evaluate attention deletion in confusion assessment method for intensive care unit(CAM-ICU) patients.Methods:According to Professor Ely’s request for CAM-ICU pictures booklet,pictures booklet A and B were made out.A total of 135 critical patients admitted in cardiology,chest surgery,general surgery and respiratory ICU of Xuanwu Hospital were selected.All cases were examined with pictures booklet A and B,and letter method respectively.Results:Correlation coefficients between letter method and pictures booklet A and B were 0.889 and 0.890 respectively.And concordance coefficients(the Kappa value) between letter method and pictures booklet A and B were 0.831 and 0.847 respectively.Taking pictures booklet A evaluation results as standard,the sensibility and specificity of letter method to assess attention deletion were 90.7% and 93.5% respectively.Conclusion:There are good correlativity and concordance between letter method and picture method.And attention deletion examination in CAM-ICU scale could be used for ICU patients in China.更多还原