重症监护病房患者认知功能评定工具的研究进展
Chinese Journal of Rehabilitation Theory and Practice(2015)
Abstract
谵妄和认知障碍在重症监护病房(ICU)中经常出现。对于谵妄,美国重症医学临床实践指南推荐5个筛查用量表:ICU精神错乱评定法(CAM-ICU)、重症监护谵妄筛查表(ICDSC)、谵妄认知测试(CTD)、护士用谵妄量表(Nu-DESC)和谵妄分级量表(DRS)。其中,CAM-ICU和ICDSC信度、效度、敏感性及特异性等最好,CTD和Nu-DESC次之,DRS最差。认知障碍的筛选和评定工具包括简易精神状态检查(MMSE)、简短精神状态检查(AMSE)、约翰-霍普斯金认知评定量表。约翰-霍普斯金认知评定量表是比较适合重症监护病房的量表之一,操作简单,内容全面,有较高的信度与效度。
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Key words
intensive care units,cognitive function,assessment,review
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