Ching-Ho Hu MD, Yu-Chuan Chiu MD, Shen-Ing Liu MD, PHD, Kai-ting Ko MD, MS
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引用次数: 0
摘要
谵妄是普通医院人群中常见的神经精神疾病。因此，本研究的目的是通过开发和验证中文版本的纪念谵妄评估量表(MDAS)来扩展谵妄诊断工具的使用。方法选取台北市和淡水市麦凯总医院的调查对象。委员会认证的精神科医生使用MDAS，混乱评估方法(CAM)和迷你精神状态检查(MMSE)评估患者。另一位咨询联络精神病医生证实了谵妄的诊断。我们评估了MDAS的信度和效度，并使用受试者工作特征曲线来确定识别谵妄的最佳截止点。结果61例患者中，29例被诊断为谵妄。谵妄患者的平均MDAS评分为16.7，非谵妄患者的平均MDAS评分为4.1。MDAS具有良好的内部一致性，Cronbach’s alpha系数为0.912。信度为0.996(95%可信区间[CI]: 0.992-0.998)。普通话版MDAS的诊断临界值为9，具有较高的敏感性(93.1%)和特异性(96.9%)。因子分析显示双因子结构;这些因素分别占方差的58.37%和14.42%。MDAS与CAM评分呈高度相关(r = - 0.849, p <.001)以及MMSE (r = - 0.875, p < .001)。国语MDAS对综合医院患者的评价具有良好的信度和效度。
Validating the Mandarin version of the Memorial delirium assessment scale in general medical hospital patients
Delirium is a common neuropsychiatric condition in the general hospital population. Thus, the goal of the present study is to extend the use of diagnostic tools for delirium by developing and validating a Mandarin version of the Memorial Delirium Assessment Scale (MDAS).
期刊介绍：
Asia-Pacific Psychiatry is an international psychiatric journal focused on the Asia and Pacific Rim region, and is the official journal of the Pacific Rim College of Psychiatrics. Asia-Pacific Psychiatry enables psychiatric and other mental health professionals in the region to share their research, education programs and clinical experience with a larger international readership. The journal offers a venue for high quality research for and from the region in the face of minimal international publication availability for authors concerned with the region. This includes findings highlighting the diversity in psychiatric behaviour, treatment and outcome related to social, ethnic, cultural and economic differences of the region. The journal publishes peer-reviewed articles and reviews, as well as clinically and educationally focused papers on regional best practices. Images, videos, a young psychiatrist''s corner, meeting reports, a journal club and contextual commentaries differentiate this journal from existing main stream psychiatry journals that are focused on other regions, or nationally focused within countries of Asia and the Pacific Rim.
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