Assessing Delirium Severity in Dementia: Item Development and Psychometric Validation for a Delirium Severity Instrument.

IF 1.1 4区医学 Q4 GERIATRICS & GERONTOLOGY

Journal of gerontological nursing Pub Date : 2024-09-01 DOI:10.3928/00989134-20240809-06

Tammy Hshieh, Dena Schulman-Green, Tamara G Fong, Eran Metzger, Franchesca Arias, Benjamin Helfand, Ed Marcantonio, Eva Schmitt, Patricia Tabloski, Rich N Jones, Sharon K Inouye

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引用次数: 0

Abstract

Purpose: Despite the importance of measuring delirium severity in patients with Alzheimer's disease and related dementias (ADRD), no validated instrument currently exists. Our goal was to generate items for use in such an instrument.

Method: An interdisciplinary expert panel developed items to assess seven domains and 21 subdomains of delirium severity. Nursing experts provided input on items.

Results: Experts achieved consensus on 21 items, including best respondents for each item, and appropriate look-back periods. Nursing experts emphasized the need for educating nursing staff and obtaining information from caregivers.

Conclusion: Careful, nuanced identification of distinguishing features is key for generating items for measuring delirium severity in persons with ADRD. Once developed, engaging nurses will be essential to facilitate adoption and relevance of the tool. [Journal of Gerontological Nursing, 50(9), 24-30.].

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评估痴呆症的谵妄严重程度：谵妄严重程度工具的项目开发和心理测量验证。

目的：尽管测量阿尔茨海默病及相关痴呆症（ADRD）患者的谵妄严重程度非常重要，但目前还没有经过验证的工具。我们的目标是制定用于此类工具的项目：方法：跨学科专家小组开发了用于评估谵妄严重程度的 7 个领域和 21 个子领域的项目。护理专家对项目提出了意见：结果：专家们就 21 个项目达成了共识，包括每个项目的最佳应答者和适当的回溯期。护理专家强调了教育护理人员和从护理人员处获取信息的必要性：结论：仔细、细致地识别谵妄的不同特征是制定测量 ADRD 患者谵妄严重程度的项目的关键。一旦开发成功，让护士参与进来对于促进工具的采用和实用性至关重要。[老年护理杂志》，50（9），24-30]。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of gerontological nursing 医学-护理

CiteScore

2.00

自引率

7.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.