Validity and Relıability Study of Nursing-Delirium Screening Scale Turkish Version

Authors : Gülsen KARATAŞ, Sevgin SAMANCIOGLU

Pages : 918-929

Doi:10.37989/gumussagbil.1228595

View : 99 | Download : 86

Publication Date : 2023-09-26

Article Type : Research Paper

Abstract :The aim of this study was to investigate the validity-reliability of the Turkish version of the Nursing-Delirium Screening Scale insert ignore into journalissuearticles values(Nu-DESC TR);. Hundred fifty intensive care patients with a stay in the intensive care unit not exceeding 48 hours, not in a coma state insert ignore into journalissuearticles values(RASS: between -3 and +4, GCS: 10 and above);, without a story of a formerly diagnosed neurologial and psychiatric disease that may prevent the diagnosis of delirium insert ignore into journalissuearticles values(dementia, psychosis, mental retardation, neuromuscular disorder, head injury, brain operation, paralysis);, without dementia insert ignore into journalissuearticles values(IQCODE score <3.4 patients); and without vital cases/disorder insert ignore into journalissuearticles values(expected to live longer than 24 hours); were included. Confusion Assessment Method for the Intensive Care Unit insert ignore into journalissuearticles values(CAM-ICU);, Richmound Sedation-Agitation Scale insert ignore into journalissuearticles values(RASS); and Glaskow Coma Scale insert ignore into journalissuearticles values(GCS); were used to test criterion validity. Exploratory and confirmatory factor analyzes were performed to reveal the factor structure of Nu-DESC. According to factor analysis, the scale has a one-dimensional structure as in its original form. The Cronbach alpha internal consistency coefficient was 0.74 and item-total correlation coefficients were between 0.22 and 1. There was a strong negative correlation between daytime scores of Nu-DESC TR and RASS insert ignore into journalissuearticles values(r: -0.637);, GCS insert ignore into journalissuearticles values(r: -0.650); and CAM-ICU insert ignore into journalissuearticles values(r: -0.753);. There was a strong negative correlation between nighttime scores of Nu-DESC TR and RASS insert ignore into journalissuearticles values(r: -0.696);, GCS insert ignore into journalissuearticles values(r: -0.634); and CAM-ICU insert ignore into journalissuearticles values(r: -0.802);. GCS, RASS and CAM-ICU scores decrease as Nu-DESC day and night time scores increase. Analyses have shown that Nu-DESC TR has enough validity and reliability values in diagnosing delirium in intensive care patients.
Keywords : deliryum, hemşirelik, ölçek, güvenirlik, geçerlik