- Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi
- Cilt: 12 Sayı: 3
- Validity and Relıability Study of Nursing-Delirium Screening Scale Turkish Version
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 : 96 | Download : 85
Publication Date : 2023-09-26
Article Type : Research
Abstract :The aim of this study was to investigate the validity-reliability of the Turkish version of the Nursing-Delirium Screening Scale (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 (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 (dementia, psychosis, mental retardation, neuromuscular disorder, head injury, brain operation, paralysis), without dementia (IQCODE score <3.4 patients) and without vital cases/disorder (expected to live longer than 24 hours) were included. Confusion Assessment Method for the Intensive Care Unit (CAM-ICU), Richmound Sedation-Agitation Scale (RASS) and Glaskow Coma Scale (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 (r: -0.637), GCS (r: -0.650) and CAM-ICU (r: -0.753). There was a strong negative correlation between nighttime scores of Nu-DESC TR and RASS (r: -0.696), GCS (r: -0.634) and CAM-ICU (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