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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 高碧霞(Bih-Shya Gau) | |
| dc.contributor.author | Chiung-Ying Huang | en |
| dc.contributor.author | 黃瓊鶯 | zh_TW |
| dc.date.accessioned | 2021-06-15T06:51:04Z | - |
| dc.date.available | 2011-12-15 | |
| dc.date.copyright | 2011-03-03 | |
| dc.date.issued | 2011 | |
| dc.date.submitted | 2011-02-15 | |
| dc.identifier.citation | 中文部分
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J., & Trzepacz, P. T. (2003). The delirium rating scale in children and adolescents. Psychosomatics, 44(2), 126-129. Turkel, S. B., Trzepacz, P. T., ＆Tavare, C. J. (2006). Comparing symptoms of delirium in adults and children. Psychosomatics, 47(4), 320-324. Williams, M., Ward, S., & Campbell, E. (1988). Confusion: Testing vs observation. Journal of Gerontology Nursing, 14(1), 25-30. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/48278 | - |
| dc.description.abstract | 背景：加護病房急性譫妄的發生會延長住院天數、增加疾病嚴重度及醫療成本。 對病童的身心都是很大的衝擊。而加護病房急性譫妄之相關研究卻十分有限，且大多在探討成人之急性譫妄，國內外卻無兒童相關之急性譫妄量表。
目的：本研究目的在於發展兒童版譫妄量表及量表之信度效度檢測。 研究方法：研究設計採橫斷式研究設計本研究工具參考Huang et al.（2009）之成人版譫妄量表98中文版進行量表修正，將其修正為適合臨床護理人員施測於兒童之「兒童譫妄量表」，以立意取樣方式，選取某醫學中心7-18歲住加護病房之24位重症病童為研究對象。於住加護病房期間重複施測共計37人次資料，予以SPSS 15.0 for windows統計軟體進行分析，並進行量表之信、效度檢定，包括內容效度、效標關聯效度、內在一致性、評核者一致性等。 結果：研究對象年齡介於9~18歲之間，平均年齡13.3歲(SD = 3.05)，住加護病房天數介於2~26天，平均住加護病房天數為9.83天(SD = 6.33)，24位病童中有3位病童(12.5%)住加護病房期間曾出現急性譫妄，本研究量表信效度方面：整體量表之專家內容效度(content validity index, CVI）為0.97；以精神疾病診斷準則手冊第四版（The Diagnostic and Statistical Manual of Mental Disorders, fourth edition , DSM-Ⅳ）的譫妄診斷作為效標，以Kendall's tau_b檢測結果顯示DSM-Ⅳ的譫妄診斷與兒童譫妄量表間呈現正相關，(r＝0.46，P＜0.01)；以Kappa一致性係數進行評核者間一致性檢定，結果顯示兩組施測者的評分相當一致 (κ = 0.79，P＜0.05)；本研究整體總量表之Cronbach’s α為0.94顯示本量表具足夠的內在一致性；整體量表之組內相關係數(Intra-class correlation, ICC)為0.94。 結論：研究結果顯示，兒童譫妄量表具有良好的信、效度，可應用在未來兒童譫妄之相關研究。未來的研究建議也能拓及一般病房的譫妄兒童，運用縱貫式研究以使本研究更臻完善。 | zh_TW |
| dc.description.abstract | Background: The occurrence of ICU acute delirium can increase the length of hospital stay, the severity of illness and the medical costs. It has a great impact on physical and mental for children. However, the researches on the ICU delirium in children were insufficient and most of the rating scales were explored the adult and the elder patients; there was no rating useful to children.
Purposes: The purposes of this research are to develop the〝Pediatric Delirium Rating Scale〞and to evaluate its reliability and validity. Methods: The research utilized a cross-sectional study design. This research is referring to Huang et al. (2009) (Delirium Rating Scale- Revised-98-C). The original delirium rating scale has been amended into “Pediatric Delirium Rating scale” to fit for clinical practice for nursing members to apply on pediatric patients. The data was collected from 24 patients aged among 7-18, who are receiving intensive care in a medical center in northern Taiwan. Repeated surveying has been applied during their stay in ICU, 37 person times all collected data was statistically analyzed with a SPSS 15.0 for windows software, and examined the reliability and validity of the scale, including content validity (CVI), criterion related validity, internal consistency and inter-rater reliability. Results: This study was recruited 24 illness children, and collected 37 person-time data. These children were aged from 9 to 18 (mean=13.3, SD = 3.05). The intensive care unit stay was between 2 to 26 days (mean=9.83, SD = 6.33). There were 3 children (12.5%) had acute delirium during the admission in the intensive care unit. The content validity index (CVI) of this scale was 0.97; the criterion related validity was measured by the Diagnostic and Statistical Manual of Mental Disorders, fourth edition, (DSM-IV). It showed positive correlation between diagnosis of acute delirium and Pediatric Delirium Rating Scale as the result of Kendall's tau_b (r＝0.46，P＜0.01). According to Kappa consistency coefficient to evaluate the rater consistency, it showed consistent between the raters of these two groups (κ = 0.79，P＜0.05). The Cronbach’s α was 0.94 also showed adequate internal consistency of this rating scale. The Intra-class correlation, ICC was 0.94. Conclusion: Study findings suggest that the “Pediatric Delirium Rating Scale Revised-98-C” has good reliability and validity. Hence, the scale can provide a basis for further study about pediatric delirium. Future researches to recruit delirium children in the general wards and to have the longitudinal study design are suggested. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-15T06:51:04Z (GMT). No. of bitstreams: 1 ntu-100-R94426025-1.pdf: 1851705 bytes, checksum: 40ae1df165cfd7afb0f74c7ecb0925c9 (MD5) Previous issue date: 2011 | en |
| dc.description.tableofcontents | 口試委員會審定書 i
致 謝 ii 中文摘要 iii Abstract iv 第一章 緒論 1 第一節 研究動機與重要性 1 第二節 研究目的 3 第三節 研究問題 3 第四節 名詞界定 4 第二章 文獻查證 5 第一節 重症加護病童之壓力源 5 第二節 急性譫妄基本概念 6 第三節 急性譫妄之相關因素 8 第四節 急性譫妄之評核量表 9 第三章 研究方法 12 第一節 研究設計 12 第二節 研究工具 13 第三節 研究對象及場所 15 第四節 研究步驟 17 第五節 資料處理及分析 22 第六節 倫理考量 24 第四章 研究結果 25 第一節 研究對象之基本資料描述 25 第二節 效度檢測結果 27 第三節 信度檢測結果 32 第四節 兒童譫妄量表之臨床適用性 36 第五章 討論 42 第一節 兒童譫妄量表之效度分析 42 第二節 兒童譫妄量表之信度分析 44 第三節 兒童譫妄表之臨床適用性 46 第六章 結論與建議 49 第一節 結論 49 第二節 護理應用與建議…………………..………………..………….51 第三節 研究限制…………………..………………………..………….52 參考文獻 54 中文部分 54 英文部分 55 附錄： 附錄一 兒童譫妄量表（Pediatric Delirium Rating Scale-Revised–98-C）之修改內容 60 附錄二 內容效度評核資料 72 內容效度評量說明(1) 72 內容效度評量說明(2) 72 內容評分表 (3) 75 附錄三 量表內容專家內容效度及一致性評分 80 附錄四 個人基本資料 84 附錄五 兒童譫妄量表(Pediatric Delirium Rating Scale-Revised-98-C ) 86 附錄六 IRB審查同意書………………………………………………………………90 附錄七 IRB展延同意書 93 附錄八 臨床試驗受試者說明及同意書 94 附錄九 DRS-R-98中文版量表授權同意書 98 附錄十 問卷效度評定之專家名單 99 附錄十一 確診病童簡介 100 | |
| dc.language.iso | zh-TW | |
| dc.subject | 急性譫妄 | zh_TW |
| dc.subject | 重症照護 | zh_TW |
| dc.subject | 加護病房症候群 | zh_TW |
| dc.subject | 兒童加護病房 | zh_TW |
| dc.subject | acute delirium | en |
| dc.subject | ICU syndrome | en |
| dc.subject | pediatric intensive care unit（PICU） | en |
| dc.subject | critical care | en |
| dc.title | 兒童譫妄量表臨床適用性之先驅性研究 | zh_TW |
| dc.title | The clinical feasibility of Pediatric Delirium Rating Scale-R-98-C (PDRS-R-98-C): A Preliminary Study | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 99-1 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 丘彥南(Yen-Nan Chiu),李旺祚(Wang-Tso Lee) | |
| dc.subject.keyword | 兒童加護病房,加護病房症候群,急性譫妄,重症照護, | zh_TW |
| dc.subject.keyword | pediatric intensive care unit（PICU）,ICU syndrome,acute delirium,critical care, | en |
| dc.relation.page | 102 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2011-02-15 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 護理學研究所 | zh_TW |
| 顯示於系所單位： | 護理學系所 | |
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