開顱手術病患急性混亂相關因素及定義性特徵之臨床效度測定

The purpose of this study was to explore the clinical validation of the related factors and defining characteristics of acute confusion among craniotomy patients. Two study methods were used for clinical validation: (1) diagnostic content validity (DCV) and (2) clinical observation. Two scales used to examine the reliability and validity in this explorative study were related factors of acute confusion scale and defining characteristics of acute confusion scale. The samples for this study included 60 nurses of neurological wards for DCV of related factors and defining characteristics, and 52 craniotomy patients for CDV of related factors and defining characteristics. According to the Mini Mental Status Examination (MMSE), fifty-two craniotomy patients were divided into a MMSE-negative group (n=17) or a MMSE-positive group (n=35).
Results of this study showed that the DCV scores of seven related factors were greater than 0.5. Five of 21 defining characteristics were deleted based on the results of DCV, clinical observation and factor analysis. Two factors extracted from 16 defining characteristics were “cognitive impairment or behavior disturbance” and “consciousness and sleep disturbance or negative behavior.”