《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (11): 1287-1289.

• 国际会议报道 • 上一篇    下一篇

重症监护病房患者认知功能评定工具的研究进展

吴野环，张一，姚秋近，陈超，王涯，张瑜
  

  1. 作者单位：常州市第一人民医院神经外科，江苏常州市 213003。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-11-25 发布日期:2015-11-25

Tools of Cognitive Function Assessment Used in Intensive Care Unit (review)

WU Ye-huan, ZHANG Yi, YAO Qiu-jin, CHEN Chao, WANG Ya, ZHANG Yu
  

  1. Department of Neurosurgery, The First People's Hospital of Changzhou, Changzhou, Jiangsu 213003, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-11-25 Online:2015-11-25

PDF (PC)

被引次数

2

摘要： 谵妄和认知障碍在重症监护病房(ICU)中经常出现。对于谵妄，美国重症医学临床实践指南推荐5个筛查用量表：ICU精神错乱评定法(CAM-ICU)、重症监护谵妄筛查表(ICDSC)、谵妄认知测试(CTD)、护士用谵妄量表(Nu-DESC)和谵妄分级量表(DRS)。其中，CAM-ICU和 ICDSC信度、效度、敏感性及特异性等最好，CTD和 Nu-DESC次之，DRS最差。认知障碍的筛选和评定工具包括简易精神状态检查(MMSE)、简短精神状态检查(AMSE)、约翰-霍普斯金认知评定量表。约翰-霍普斯金认知评定量表是比较适合重症监护病房的量表之一，操作简单，内容全面，有较高的信度与效度。

关键词: 重症监护病房, 认知功能, 评定, 综述

Abstract: Delirium and cognitive impairment are common in the intensive care units (ICU). The Confusion Assessment Method Intensive Care Unit (CAM-ICU), Intensive Care Delirium Screening Checklist (ICDSC), Cognitive Test for Delirium (CTD), Nursing Delirium Scale (Nu-DESC) and Delirium Rating Scale (DRS) are recommended to assess delirium. CAM-ICU and ICDSC are the best in the reliability, validity, sensitivity and specification. Mini-Mental State Examination (MMSE), Abbreviated Mental Status Examination (AMSE), the Johns Hopkins Adapted Cognitive Exam are used commonly for cognitive impairment, and Johns Hopkins Adapted Cognitive Exam is one of the suitable scales for ICU as it is simple, comprehensive, and with higher reliability and validity.

Key words: intensive care units, cognitive function, assessment, review