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Revista de Enfermagem Referência
Print version ISSN 0874-0283On-line version ISSN 2182-2883
Abstract
RODRIGUES, Cátia Rosas et al. Nursing Delirium Screening Scale: Evaluation of psychometric properties in an orthopedic service in Portugal. Rev. Enf. Ref. [online]. 2023, vol.serVI, n.2, e22099. Epub Sep 04, 2023. ISSN 0874-0283. https://doi.org/10.12707/rvi22099.
Background:
The identification of delirium by nurses extremely relevant. The Portuguese version of the Nursing Delirium Screening Scale (Nu-DESC) is a tool that can be used in this setting.
Objective:
To evaluate the psychometric properties of the Portuguese version of the Nu-DESC in a surgical context.
Methodology:
Methodological study with patients aged 65 years or older with a diagnosis of proximal femur fracture. Three assessment tools were used to analyze the agreement between the results.
Results:
In a sample of 81 patients, the sensitivity of the Nu-DESC was 92% compared to the Confusion Assessment Method (CAM) and 91% compared to the application of the DSM-5 criteria. The specificity of the instrument was 98% compared to CAM and 94% compared to the DSM-5. Cronbach’s alpha ranged between 0.86 and 0.89
Conclusion:
The evaluation of the psychometric properties of the Nu-DESC in a surgical context confirmed the validity and reliability of the instrument. The results show that the scale has a high sensitivity and specificity for assessing delirium.
Keywords : postoperative care; nursing; delirium; orthopedics; psychometrics.
