Validity and reliability of Ramsay sedation scale in Intensive Care Unit adult patients
Journal of Critical Care Nursing : January 30, 2010,
3 (1); e7117
January 30, 2010
Article Type: Research Article
August 28, 2016
February 03, 2010
E, Mohammad Yari
S. et al. Validity and reliability of Ramsay sedation scale in Intensive Care Unit adult patients,
Crit Care Nurs J.
Aims: In order to review and determine the level of sedation, a standard scale is needed. considering that in Iran, none of
the sedation measures are made native sofar or they are just translated, the aim of this study was to confirm the validity and
reliability of Ramsay sedation scale in adult patients hospitalized in Intensive care units of Iran.
Methods: This is a methodological study in which after translating the English version of Ramsay scale to Persian, 120
Intensive care unit patients of two hospitals of Tehran were selected by available purposive sampling method. Eight
evaluators (Main researcher, six nurses and anesthesiology resident) independently evaluated the patients by using the
Persian version of Ramsay scale. Patients were evaluated by main researcher at first and then other investigators observed
and independently recorded Glasgow modified by Palma & Cook and Glasgow Coma scores for visual analog scale and a
score for Ramsay scale.
Results: Internal correlation coefficient in trained group was 0.843 and the weighted kappa score for inter-rater agreement
was 0.875 (p<0.001). Validity tests showed a high correlation (r=0.978) between Ramsay and visual analog scale and
Glasgow Coma Scale(r=0.772; p<0.001).
Conclusion: Validity and reliability of Ramsay scale are confirmed for assessing sedation in adult patients hospitalized in
Intensive care units in Iran.
Sedation, Reliability, Validity, Intensive Care Unit, Adult, Ramsay Sedation Scale
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