Richmond agitation–sedation scale validity and reliability in intensive care unit adult patients; Persian edition
Journal of Critical Care Nursing : January 30, 2009,
2 (1); e7163
January 30, 2009
Article Type: Research Article
August 29, 2016
January 12, 2009
S J, Karimi Zarchi
A A, Saghafinia
M, et al. Richmond agitation–sedation scale validity and reliability in intensive care unit adult patients; Persian edition,
Crit Care Nurs J.
Aims. Sedative medications are widely used in intensive care unit patients. Structured assessment of sedation and agitation
is useful to titrate sedative medications and to evaluate agitated behavior with persian version of Richmond agitationsedation
Methods. At first, the english version of Richmond was translated to persian and the initial persian version was confirmed
by expert. This version was studied on 35 patients. Then the persian version translated back to english and evaluated in 35
other patients. After training the users (one anesthesiologist and 7 nurses), this scale was studied in two phases on 120 adult
ICU patients in one of Tehran hospitals to measure the inter-rater reliability and validity.
Results. Comparison of intraclass correlation coefficient (RASS; κ) of0.65 and visual analog scale (r) of 0.76 and interclass
correlation coefficient (α) of 0.95 showed a significant correlation between the raters.
Conclusion. Persian version of Richmond agitation-sedation scale is logical, easy to administer and readily recalled. It has
high reliability and validity among raters. This standard scale reduces damages and time period of using sedatives and ICU
nurses can better understand the concept of sedation in physician's view.
Sedative Medications, Agitation, Validation, Reliability
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