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ORIGINAL RESEARCH article

Front. Med.
Sec. Intensive Care Medicine and Anesthesiology
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1412172
This article is part of the Research Topic Delirium in Older Persons View all 9 articles

Translation, Cultural Debugging, and Validation of the Chinese Version of the Sour Seven Questionnaire: A Cross-Sectional Study

Provisionally accepted
Shichao Zhu Shichao Zhu 1,2*Shiqing Liu Shiqing Liu 3*Liming Li Liming Li 1,2*Huanmin Xing Huanmin Xing 1,2*Ming Xia Ming Xia 1,2*Guangyan Dong Guangyan Dong 1,2
  • 1 Other, Zhengzhou, China
  • 2 Henan Provincial People's Hospital, Zhengzhou, China
  • 3 First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, China

The final, formatted version of the article will be published soon.

    INTRODUCTION: Intensive Care Unit delirium (ICUD) is an acute cerebral dysfunction accompanied by a change of level of consciousness, disorientation, and cognitive dysfunction, typically occurring over a short duration ranging from hours to days and resulting from underlying medical causes. Family members may sometimes detect changes in consciousness earlier than medical staff. The Sour Seven Questionnaire is a tool to assist family members in screening for delirium, but there is currently no Chinese version. This study aimed to translate and cross-culturally debug the Sour Seven Questionnaire and test the effectiveness of the Chinese version in screening for ICUD by family members. METHODS: To create the Chinese version of the questionnaire, the scale was first translated and then culturally debugged through expert consultation and cognitive interviews. Patients and their family members admitted to three ICUs in a Chinese hospital were selected to test the Chinese version of the Sour Seven Questionnaire and the results were compared with those of the validated and recommended Confusion Assessment Method for the intensive care unit (CAM-ICU) assessment. RESULTS: A total of 190 ICU patients and their families were included in this study. Results of the CAM-ICU assessment showed that 73 (38.4%) patients developed ICUD compared to the 66 (34.7%) using the Chinese version of the Sour Seven Questionnaire, which had a Cohen's kappa coefficient of 0.853, a sensitivity of 0.863, and a specificity of 0.974. The positive predictive value was 0.954 and the negative predictive value was 0.919. DISCUSSION: The Chinese version of the Sour Seven Questionnaire is a valid assessment tool for helping families screen for ICUD, and it is effective in identifying altered consciousness in patients even during online visits.

    Keywords: Chinese version, Delirium, family member, Nursing, Sour Seven Questionnaire

    Received: 09 Apr 2024; Accepted: 28 Aug 2024.

    Copyright: © 2024 Zhu, Liu, Li, Xing, Xia and Dong. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Shichao Zhu, Other, Zhengzhou, China
    Shiqing Liu, First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan Province, China
    Liming Li, Henan Provincial People's Hospital, Zhengzhou, China
    Huanmin Xing, Henan Provincial People's Hospital, Zhengzhou, China
    Ming Xia, Other, Zhengzhou, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.