REPLICATION OF THE MULTIDIMENSIONALITY OF ACTIVITIES OF DAILY LIVING
REPLICATION OF THE MULTIDIMENSIONALITY OF ACTIVITIES OF DAILY LIVING
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DOI：
10.1093/geronj/48.1.s28
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发表时间：
1993-01-01
期刊：
影响因子：
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通讯作者：
WOLINSKY, FD
中科院分区：
文献类型：
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作者：
FITZGERALD, JF;SMITH, DM;WOLINSKY, FD
我们试图复制以前提出的ADL量表的三维因素结构，并证明先进的ADL维度和认知功能之间的关联。在这些分析中使用的数据是基线评估的健康和功能状态的住院患者参加了一个随机对照试验的情况下，管理人员作为一种手段，减少医疗保健的利用。我们提交了14个项目从OARS的主成分因子分析的两个阶段的过程。四个重要维度与Wolinsky和约翰逊（1991）报告的高级、基本和家庭ADL维度非常相似。然而，在这个住院患者的样本中，失禁作为一个弱的第四维出现。SPMSQ心理状态检查评分在这些ADL维度上的多元回归表明认知功能与高级ADL维度之间存在关联。这些数据证实，日常生活能力的基本结构包括至少三个独立的维度，其中之一是与认知能力。
We attempted to replicate the three-dimensional factor structure of a previously proposed ADL scale and demonstrate an association between the advanced ADL dimension and cognitive function. Data used in these analyses were baseline assessments of health and functional status of hospitalized patients enrolled in a randomized controlled trial of case managers as a means of reducing health care utilization. We submitted 14 items from the OARS to a two-stage process of principal components factor analysis. Four significant dimensions emerged that were remarkably similar to the advanced, basic, and household ADL dimensions reported by Wolinsky and Johnson (1991). In this sample of hospitalized patients, however, incontinence emerged as a weak fourth dimension. Multiple regression of SPMSQ mental status examination scores on these ADL dimensions demonstrates the association between cognitive function and the advanced ADL dimension. These data confirm that the underlying structure of ADLs consists of at least three separate dimensions, one of which is aligned with cognitive capacity.