[Development of a troublesome behavior scale (TBS) for elderly patients with dementia].
[Development of a troublesome behavior scale (TBS) for elderly patients with dementia].
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老年痴呆症患者麻烦行为量表（TBS）的开发[J].
DOI：
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发表时间：
1994
期刊：
影响因子：
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通讯作者：
A. Asaka
中科院分区：
文献类型：
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作者：
T. Asada;M. Yoshioka;S. Morikawa;H. Koyama;E. Kitajima;K. Kawasaki;T. Kinoshita;A. Asaka
开发了一种用于评估与痴呆症相关的麻烦行为的评级量表。该工具被命名为麻烦行为量表（TBS），旨在由家庭和专业护理人员完成。它由 14 个问题组成，评估各种类型的破坏性或繁重行为。 14 个问题中的 2 个问题对门诊患者和住院患者的评估有所不同。这 14 个项目中的每一个都根据上个月的行为频率进行了 5 种可能的响应评级（从 0 = 从不，到 4 = 每天一次或更多）。因此，分数越高表明干扰越多。根据 DSM III-R 标准对 146 名门诊痴呆症患者和 167 名住院痴呆症患者进行了 TBS，以测试其信度和效度。分别分析门诊患者和住院患者的数据。该量表的可靠性基于完美一致率和卡伯值的计算，表明两个样本的重测和评估者间的可靠性较高。效度方面，通过对门诊数据的验证性因素分析，揭示了三个主要因素，即“对照顾者的行为”、“自我专注行为”和“精心行为”。对住院患者数据的相同分析得出了不同的三个因素：“干扰护理工作的行为”、“需要警惕保护的行为”和“导致物品丢失的行为”。从这些发现来看，TBS 似乎是评估痴呆症患者麻烦行为的可靠且有效的工具。
A rating scale for assessing troublesome behavior associated with dementia illnesses was developed. This instrument, named the troublesome behavior scale (TBS), is designed to be completed by family and professional caregivers. It is comprised of 14 questions assessing a variety of types of disruptive or burdensome behavior. Two of the 14 questions differ in their assessment for outpatients and that for inpatients. Each of the 14 items is rated with 5 possible responses corresponding to the frequency of the behavior in the preceding month (from 0 = never, to 4 = once every day or more). Thus, higher scores indicate more disturbance. The TBS was administered to 146 outpatients and 167 inpatients with dementia based on the DSM III-R criteria in order to test its reliability and validity. The data were analyzed separately for outpatients and inpatients. The reliability of the scale, based on calculation of perfect agreement rates and kappa values, indicated high test-retest and inter-rater reliability for both samples. Validity, by confirmatory factor analysis of the data from the outpatients, revealed three main factors, namely, "behavior toward caregivers", "self-absorbed behavior" and "elaborate behavior". The same analysis of data from inpatients resulted in a different set of three factors: "behavior interfering with care work", "behavior necessitating watchful protection" and "behavior resulting in missing articles". From these findings TBS appears to be a reliable and valid instrument for assessing troublesome behavior of patients with dementia.