The use of the neuropsychiatric inventory in nursing home residents -: Characterization and measurement
The use of the neuropsychiatric inventory in nursing home residents -: Characterization and measurement
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DOI：
10.1097/00019442-200002000-00010
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发表时间：
2000-12-01
影响因子：
7.2
通讯作者：
Schnelle, JF
中科院分区：
文献类型：
--
作者：
Wood, S;Cummings, JL;Schnelle, JF
作者评估了疗养院版神经精神量表-疗养院版（NPI-NH）的有效性，将认证护士助理（CNA）和持照职业护士（LVNs）的反应与研究观察结果进行了比较。除焦虑和食欲障碍外，NPI-NH的所有领域（妄想、幻觉、激越/攻击性抑郁、冷漠去抑制、欣快、易怒/不稳定和异常运动障碍）的相关性均显著但中等。LVN的评级与研究人员的行为观察结果的相关性始终高于CNA：但对于具有高水平神经精神症状的居民来说，LVN的评级是中等的，通常更好，因此，在养老院环境中，应谨慎使用任何未经培训的评级者。非研究人员使用的NPI-NH可以用于识别具有显著神经精神障碍的居民，但作为跟踪行为变化的工具可能有限。
The authors assessed the validity of the nursing home version of the Neuropsychiatric Inventory-Nursing Home Version (NPI-NH), comparing the responses of certified nurses' aides (CNAs) and licensed vocational nurses (LVNs) with research observations. Correlations were significant but moderate for all of the domains of the NPI-NH (delusions, hallucinations, agitation/aggression depression, apathy disinhibition, euphoria, irritability/lability, and aberrant motor disturbances) except anxiety and appetite disturbance. The LVNs' ratings showed consistently higher correlations with the researchers' behavioral observations than did the CNAs: but were moderate and generally better for residents with high levels of neuropsychiatric symptoms, thus, caution should be used with any untrained rater in the nursing home setting. The NPI-NH used by non-research staff can be useful in identifying residents with significant neuropsychiatric disturbances, but may be limited as an instrument for tracking behavioral changes.