Nursing Home Assessment of Cognitive Impairment: Development and Testing of a Brief Instrument of Mental Status
Nursing Home Assessment of Cognitive Impairment: Development and Testing of a Brief Instrument of Mental Status
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DOI：
10.1111/j.1532-5415.2008.01944.x
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发表时间：
2008-11-01
影响因子：
6.3
通讯作者：
Saliba, Debra
中科院分区：
文献类型：
--
作者：
Chodosh, Joshua;Edelen, Maria Orlando;Saliba, Debra
采用横断面独立认知筛选测验对养老院(NH)住院医师进行横断面独立认知筛查，以6个退伍军人事务部护理机构6个地区分布的374名NH住院医师为研究对象，采用3种认知评价工具：心理状态简明访谈(BIMS)、最小数据集(MDS)2.0认知表现量表(CPS)和改良的简易智力状态检查(3MS)作为标准。15分的BIMS测试记忆和方向，包括自由和提示召回项目。研究助理对所有受试者进行3MS和BIMS测试。在接受调查的417名居民中，374人(89.7%)完成了3MS和研究助理管理的BIMS(BIMS-R)；212名居民也接受了设施护士管理的BIMS(BIMS-N)。BIMS-R与3MS的相关性高于CPS(皮尔逊相关系数r=0.79 vs 0.62；P
To test the accuracy of a brief cognitive assessment of nursing home (NH) residents and to determine whether facility nurses can reliably perform this assessment.Cross-sectional, independent cognitive screening tests with NH residents.Six Department of Veteran Affairs nursing facilities.Three hundred seventy-four residents from six regionally distributed Veteran Affairs NHs.Three cognitive assessment instruments: the Brief Interview of Mental Status (BIMS), created for this study; the Minimum Data Set (MDS) 2.0 Cognitive Performance Scale (CPS), and the Modified Mini-Mental State Examination (3MS) as the criterion standard. The 15-point BIMS tests memory and orientation and includes free and cued recall items. Research assistants administered the 3MS and BIMS to all subjects. Facility nurses administered the same BIMS to a subsample.Three hundred seventy-four of 417 (89.7%) residents approached completed the 3MS and research assistant-administered BIMS (BIMS-R); 212 residents also received a facility nurse-administered BIMS (BIMS-N). The BIMS-R was more highly correlated with the 3MS than was the CPS (Pearson correlation coefficient (r)=0.79 vs 0.62; P