Scales for mental state and daily living activities for the elderly: clinical behavioral scales for assessing demented patients.
Scales for mental state and daily living activities for the elderly: clinical behavioral scales for assessing demented patients.
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DOI：
10.1017/s1041610293001462
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发表时间：
1993-01-01
影响因子：
7
通讯作者：
Yamashita, M
中科院分区：
文献类型：
--
作者：
Nishimura, T;Kobayashi, T;Yamashita, M
在老年期痴呆患者的诊断、治疗和护理中，需要对日常生活能力和心理功能进行综合评价。我们使用简单的老年人心理状态（NM量表）和日常生活活动（N-ADL）行为评定量表，对250名老年人进行了评估。根据NM量表，临床诊断严重程度的受试者评分如下：正常，50-48；边界，47-43；轻度痴呆，42-31 岁；中度痴呆，30-17 岁；和严重的痴呆症，16-0。使用NM量表可以轻松完成痴呆症筛查并确定其严重程度，并且使用N-ADL可以有效评估老年人日常生活中的基本活动。长谷川痴呆量表与 NM 量表之间存在显着相关性（r = 0.863）（p < 0.001），GBS 量表的智力功能评分与 NM 量表之间存在显着相关性（r = -0.947），GBS 量表的运动功能评分与 N-ADL 评分之间存在显着相关性（r = 0.944）。对日常生活活动的评估不仅可以由精神科医生和临床心理学家进行，也可以由非专业人士进行，因为它们是基于通过观察日常生活行为获得的数据；因此，评估适用于临床环境和生活场所。
In the diagnosis, treatment, and care of dementia patients in the senile stage, comprehensive evaluation of ability in daily life and mental function is needed. Using a simple behavioral rating scale for the mental states (NM scale) and activities of daily living (N-ADL) of the elderly, we evaluated 250 elderly subjects. According to the NM scale, the scores for subjects in whom the severity was clinically diagnosed were as follows: normal, 50-48; borderline, 47-43; mild dementia, 42-31; moderate dementia, 30-17; and severe dementia, 16-0. Screening for dementia and determining its severity were readily accomplished using the NM scale, and basic activities in the daily life of the elderly could be evaluated effectively using the N-ADL. There was a significant correlation (r = 0.863) between the Hasegawa dementia scale and the NM scale (p < 0.001), a significant correlation (r = -0.947) between intellectual function scores of the GBS scale and the NM scale, and a significant correlation (r = 0.944) between motor function score of the GBS scale and the N-ADL score. Evaluations of daily life activities can be made not only by psychiatrists and clinical psychologists, but by nonspecialists as well, because they are based on data obtained by observation of daily life behaviors; thus, assessment is appropriate both in clinical settings and in places of living.