SYSTEMATIC BIASES IN FUNCTIONAL STATUS ASSESSMENT OF ELDERLY ADULTS - EFFECTS OF DIFFERENT DATA SOURCES
SYSTEMATIC BIASES IN FUNCTIONAL STATUS ASSESSMENT OF ELDERLY ADULTS - EFFECTS OF DIFFERENT DATA SOURCES
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DOI：
10.1093/geronj/39.6.686
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发表时间：
1984-01-01
期刊：
影响因子：
--
通讯作者：
KANE, R
中科院分区：
文献类型：
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作者：
RUBENSTEIN, LZ;SCHAIRER, C;KANE, R
使用特定的仪器测量功能状态是老年医学评估的重要组成部分。这些工具往往依赖与最初验证时不同的数据来源。为了研究不同数据来源对功能状态评分的可能偏差效应，采用3种不同的数据来源(患者本人、患者的护士和重要的他人)对一组住院老年人(n=61)进行了两种常用工具(劳顿个人自我维持量表(PSMS)和日常生活能力量表(IADL))的评分。分析表明，患者的抑郁自评量表得分显著高于重要他人的得分(P<；0.025)，患者的综合生活能力得分显著高于护士的得分(P<；0.001)和显著的他人得分(P<；0.001)。对一组养老院患者(n=68)进行Katz日常生活活动(ADL)量表评分，并使用患者及其护士的数据进行比较。同样，患者的得分显著高于护士的得分(P<；0.001)。因此，确定患者功能能力的数据来源是不可互换的，患者可能会夸大他们的功能能力，而其他重要的人可能会低估他们，相对于熟练护理人员的判断。
Measuring functional status using specific instruments is an important part of geriatric assessment. These instruments often rely on data sources different from those with which they were originally validated. To study possible biasing effects of different data sources on functional status scores, scores were examined for 2 widely used instruments (the Lawton Personal Self-Maintenance Scale, PSMS, and Instrumental Activities of Daily Living, IADL, Scale) on a group of hospitalized elderly (n = 61) using 3 different data sources (the patients themselves, the patients'' nurses and significant others). Analysis showed that PSMS scores derived from patients were significantly higher than scores derived from significant others (P < 0.025) and that patient-derived IADL scores were significantly higher than both nurse-derived scores (P < 0.001) and significant-other-derived scores (P < 0.001). Scores for a group of nursing home patients (n = 68) on the Katz Activities of Daily Living (ADL) Scale, using data obtained from patients and their nurses were also compared. Again, the patient-derived scores were significantly higher than those from nurses (P < 0.001). Thus, data sources for determining patient functional ability are not interchangeable and patients may overstate their functional abilities, whereas significant others may understate them, relative to judgments of skilled nursing personnel.