BEDSIDE ASSESSMENT OF EXECUTIVE COGNITIVE IMPAIRMENT - THE EXECUTIVE INTERVIEW
BEDSIDE ASSESSMENT OF EXECUTIVE COGNITIVE IMPAIRMENT - THE EXECUTIVE INTERVIEW
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DOI：
10.1111/j.1532-5415.1992.tb03646.x
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发表时间：
1992-12-01
影响因子：
6.3
通讯作者：
GRAY, KF
中科院分区：
文献类型：
--
作者：
ROYALL, DR;MAHURIN, RK;GRAY, KF
目的：本研究是一个试点验证的执行访谈（EXIT），一种新的工具，旨在评估执行认知功能（ECF）在beds.Design：评分员间的可靠性测试和验证，使用组间比较的护理水平和措施的认知和行为。设置范围从独立的生活公寓到指定的阿尔茨海默氏症特别护理单位在一个单一的537张病床的退休社区。由医生进行10分钟的25项访谈，评分为0-50（较高的评分=较大的执行性控制障碍）。受试者还管理的简易精神状态检查（MMSE）和传统的测试的“额叶”执行功能的神经心理学家，和护理之家行为问题量表（NHBPS）由持牌职业Nurses.Results：评分者间的信度高（r = .90）。EXIT评分与ECF的其他指标相关性良好。访谈中的居民之间的歧视，在每一个层次的护理。相比之下，MMSE并没有区分公寓居住的居民，或从养老院居民的住宅护理。EXIT是高度相关的破坏性行为所测量的NHBPS（r = .79）。结论：这些初步研究结果表明，EXIT是一个有效的和可靠的工具，在床边执行障碍的评估。它与护理水平和问题行为密切相关。它比MMSE更能区分认知障碍早期阶段的居民。
Objective: This study is a pilot validation of the Executive Interview (EXIT), a novel instrument designed to assess executive cognitive function (ECF) at the bedside.Design: Inter-rater reliability testing and validation using inter-group comparisons across levels of care and measures of cognition and behavior.Participants: Forty elderly subjects randomly selected across four levels of care.Setting: Settings ranged from independent living apartments to designated Alzheimer's Special Care units in a single 537-bed retirement community.Measurements: The EXIT: a 10-minute, 25-item interview scored from 0-50 (higher scores = greater executive dyscontrol) was administered by a physician. Subjects were also administered the Mini-Mental State Exam (MMSE) and traditional tests of "frontal" executive function by a neuropsychologist, and the Nursing Home Behavior Problem Scale (NHBPS) by Licensed Vocational Nurses.Results: Interrater reliability was high (r = .90). EXIT scores correlated well with other measures of ECF. The interview discriminated among residents at each level of care. In contrast, the MMSE did not discriminate apartment-dwelling from residential care residents, or residential care from nursing home residents. The EXIT was highly correlated with disruptive behaviors as measured by the NHBPS (r = .79).Conclusions: These preliminary findings suggest that the EXIT is a valid and reliable instrument for the assessment of executive impairment at the bedside. It correlates well with level of care and problem behavior. It discriminates residents at earlier stages of cognitive impairment than the MMSE.