The Minimum Data Set 3.0 Cognitive Function Scale.
The Minimum Data Set 3.0 Cognitive Function Scale.
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DOI：
10.1097/mlr.0000000000000334
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发表时间：
2017-09
期刊：
影响因子：
3
通讯作者：
Mor V
中科院分区：
文献类型：
--
作者：
Thomas KS;Dosa D;Wysocki A;Mor V
最小数据集（MDS）3.0引入了精神状态简短访谈（BIMS），这是一种针对养老院（NH）居民的基于表现的短期认知筛选器。并非所有居民都能完成BIMS，因此由工作人员进行评估。我们设计了一个认知功能量表（CFS）整合自我报告和工作人员报告的数据和目前的证据量表的结构效度。回顾性队列研究。由三个队列组成：1）长期居住的NH居民（N= 941，077）和2）2011-2012年期间新入院的居民（N= 2，066，580），以及3）2010年进行旧MDS 2.0评估和新MDS 3.0评估的居民（n= 688，511）。MDS 3.0项目被用来创建一个单一的，综合的四类分层CFS，比较居民的前MDS 2.0认知能力量表得分和其他并发MDS 3.0的结构效度措施。新的CFS表明，2011-2012年长期住院队列中有28%的认知功能完好，22%轻度受损，33%中度受损，17%重度受损。对于入院队列，CFS指出56%为认知完整，23%为轻度受损，17%为中度受损，4%为重度受损。CFS与住院患者先前的MDS 2.0认知能力量表评分、日常生活活动能力以及护士对入院和长期住院患者功能和行为的判断密切相关。新的CFS对研究人员很有价值，因为它提供了一个单一的，综合的NH居民认知功能的测量，无论评估模式如何。
The Minimum Data Set (MDS) 3.0 introduced the Brief Interview for Mental Status (BIMS), a short performance-based cognitive screener for nursing home (NH) residents. Not all residents are able to complete the BIMS and are consequently assessed by staff. We designed a Cognitive Function Scale (CFS) integrating self-report and staff-report data and present evidence of the scale’s construct validity. Retrospective cohort study. Consisted of three cohorts: 1) long-stay NH residents (N=941,077) and 2) new admissions (N=2,066,580) during 2011–2012, and 3) residents with the older MDS 2.0 assessment in 2010 and the newer MDS 3.0 assessment (n=688,511). MDS 3.0 items were used to create a single, integrated four-category hierarchical CFS that was compared to residents’ prior MDS 2.0 Cognitive Performance Scale scores and other concurrent MDS 3.0 measures of construct validity. The new CFS suggests that 28% of the long-stay cohort in 2011–2012 were cognitively intact, 22% were mildly impaired, 33% were moderately impaired, and 17% were severely impaired. For the admission cohort, the CFS noted 56% as cognitively intact, 23% as mildly impaired, 17% as moderately impaired, and 4% as severely impaired. The CFS corresponded closely with residents’ prior MDS 2.0 Cognitive Performance Scale scores and with performance of Activities of Daily Living, and nurses’ judgments of function and behavior in both the admission and long-stay cohorts. The new CFS is valuable to researchers as it provides a single, integrated measure of NH residents’ cognitive function, regardless of the mode of assessment.