Agreement between dementia patient report and proxy reports using the Nottingham Health Profile
Agreement between dementia patient report and proxy reports using the Nottingham Health Profile
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DOI：
10.1002/gps.1191
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发表时间：
2004-11-01
影响因子：
4
通讯作者：
Blanchard, F
中科院分区：
文献类型：
--
作者：
Boyer, F;Novella, JL;Blanchard, F
目的研究患者报告与代理报告的一致性方法采用诺丁汉健康状况问卷（NHP），对99例轻中度痴呆患者及其代理人进行健康状况调查。结果NHP各维度的完成率为78 ~ 90%。对于痴呆症患者来说。不同代理人和受试者之间的评分者间一致性从中度到良好的身体评估（ICC从0.54到0.78的身体活动量表）。患者/家庭代理一致性为中度至良好的六个维度（身体活动，社会隔离，疼痛，精力，睡眠）和情绪反应差。家庭代理系统地报告了在四个分量表评估中功能低于患者：身体活动（p < 0.0001），能量（p < 0.005），社会孤立（p < 0.01）和睡眠（p < 0.03）。护理提供者代理仅估计身体活动性较低（p < 0.0001）。结论患者的年龄和身体状况显着影响协议的患者-护理提供者代理评级。因此，谨慎是适当的，当诉诸代理估计痴呆症患者的健康状况。版权所有（C）2004约翰威利父子有限公司。
Objective The aim of the study was to examine the agreement between patient reports and their proxy reports (family and care provider proxies) on Health Status in a sample of patients with dementia.Method Ninety-nine patients with mild to moderate dementia and proxies completed the 38-item Nottingham Health Profile (NHP) questionnaire.Results Completion rates for the different NHP dimensions ranged from 78 to 90% for the dementia subjects. Inter-rater agreement between different proxies and subject was from moderate to good for physical assessment (ICCs from 0.54 to 0.78 for physical mobility scales). Patient/family proxy concordance was moderate to good for five out of six dimensions (physical mobility, social isolation, pain, energy, sleep) and poor for emotional reaction. Family proxies systematically reported lower functioning than did patients in the four subscales assessing: physical mobility (p < 0.0001), energy (p < 0.005), social isolation (p < 0.01) and sleep (p < 0.03). Care provider proxies only estimated physical mobility as lower (p < 0.0001).Conclusion Age and physical status of the patient significantly affected agreement in patient-care provider proxy ratings. Thus, caution is appropriate when resorting to proxies to estimate the Health Status of a dementia patient. Copyright (C) 2004 John Wiley Sons, Ltd.