Gordon J E, Powell C, Rockwood K
Centre for Health Care of the Elderly, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.
Age Ageing. 1999 May;28(3):275-81. doi: 10.1093/ageing/28.3.275.
To assess the feasibility, validity and responsiveness of an individualized measure--goal attainment scaling-in long-term care.
Prospective descriptive study.
One academic and three community-based long-term care facilities.
53 nursing-home patients seen in consultation between July 1996 and June 1997.
Specialized geriatric medicine consultation.
Effect size and relative efficiency of the Barthel index, hierarchical assessment of balance and mobility, global deterioration scale, axis 8 (behaviour) of the brief cognitive rating scale, cumulative illness rating scale and the goal attainment scale.
Mean goal attainment scale at follow-up was 46+/-7. The goal attainment scale was the most responsive measure, with an effect size of 1.29 and a relative efficiency of 53.7. The goal attainment scale did not correlate well with the other measures (-0.22 to 0.17).
Goal attainment scaling is a feasible and responsive measure in long-term care. Although fewer problems in nursing-home patients than elderly inpatients are susceptible to intervention, clinically important goals can be achieved in this population.
评估个体化测量方法——目标达成量表在长期护理中的可行性、有效性及反应性。
前瞻性描述性研究。
一家学术性及三家社区长期护理机构。
1996年7月至1997年6月间会诊的53名养老院患者。
专业老年医学会诊。
巴氏指数、平衡与活动能力分级评估、整体衰退量表、简易认知评定量表第8轴（行为）、累积疾病评定量表及目标达成量表的效应量和相对效率。
随访时目标达成量表的均值为46±7。目标达成量表是反应性最强的测量方法，效应量为1.29，相对效率为53.7。目标达成量表与其他测量方法的相关性较差（-0.22至0.17）。
目标达成量表在长期护理中是一种可行且有反应性的测量方法。尽管养老院患者比老年住院患者中可干预的问题较少，但在这一人群中仍可实现具有临床意义的目标。
