Fossey Jane, Lee Lesley, Ballard Clive
Churchill Hospital, Oxford, UK.
Int J Geriatr Psychiatry. 2002 Nov;17(11):1064-70. doi: 10.1002/gps.708.
There are a paucity of validated measures focusing on quality of life for people with dementia in care facilities.
The current study evaluated the internal consistency of Dementia Care Mapping (DCM) in a group of 123 people with dementia residing in care facilities and further evaluated the test retest reliability and concurrent validity of key DCM constructs in an additional group of 54 residents.
The results show good internal consistency. Well-ill being score was significantly correlated with an informant rated quality of life measure (r = 0.73, p < 0.0001) and showed good test retest reliability (r = 0.55, p < 0.0001). An abbreviated assessment period focusing on the hour before lunch showed significant correlation with the total assessment period (well-ill being score r = 0.5, p = 0.02).
The current study indicates that DCM is a valid tool for the longitudinal evaluation of quality of life in people with dementia in care settings and that some abbreviation of the method may facilitate its use more widely.
针对护理机构中痴呆症患者生活质量的有效测量方法匮乏。
本研究评估了痴呆症护理图谱（DCM）在123名居住在护理机构的痴呆症患者中的内部一致性，并在另外54名居民中进一步评估了关键DCM结构的重测信度和同时效度。
结果显示出良好的内部一致性。幸福感得分与信息提供者评定的生活质量测量显著相关（r = 0.73，p < 0.0001），并显示出良好的重测信度（r = 0.55，p < 0.0001）。聚焦午餐前一小时的简化评估期与整个评估期显著相关（幸福感得分r = 0.5，p = 0.02）。
本研究表明，DCM是用于纵向评估护理机构中痴呆症患者生活质量的有效工具，并且该方法的一些简化可能有助于其更广泛地应用。
