Kang Sue J, Choi Seong H, Lee Byung Hwa, Jeong Yong, Hahm Dong Seok, Han Il Woo, Cummings Jeffrey L, Na Duk L
Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong Kangnam-ku, Seoul 135-710, South Korea.
J Geriatr Psychiatry Neurol. 2004 Mar;17(1):32-5. doi: 10.1177/089198873258818.
The Neuropsychiatric Inventory (NPI) is used to assess neuropsychiatric symptoms in dementia patients. To reduce clinicians' time taken to administer the NPI, the authors studied a caregiver-administered NPI (CGA-NPI), in which caregivers completed the written form of the NPI worksheet. After a brief presupervision session, the caregivers of 61 dementia patients completed the CGA-NPI by reading through the worksheet. This was followed by a postsupervision session to check if the caregivers had completed the form appropriately. The correlation between the prevalence rates of each neuropsychiatric symptom obtained by the CGA-NPI and those obtained by the NPI was fair to good (kappa = 0.57-0.90) in all domains. All frequency, severity, and caregivers' distress scores of the CGA-NPI correlated significantly with those of the NPI (r> 0.6, P<.001). Total CGA-NPI scores also correlated highly with total NPI scores (r= 0.86, P<.001). These results suggest that the CGA-NPI can substitute for the NPI, saving administration time.
神经精神科问卷（NPI）用于评估痴呆患者的神经精神症状。为减少临床医生实施NPI所需的时间，作者研究了一种由照料者实施的NPI（CGA-NPI），即照料者填写NPI工作表的书面形式。在一次简短的预指导环节后，61名痴呆患者的照料者通过通读工作表完成了CGA-NPI。随后进行了一次后指导环节，以检查照料者是否正确填写了表格。在所有领域中，CGA-NPI得出的各神经精神症状患病率与NPI得出的患病率之间的相关性为中等至良好（kappa = 0.57 - 0.90）。CGA-NPI的所有频率、严重程度和照料者痛苦评分均与NPI的评分显著相关（r > 0.6，P <.001）。CGA-NPI总分也与NPI总分高度相关（r = 0.86，P <.001）。这些结果表明，CGA-NPI可以替代NPI，节省实施时间。
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