Wood Robin Y, Giuliano Karen K, Bignell Candace U, Pritham Whitney W
Learning Resource Centers, William F. Connell School of Nursing, Boston College, Chestnut Hill, MA 02467, USA.
J Gerontol Nurs. 2006 Apr;32(4):45-54. doi: 10.3928/00989134-20060401-08.
The Mini-Mental State Examination (MMSE), originally designed to screen for dementia, is an instrument currently used extensively to assess cognitive status in clinical and community settings. This descriptive study compares standard MMSE scores to MMSE scores adjusted for age and education in a sample of 414 elderly Black and White women living independently in communities. After scores were adjusted, 14 participants (all Black) were moved from categories of mild cognitive impairment to unimpaired cognitive ability. However, even after scores were adjusted for age and education, White elderly adults still had higher mean scores than Black elderly adults (p = .003), suggesting that racial differences may have an effect on MMSE performance independent of age and education. Further research is needed to better understand the interaction of race and culture on MMSE outcomes. Implications are offered for appropriate use of the MMSE considering factors of age, education, and racial differences to guide evidence-based practice by gerontological nurses engaged in work with elderly populations.
简易精神状态检查表（MMSE）最初设计用于筛查痴呆症，目前是临床和社区环境中广泛用于评估认知状态的工具。这项描述性研究在414名独立生活在社区中的老年黑人和白人女性样本中，将标准MMSE分数与根据年龄和教育程度调整后的MMSE分数进行了比较。分数调整后，14名参与者（均为黑人）从轻度认知障碍类别转变为认知能力未受损类别。然而，即使在根据年龄和教育程度对分数进行调整后，白人老年人的平均分数仍高于黑人老年人（p = 0.003），这表明种族差异可能对MMSE表现有独立于年龄和教育程度的影响。需要进一步研究以更好地理解种族和文化对MMSE结果的相互作用。考虑到年龄、教育程度和种族差异等因素，为MMSE的适当使用提供了启示，以指导从事老年人群工作的老年护理人员进行循证实践。
