Perlman Christopher M, Hirdes John P
Homewood Health Centre, Guelph, Ontario, Canada.
J Am Geriatr Soc. 2008 Dec;56(12):2298-303. doi: 10.1111/j.1532-5415.2008.02048.x.
To examine the reliability and validity of the Aggressive Behavior Scale (ABS), derived from the Minimum Data Set (MDS 2.0).
Retrospective analysis of MDS 2.0 and Cohen Mansfield Agitation Inventory (CMAI) data.
Ontario nursing homes (NHs) and complex continuing care (CCC) hospitals and units.
Two hundred fourteen patients of a CCC hospital, 652 residents of four NH facilities who adopted the MDS 2.0 before its mandatory implementation, 124,259 CCC patients assessed with the MDS 2.0 between July 1996 and October 2006.
In all samples, trained facility clinical staff completed the MDS 2.0 as part of normal clinical practice. The ABS is a 4-item summary scale measuring verbal and physical abuse, socially inappropriate behavior, and resisting care. In the single CCC facility, clinical facility staff completed the CMAI during the same assessment period as the MDS 2.0.
Alphas for the ABS were between 0.79 and 0.93 for the three samples. A strong relationship was found between the ABS and the aggressive subscale of the CMAI (correlation coefficient=0.72, P<.001). Impairment in cognition was found to be related to higher ABS scores in all three samples. In CCC, individuals who had higher ABS scores also had a higher prevalence of psychiatric diagnoses and greater frequency of daily restraint use (P<.001 for each dependent variable).
The ABS provides a useful measure of the severity of aggressive behavior that can be used for care planning, quality measurement, and research.
检验源自最低数据集（MDS 2.0）的攻击行为量表（ABS）的信度和效度。
对MDS 2.0和科恩-曼斯菲尔德激越量表（CMAI）数据进行回顾性分析。
安大略省养老院（NHs）以及综合持续护理（CCC）医院和科室。
一家CCC医院的214名患者、在MDS 2.0强制实施之前采用该量表的四家NH机构的652名居民、1996年7月至2006年10月期间接受MDS 2.0评估的124259名CCC患者。
在所有样本中，经过培训的机构临床工作人员将完成MDS 2.0作为正常临床实践的一部分。ABS是一个包含4个条目的汇总量表，用于测量言语和身体虐待、社交不当行为以及抗拒护理。在单一的CCC机构中，临床机构工作人员在与MDS 2.0相同的评估期内完成CMAI。
三个样本中ABS的阿尔法系数在0.79至0.93之间。发现ABS与CMAI的攻击性子量表之间存在很强的相关性（相关系数=0.72，P<0.001）。在所有三个样本中，认知障碍均与较高的ABS得分相关。在CCC机构中，ABS得分较高的个体精神疾病诊断患病率也较高，且每日使用约束措施的频率也更高（每个因变量P<0.001）。
ABS为攻击行为的严重程度提供了一种有用的测量方法，可用于护理计划、质量评估和研究。
