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《日本版神经精神科问卷-疗养院版（NPI-NH）的有效性和可靠性》

[Validity and reliability of the Japanese Version of the Neuropsychiatric Inventory-Nursing Home Version (NPI-NH)].

作者信息

Shigenobu Kazue, Hirono Nobutsugu, Tabushi Kaoru, Ikeda Manabu

机构信息

Department of Neuropsychiatry, Asakayama General Hospital, Sakai-ku, Sakai-city, Osaka 590-0018, Japen.

出版信息

Brain Nerve. 2008 Dec;60(12):1463-9.

PMID:19110758
Abstract

OBJECTIVE

Neuropsychiatric disturbances are common and burdensome symptoms of dementia. Assessment and measurement of neuropsychiatric disturbances are indispensable to the management of patients with dementia. Neuropsychiatric Inventory (NPI) is a comprehensive assessment tool that evaluates psychiatric symptoms in dementia. The Nursing Home Version (NPI-NH) of NPI was developed for use in extended care facilitate caring for residents with dementia. We translated the NPI-NH into Japanese and examined their validity and reliability.

SUBJECTS AND METHODS

The subjects were 100 demented inpatients and the nurses in charge of them. The Mini-Mental State Examination (MMSE) was conducted with all patients and NPI-NH, Cohen-Mansfield Agitation Inventory (CMAI), Cornell Scale for Depression in Dementia (CSDD), and Behavior Pathology in Alzheimer's Disease (BEHAVE-AD) Rating Scale were conducted with the nurses. We examined validity of NPI-NH by comparing its score with the CMAI, CSDD, and BEHAVE-AD. In order to evaluate test-retest reliability, NPI-NH was re-adopted to 30 randomly selected nurses in charge inpatients by a different examiner 1 week later.

RESULTS

The frequency score, severity score and occupational disruptiveness score in each NPI-NH item were significantly correlated with the score of the correspondent item in BEHAVE-AD. The agitation score of NPI-NH was significantly correlated with CMAI and the depression score of NPI-NH was significantly correlated with CSDD. Test-retest reliability of the scores of NPI-NH was acceptably high.

CONCLUSION

The Japanese version of NPI-NH demonstrated sufficient validity and reliability as well as the original version of them. It is a useful tool for evaluating psychiatric symptoms in demented inpatients.

摘要

目的

神经精神障碍是痴呆常见且负担沉重的症状。神经精神障碍的评估和测量对于痴呆患者的管理不可或缺。神经精神科问卷（NPI）是一种评估痴呆患者精神症状的综合评估工具。NPI的养老院版（NPI-NH）专为长期护理机构中照顾痴呆患者而开发。我们将NPI-NH翻译成日语，并检验其有效性和可靠性。

对象与方法

对象为100名痴呆住院患者及其责任护士。对所有患者进行简易精神状态检查表（MMSE）检查，对护士进行NPI-NH、科恩-曼斯菲尔德激越量表（CMAI）、康奈尔痴呆抑郁量表（CSDD）和阿尔茨海默病行为病理评定量表（BEHAVE-AD）检查。通过将NPI-NH的得分与CMAI、CSDD和BEHAVE-AD进行比较，检验NPI-NH的有效性。为评估重测信度，1周后由另一名检查者对30名随机选取的负责住院患者的护士重新采用NPI-NH。

结果

NPI-NH各项目的频率得分、严重程度得分和职业干扰得分与BEHAVE-AD相应项目的得分显著相关。NPI-NH的激越得分与CMAI显著相关，NPI-NH的抑郁得分与CSDD显著相关。NPI-NH得分的重测信度较高。

结论

日语版NPI-NH与原版一样具有足够的有效性和可靠性。它是评估痴呆住院患者精神症状的有用工具。

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