Broersma T W, Sytema S
Tijdschr Gerontol Geriatr. 2010 Feb;41(1):13-8. doi: 10.1007/BF03096175.
The Health of the Nation Outcome Scales65+(HoNOS65+) seems to be a useful instrument for effect measuring in elderly psychiatry. The instrument is implemented as an outcome measure within a psychiatric unit for older persons. From 244 patients a repeated assessment is completed: at the start of the treatment and at discharge. Our goal is to determine the sensitivity of change of the Health of the Nation Outcome Scales65+ for patients who are in treatment for a limited period. The sensitivity of change is examined for outpatients and inpatients and for four diagnostic groups (mood disorders, organic disorders, psychotic disorders and others) according to their DSM-IV diagnoses. Comparisons between first and second assessment were done using pairwise t-tests. Inpatients as well as outpatients showed a significant change between intake and discharge. This also holds for all four diagnostic groups. The conclusion is that the HoNOS 65+ is sensitive to change and meets the criteria for a clinical outcome indicator in elderly psychiatric patients.
《国家健康结果量表65岁及以上版》（HoNOS65+）似乎是老年精神病学中用于疗效评估的一种有用工具。该工具作为老年精神科病房的一项结果指标来使用。对244名患者进行了重复评估：在治疗开始时和出院时。我们的目标是确定《国家健康结果量表65岁及以上版》对于短期治疗患者的变化敏感性。根据患者的《精神疾病诊断与统计手册》第四版（DSM-IV）诊断，对门诊患者和住院患者以及四个诊断组（情绪障碍、器质性障碍、精神障碍和其他）的变化敏感性进行了检查。首次评估和第二次评估之间的比较采用成对t检验。住院患者和门诊患者在入院和出院之间均显示出显著变化。所有四个诊断组也是如此。结论是，HoNOS 65+对变化敏感，符合老年精神病患者临床结果指标的标准。
