Department of Geriatrics, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Int Psychogeriatr. 2011 Feb;23(1):102-6. doi: 10.1017/S1041610210000323. Epub 2010 Jun 3.
The aim of the study was to explore the value of a daily observation scale in the assessment of patients' memory function by nurses on a geriatric ward.
An observational study of 50 geriatric inpatients was carried out. The relationship between the memory items of the Nurses' Behavioral Rating Scale for Geriatric Inpatients (GIP) and four types of neuropsychological memory tests was examined: visual paired-associate learning (Visual Association Test, VAT), word-list learning (Eight Word Test, 8WT from the Amsterdam Dementia Screening, ADS), and the subtests Route Recall and Story Recall from the Rivermead Behavioural Memory Test (RBMT). Correlations with the overall measures assessing level of dementia such as the Mini-mental State Examination (MMSE), Clinical Dementia Rating scale (CDR) and the 15-item Geriatric Depression Scale (GDS-15) were examined as well.
The Pearson's correlation coefficients between GIP and the four memory tests were between 0.45 and 0.71 (p < 0.01). The GIP correlations with the MMSE and CDR were 0.63 and 0.46, respectively (p < 0.01). No significant correlation was found with the GDS-15. Statistically significant differences in GIP memory scores between patients with dementia and non-demented patients were found (p < 0.01).
Results indicate that an observation scale of memory function may have value for providing information about the underlying memory impairment. The results of nurses' observations may be used in triage contributing to the diagnostic process by selecting patients requiring further neuropsychological assessment.
本研究旨在探讨老年病房护士使用日常观察量表评估患者记忆功能的价值。
对 50 名老年住院患者进行了一项观察性研究。研究考察了老年住院患者行为评定量表（GIP）中的记忆项目与四种神经心理学记忆测试之间的关系：视觉配对联想学习（视觉联想测试，VAT）、单词列表学习（阿姆斯特丹痴呆筛查的 8 项测试，8WT）以及Rivermead 行为记忆测验（RBMT）中的路线回忆和故事回忆子测验。还考察了与总体痴呆评估量表（如简易精神状态检查（MMSE）、临床痴呆评定量表（CDR）和 15 项老年抑郁量表（GDS-15））的相关性。
GIP 与四种记忆测试之间的 Pearson 相关系数在 0.45 至 0.71 之间（p<0.01）。GIP 与 MMSE 和 CDR 的相关性分别为 0.63 和 0.46（p<0.01）。与 GDS-15 无显著相关性。痴呆患者与非痴呆患者的 GIP 记忆评分存在显著差异（p<0.01）。
结果表明，记忆功能观察量表可能对提供潜在记忆损伤信息具有价值。护士观察结果可用于分诊，通过选择需要进一步神经心理学评估的患者来辅助诊断过程。
