Department of Psychiatry and Psychology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA.
Clin Neuropsychol. 2010 Oct;24(7):1167-80. doi: 10.1080/13854046.2010.514865.
Predicting the consequences of cognitive impairment relative to day-to-day functioning is challenging, especially when impairment is mild. This study examined the ability of the Dementia Rating Scale (DRS) to predict Record of Independent Living (ROIL) performances in 2469 individuals with varying levels of cognitive ability, and describes specific activities of daily life that are likely impacted given specific DRS scores. Lower DRS scores were associated with greater difficulty in activities of daily living (ADLs), and effects of age, education, and gender were negligible. From a DRS total score, a corresponding ROIL score range and its specific associated impairments were determined. Functional impairments were noted even at mild levels of cognitive impairment. The DRS is helpful for determining the level of assistance that is likely needed in daily care and planning future care needs.
预测认知障碍对日常功能的影响具有挑战性，尤其是当损害程度较轻时。本研究考察了痴呆评定量表（DRS）在预测 2469 名认知能力不同的个体的独立生活记录（ROIL）表现方面的能力，并描述了特定的日常生活活动，这些活动可能会受到特定的 DRS 评分的影响。较低的 DRS 评分与日常生活活动（ADLs）的难度更大有关，而年龄、教育和性别等因素的影响可以忽略不计。从 DRS 的总分，可以确定对应的 ROIL 评分范围及其特定的相关障碍。即使在轻度认知障碍的情况下，也可以注意到功能障碍。DRS 有助于确定日常护理中可能需要的帮助程度，并规划未来的护理需求。
