Snowdon John, Rosengren Damien, Daniel Fariba, Suyasa Margot
Discipline of Psychiatry, Sydney Medical School, Sydney, New South Wales, Australia.
Australas J Ageing. 2011 Mar;30(1):33-6. doi: 10.1111/j.1741-6612.2010.00450.x. Epub 2010 Aug 17.
To examine the utility of the Cornell scale for depression in dementia (CSDD), following its introduction as a routine measure in nursing homes.
The CSDD is administered in Australian nursing homes as section 10 of the Aged Care Funding Instrument. CSDD, cognitive and behavioural ratings, and medication use, recorded in three Sydney nursing homes in 2008-2009 were reviewed. Staff discussed what actions were taken if CSDD scores indicated depression.
Of 223 residents, 23% scored >12 on the CSDD, indicating probable depression. Another 21% were possibly depressed and 29% not depressed. The CSDD had not been completed for 27%, commonly because preliminary screening indicated no depression, but sometimes because severe cognitive impairment made various CSDD items impossible to rate. Second CSDD assessments had usually not been made.
Nursing homes need to document policies that will ensure best use is made of CSDD findings.
在作为养老院常规测量方法引入后，检验康奈尔痴呆抑郁量表（CSDD）的效用。
CSDD作为老年护理资金工具的第10部分在澳大利亚养老院中使用。回顾了2008 - 2009年在悉尼三家养老院记录的CSDD、认知和行为评分以及药物使用情况。工作人员讨论了如果CSDD评分表明有抑郁症状会采取什么行动。
在223名居民中，23%的人CSDD得分>12，表明可能患有抑郁症。另外21%的人可能患有抑郁症，29%的人没有抑郁症。27%的人未完成CSDD评估，通常是因为初步筛查表明没有抑郁症，但有时是因为严重的认知障碍使得CSDD的各项无法评分。通常没有进行第二次CSDD评估。
养老院需要记录相关政策，以确保能充分利用CSDD的结果。
