荷兰心理老年护理院的能力和生活质量：使用 ICECAP-O 代理版本进行的探索性研究。
Capabilities and quality of life in Dutch psycho-geriatric nursing homes: an exploratory study using a proxy version of the ICECAP-O.
机构信息
Institute of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.
出版信息
Qual Life Res. 2012 Jun;21(5):801-12. doi: 10.1007/s11136-011-9997-1. Epub 2011 Sep 6.
PURPOSE
To validate the ICECAP-O capability measure in psycho-geriatric elderly in nursing homes, we compared the capability scores of restrained and unrestrained clients. Both nursing staff and family were used as proxies for assessing clients' capabilities.
METHOD
For 122 psycho-geriatric elderly, a total of 96 nursing professionals and 68 family members completed a proxy questionnaire. We investigated the convergent and discriminant validity of the ICECAP-O and measures of care dependency, health-related quality of life, and overall quality of life. We also directly compared ICECAP-O scores of the 56 clients for whom both nursing staff and family members had completed the questionnaire.
RESULTS
Convergent validity between ICECAP-O and care dependency, health-related, and overall quality of life measures could be established, as well as discriminant validity for the restrained and unrestrained groups. Nursing and family proxy ICECAP-O tariffs were not significantly correlated.
DISCUSSION
ICECAP-O measures a more general concept than health-related quality of life and can differentiate between restrained and non-restrained psycho-geriatric clients. Since nurses seem to be able to assess the current quality of life of clients using the ICECAP-O more precisely than the family proxies, for now the use of nursing proxies is recommended in a nursing home setting.
目的
为了验证 ICECAP-O 能力量表在养老院心理老年患者中的适用性，我们比较了受限和非受限患者的能力评分。护理人员和家属均被用作评估患者能力的代理人。
方法
对 122 名心理老年患者，共 96 名护理专业人员和 68 名家属完成了代理问卷。我们调查了 ICECAP-O 与护理依赖、健康相关生活质量和总体生活质量的测量方法的收敛和判别有效性。我们还直接比较了 56 名客户的 ICECAP-O 评分，这些客户的护理人员和家属都完成了问卷。
结果
ICECAP-O 与护理依赖、健康相关和总体生活质量测量之间可以建立收敛有效性，以及受限和非受限组之间的判别有效性。护理和家庭代理的 ICECAP-O 关税没有显著相关。
讨论
ICECAP-O 衡量的是一个比健康相关生活质量更广泛的概念，可以区分受限和非受限的心理老年患者。由于护士似乎能够使用 ICECAP-O 更准确地评估患者当前的生活质量，而不是家属代理，因此目前建议在养老院环境中使用护理代理。
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