Greiner Chieko, Makimoto Kiyoko, Suzuki Mizue, Yamakawa Miyae
School of Nursing, The Japanese Red Cross College of Nursing, Tokyo, Japan.
Nurs Health Sci. 2013 Dec;15(4):480-8. doi: 10.1111/nhs.12061. Epub 2013 Jun 18.
In Japan, where older people already make up more than 23% of the population and the proportion is still growing, the burden on those caring for people with dementia is an increasing problem. This burden is magnified by wandering behavior, a peripheral symptom. Thus, there is a need for an objective measure of wandering behavior to determine what constitutes effective care. In this study, we translated the Algase Wandering Scale - Version 2 into Japanese, and examined its reliability and validity. Ambulatory residents with dementia were selected from two nursing homes and two wards specializing in dementia care in hospitals in Japan. Nurses and care workers taking care of these residents answered questionnaires regarding the residents. From the results, the Algase Wandering Scale - Version 2, Japanese version, was examined for inter-rater reliability, stability, internal consistency, and concurrent validity. The results of the analysis in the present study demonstrated that the Algase Wandering Scale - Version 2, Japanese version, has reliability and validity, and that it can measure the presence or absence of wandering and its severity. Surveys of residents with various wandering patterns in many facilities and verification of construct validity are warranted in the future.
在日本，老年人已占人口总数的23%以上，且这一比例仍在上升，照顾痴呆症患者的负担日益成为一个问题。徘徊行为作为一种周边症状，加剧了这种负担。因此，需要一种客观衡量徘徊行为的方法，以确定何种护理方式有效。在本研究中，我们将《阿尔加斯徘徊量表第二版》翻译成日语，并检验其信效度。从日本的两家养老院和两家医院的痴呆症护理病房中选取了患有痴呆症且能自主行走的居民。照顾这些居民的护士和护理人员填写了关于这些居民的问卷。根据结果，对《阿尔加斯徘徊量表第二版》日语版进行了评分者间信度、稳定性、内部一致性和同时效度的检验。本研究的分析结果表明，《阿尔加斯徘徊量表第二版》日语版具有信效度，能够测量徘徊行为的有无及其严重程度。未来有必要对更多机构中具有各种徘徊模式的居民进行调查，并验证其结构效度。
