Facal David, Mouriz Corbelle Romina, Balo-García Aranzazu, González-Abraldes Isabel, Caamaño Ponte Xosé, Dosil Díaz Carlos, Millán-Calenti José C
Departamento de Psicoloxía Evolutiva e da Educación, Universidade de Santiago de Compostela, Santiago de Compostela, España; Grupo de Traballo sobre Avaliación Cognitiva e Neuropsicolóxica, Sociedade Galega de Xerontoloxía e Xeriatría (SGXX), España.
Centro Xerontológico A Veiga, Lugo, España; Grupo de Traballo sobre Avaliación Cognitiva e Neuropsicolóxica, Sociedade Galega de Xerontoloxía e Xeriatría (SGXX), España.
Rev Esp Geriatr Gerontol. 2015 Mar-Apr;50(2):62-70. doi: 10.1016/j.regg.2014.09.004. Epub 2014 Oct 31.
Cognitive assessment is a fundamental tool in centres for the elderly when planning individualized care and intervention. The Galician Society of Gerontology and Geriatrics (Sociedade Galega of Xerontoloxía and Xeriatría) has formed a Working Group on Cognitive and Neuropsychological Assessment, with the aim of studying the tools used and to identify the main challenges in this area.
An exploratory study was conducted via an online questionnaire with Sociedade Galega of Xerontoloxía and Xeriatría members between December 2013 and January 2014. It was completed by 49 professionals, of whom 26 were professionals in psychology and 10 medical doctors.
Consensus was found on the use of the MMSE as a screening tool, as well as the Global Deterioration Scale for dementia. There is a wide variation in the choice of general batteries of tests for the assessment of dementia (CAMCOG-R, ADAS-Cog, abbreviated Barcelona Test), and of the use of specific tests and a severe impairment battery.
The risk of bias in the sector is suggested, with a high percentage of general practitioners using a few tools, and a small percentage using a large number of specific tools. The need for a consensus is stressed in order to facilitate assessment, objectify training needs, maximize the relationship between assessment and cognitive intervention, and provide tools to assess change.
认知评估是老年护理中心制定个性化护理和干预计划时的一项基本工具。加利西亚老年医学与老年病学协会（Sociedade Galega of Xerontoloxía and Xeriatría）成立了认知与神经心理学评估工作组，旨在研究所使用的工具，并确定该领域的主要挑战。
2013年12月至2014年1月期间，通过在线问卷对加利西亚老年医学与老年病学协会的成员进行了一项探索性研究。49名专业人员完成了问卷，其中26名是心理学专业人员，10名是医生。
在将简易精神状态检查表（MMSE）用作筛查工具以及使用痴呆症总体衰退量表方面达成了共识。在用于评估痴呆症的一般测试组合（剑桥认知检查表修订版（CAMCOG-R）、阿尔茨海默病评估量表认知部分（ADAS-Cog）、简化巴塞罗那测试）的选择上，以及在特定测试和严重损伤组合的使用上，存在很大差异。
该领域存在偏差风险，很大比例的全科医生使用少数几种工具，而小比例的医生使用大量特定工具。强调需要达成共识，以促进评估、明确培训需求、最大化评估与认知干预之间的关联，并提供评估变化的工具。
