Kounnavong Sengchanh, Soundavong Khouanchay, Xayavong Syda, Vongpraserth Nialoun, Bounsavath Phongsavang, Houatthongkham Souphatsone, Phoummalaysith Bounfeng, Saw Yu Mon, Yamamoto Eiko, Toba Kenji, Hamajima Nobuyuki
National Institute of Public Health, Ministry of Health, Vientiane, Lao PDR.
Department of Healthcare Administration, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Nagoya J Med Sci. 2017 Feb;79(2):241-249. doi: 10.18999/nagjms.79.2.241.
With the aging of society, the number of elderly with reduced cognitive function has been increasing worldwide. As a test to measure the cognitive function, the Revised Hasegawa's Dementia Scale (HDS-R) has been used in Japan, Korea, and China. Since there was no HDS-R version for Laotians, the questionnaire and manual were developed through the cooperation of Lao and Japanese researchers. Back-translation was conducted to confirm the accuracy of the translation. The score on the 9-item HDS-R ranges 0 to 30 points, and reduced cognitive function is usually defined as a score of 20 points or lower. After receiving explanation regarding the use of the tool and practicing its implementation, 3 female doctors interviewed 30 superficially healthy volunteers aged 31 to 84 years (12 males and 18 females) who lived with his/her family in Vientiane Capital, Lao PDR. Their score distributed from 4 to 30 points, with an average of 24.7 (standard deviation 5.4) points. Six (20.0%) participants scored 20 points or lower. The discussion before and after the pilot interviews revealed that the following changes needed to be made in accordance to the culture of Lao people; 1) order of date in Question 2, 2) words to be memorized in Questions 4 and 7, 3) objects to be memorized using pictures, not actual objects, in Question 8. Additionally, we introduced new two rules; a clear time definition for no reply (10 seconds), and repetition of questions twice for those with ear problems. The revised version of the HDS-R was thought to be an appropriate standard questionnaire for use in studies on cognitive function among Laotians.
随着社会老龄化，全球认知功能减退的老年人数量不断增加。作为一种测量认知功能的测试，修订版长谷川痴呆量表（HDS-R）已在日本、韩国和中国使用。由于没有老挝语版的HDS-R，老挝和日本的研究人员合作编制了问卷和手册。进行了回译以确认翻译的准确性。9项HDS-R的得分范围为0至30分，认知功能减退通常定义为得分20分及以下。在接受了关于该工具使用的解释并进行了实施练习后，3名女医生对30名表面健康的志愿者进行了访谈，这些志愿者年龄在31至84岁之间（12名男性和18名女性），居住在老挝万象市，与家人生活在一起。他们的得分从4分至30分不等，平均分为24.7分（标准差5.4分）。6名（20.0%）参与者得分20分及以下。试点访谈前后的讨论表明，需要根据老挝人的文化做出以下改变：1）问题2中日期的顺序；2）问题4和7中要记忆的单词；3）问题8中使用图片而非实际物品来记忆的物品。此外，我们引入了两条新规则：明确无回答的时间定义（10秒），以及对有听力问题的人将问题重复两遍。修订版的HDS-R被认为是用于老挝人认知功能研究的合适标准问卷。
