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[老年护理机构老年患者生活困扰量表的信效度分析]

[An analysis of the reliability and validity of the Life-trouble Scale for elderly patients living in geriatric facilities].

作者信息

Suzuki Mizue, Hattori Hideyuki, Abe Kunihiko, Nakamura Yuko, Saruhara Takayuki

机构信息

Hamamatsu University.

National Center for Geriatrics & Gerontology.

出版信息

Nihon Ronen Igakkai Zasshi. 2018;55(3):386-394. doi: 10.3143/geriatrics.55.386.

Abstract

PURPOSE

The purpose of this study was to develop the Life-trouble Scale for elderly people with dementia to concretely determine their life troubles in geriatric facilities.

RESULTS

The subjects of this study were elderly people living in geriatric health services facilities whose degree of life independence was evaluated as ≥II, who had a diagnosis of dementia, and who agreed to participate in this study.The study population included 191 subjects (male, n=144, 75.4%; female, n=47, 24.6%). The average age was 85.72 (±6.96) years, the mean degree of need for nursing care was 3.73 (±1.22), and the mean MMSE score was 9.11 (±8.80).Based on the factor analysis of the Life-trouble Scale, the first factor was named, "Basic Life Behavior and Life Trouble with Communication." The second factor was named, "Life Trouble Associated with Irritation and Confusion". The third factor was named, "Trouble with Human Relations Associated with Feelings and Changes in Consciousness". The fourth factor was named, "Life Trouble Associated with Changes in Consciousness and Repeated Behavior". The Cronbach's α of the 4 factors was 0.884, and the NPI and Crichton rating scales were significantly correlated with the 4 factors.

CONCLUSION

The results showed that the Life-trouble Scale had reliability and validity, and that it was useful for solving problems in geriatric health services facilities.

摘要

目的

本研究旨在开发老年痴呆患者生活困扰量表,以具体确定他们在老年护理机构中的生活困扰。

结果

本研究的对象是居住在老年保健服务机构的老年人,其生活自理程度被评估为≥Ⅱ级,已被诊断为痴呆症,且同意参与本研究。研究人群包括191名受试者(男性,n = 144,75.4%;女性,n = 47,24.6%)。平均年龄为85.72(±6.96)岁,平均护理需求程度为3.73(±1.22),平均简易精神状态检查表(MMSE)得分为9.11(±8.80)。基于生活困扰量表的因子分析,第一个因子被命名为“基本生活行为及沟通方面的生活困扰”。第二个因子被命名为“与易怒和困惑相关的生活困扰”。第三个因子被命名为“与情感及意识变化相关的人际关系困扰”。第四个因子被命名为“与意识变化及重复行为相关的生活困扰”。这4个因子的克朗巴哈系数(Cronbach's α)为0.884,神经精神症状量表(NPI)和克里顿评定量表与这4个因子显著相关。

结论

结果表明,生活困扰量表具有可靠性和有效性,对解决老年保健服务机构中的问题很有用。

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