Monfort Jean-Claude, Lezy Anne-Marie, Papin Annie, Tezenas du Montcel Sophie
Centre Hospitalier Sainte-Anne, 75014Paris, France.
Hôpital Corentin - Celton, AP-HP, 92130Issy les Moulineaux, France.
Int Psychogeriatr. 2020 Sep;32(9):1085-1095. doi: 10.1017/S1041610220000496. Epub 2020 Apr 24.
To validate the Psychogeriatric Inventory of Disconcerting Symptoms and Syndromes (PGI-DSS), a single scale in A4 format comprising four disconcerting syndromes (violence, refusal, words, and acts). The scale enables an immediate conversion of a qualitative assessment to a quantitative assessment. The PGI-DSS was compared with the Neuro Psychiatric Inventory for Nursing Homes (NPI-NH).
Cross-sectional descriptive and correlational studies.
Thirty geriatric care units and nursing homes.
Raters interviewed nurses and nursing assistants in charge of older adults hospitalized in geriatric care units or living in nursing homes (N = 226).
The French version of the PGI-DSS and the French version of the NPI-NH.
The correlation coefficient between the PGI-DSS and the NPI-NH was 0.70 (p < 0.0001). The PGI-DSS threshold score corresponding to the NPI threshold score was 17 (specificity: 87%, sensitivity: 63%). Four statistical factors, corresponding to the four clinical syndromes, explained 53.4% of the total variance. The internal consistency of the PGI-DSS (Cronbach's alpha = 0.695) was higher than that of the NPI-NH (Cronbach's alpha = 0.474). Test-retest reliability was better for the PGI-DSS than for the NPI-NH. The intraclass correlations were 0.80 [0.73; 0.86] and 0.75 [0.67; 0.83], respectively. Interrater reliability was better for the PGI-DSS than for the NPI-NH. The intraclass correlations were 0.65 [0.55-0.76] and 0.55 [0.43-0.68], respectively.
The PGI-DSS was developed to overcome the limitations of the NPI-NH. New, brief, easy to administer in less than 4 minutes, foldable in four parts, pocket-sized, easy-to-read in the palm of the hand, PGI-DSS could have similar or better statistical properties than the NPI-NH. Whereas the 10 domains in the NPI-NH have clinical utility for clinicians, the four easily understandable syndromes in the PGI-DSS can help avoid inappropriate attitudes and can guide psychosocial interventions. It could likewise improve dialogue between caregivers and clinicians.
验证老年精神错乱症状与综合征量表（PGI-DSS），这是一个A4格式的单维度量表，包含四种精神错乱综合征（暴力、拒绝、言语和行为）。该量表能够将定性评估迅速转换为定量评估。将PGI-DSS与养老院神经精神科问卷（NPI-NH）进行比较。
横断面描述性和相关性研究。
30个老年护理单元和养老院。
评估者对负责老年护理单元住院老人或养老院老人的护士和护理助理进行访谈（N = 226）。
PGI-DSS法语版和NPI-NH法语版。
PGI-DSS与NPI-NH之间的相关系数为0.70（p < 0.0001）。与NPI阈值分数对应的PGI-DSS阈值分数为17（特异性：87%，敏感性：63%）。对应四种临床综合征的四个统计因素解释了总方差的53.4%。PGI-DSS的内部一致性（克朗巴赫α系数 = 0.695）高于NPI-NH（克朗巴赫α系数 = 0.474）。PGI-DSS的重测信度优于NPI-NH。组内相关系数分别为0.80 [0.73; 0.86]和0.75 [0.67; 0.83]。PGI-DSS的评分者间信度优于NPI-NH。组内相关系数分别为[0.55 - 0.76]和0.55 [0.43 - 0.68]。
开发PGI-DSS是为了克服NPI-NH的局限性。PGI-DSS全新、简短，不到4分钟即可轻松完成施测，可折叠成四部分，口袋大小，便于在手掌中阅读，其统计特性可能与NPI-NH相似或更好。虽然NPI-NH的10个领域对临床医生具有临床实用性，但PGI-DSS中四个易于理解的综合征有助于避免不恰当的态度，并可指导心理社会干预。它同样可以改善护理人员与临床医生之间的沟通。
