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以患者为中心的痴呆症患者评估:现有测量方法综述

Person-centered assessment of people living with dementia: Review of existing measures.

作者信息

Mast Benjamin T, Molony Sheila L, Nicholson Nicholas, Kate Keefe Caroline, DiGasbarro Diana

机构信息

Psychological & Brain Sciences University of Louisville Louisville Kentucky USA.

Quinnipiac University School of Nursing Hamden Connecticut USA.

出版信息

Alzheimers Dement (N Y). 2021 May 25;7(1):e12138. doi: 10.1002/trc2.12138. eCollection 2021.

Abstract

INTRODUCTION

Person-centered care and assessment calls for measurement tools that help researchers and providers understand people with dementia, their social relationships, and their experience of the care environment. This paper reviewed available measures and evaluated their psychometric properties.

METHODS

Literature searches of major databases (PsycInfo, PubMed, EBSCO, CINAHL) for papers examining person-centered constructs in samples of people living with dementia or mild cognitive impairment. Reliability and validity coefficients were reviewed and reported.

RESULTS

We identified 26 unique measures that had been tested in samples of people living with dementia. Twelve measures of hope, well-being, engagement, social relationships, meaning, resilience, stigma, spiritual beliefs and practices, values and preferences, and positive psychology constructs had strong psychometric properties in samples with dementia.

DISCUSSION

A variety of reliability and valid measures were identified for use in person-centered care and research with people living with dementia. Additional measure development is needed for key person-centered concepts including dignity and strengths.

摘要

引言

以患者为中心的护理与评估需要测量工具,以帮助研究人员和医护人员了解痴呆症患者、他们的社会关系以及他们在护理环境中的体验。本文回顾了现有的测量方法并评估了它们的心理测量特性。

方法

对主要数据库(PsycInfo、PubMed、EBSCO、CINAHL)进行文献检索,以查找在痴呆症患者或轻度认知障碍患者样本中研究以患者为中心的构念的论文。对信度和效度系数进行了回顾和报告。

结果

我们确定了26种在痴呆症患者样本中经过测试的独特测量方法。其中12种关于希望、幸福感、参与度、社会关系、意义、复原力、耻辱感、精神信仰与实践、价值观与偏好以及积极心理学构念的测量方法,在痴呆症患者样本中具有很强的心理测量特性。

讨论

确定了多种信度和效度良好的测量方法,可用于对痴呆症患者的以患者为中心的护理与研究。对于包括尊严和优势在内的关键以患者为中心的概念,还需要进一步开发测量方法。

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