Res Gerontol Nurs. 2022 Nov-Dec;15(6):303-311. doi: 10.3928/19404921-20220930-03. Epub 2022 Oct 10.
The Checklist for Evidence of Person-Centered Care Approaches for Behavioral and Psychological Symptoms of Distress (BPSD) in Care Plans was developed to assess the person-centeredness of care plans for nursing home residents living with behavioral and psychological symptoms associated with dementia. The purpose of the current study was to evaluate the reliability and validity of a revised version of the Checklist. Data from a larger randomized clinical trial testing the implementation of the Evidence of Integration Triangle for BPSD were used. One hundred seventy-nine care plans for 103 residents were examined. Descriptive statistics, Rasch analysis, and inter-rater reliability were used. The Checklist demonstrated evidence of inter-rater reliability and validity based on model fit and acceptable INFIT and OUTFIT statistics. This study serves as pilot work for future Checklist use and validation efforts on a larger scale. Findings encourage a discourse on the inclusion of BPSD and person-centered approaches in care plans for those living with dementia. [(6), 303-311.].
《行为和心理症状困扰(BPSD)的以患者为中心的护理方法证据检查表》是为评估护理计划对与痴呆相关的行为和心理症状的护理计划的以患者为中心程度而制定的,以评估护理计划对与痴呆相关的行为和心理症状的护理计划的以患者为中心程度。本研究的目的是评估检查表修订版的可靠性和有效性。使用了一项更大的随机临床试验的数据,该试验测试了证据整合三角形对 BPSD 的实施情况。对 103 名居民的 179 份护理计划进行了检查。使用描述性统计、Rasch 分析和评分者间可靠性。检查表基于模型拟合和可接受的 INFIT 和 OUTFIT 统计数据,显示出评分者间可靠性和有效性的证据。这项研究为未来更大规模的检查表使用和验证工作提供了初步工作。研究结果鼓励就将 BPSD 和以患者为中心的方法纳入痴呆患者的护理计划展开讨论。 [(6), 303-311.].