Rahmani Maryam, Darvishpour Azar, Pourghane Parand
Department of Nursing, Zeynab (P.B.U.H) School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Iran J Nurs Midwifery Res. 2022 Nov 18;27(6):531-537. doi: 10.4103/ijnmr.ijnmr_56_21. eCollection 2022 Nov-Dec.
Cognitive disorders are one of the most common disorders in elderly people with chronic renal failure. This study aimed to investigate the correlation and agreement of Montreal Cognitive Assessment (MoCA), Abbreviated Mental Test Score (AMTS), and Mini-Mental State Examination (MMSE) tests in assessing the cognitive status of elderly patients undergoing hemodialysis at Guilan University of Medical Sciences in north of Iran.
This cross-sectional study was conducted on 84 elderly people undergoing hemodialysis. Inclusion criteria was having an age of 60 years old and older, hemodialysis treatment for at least 6 months, and having reading and writing skills. The Pearson correlation test, Intraclass Correlation Coefficient (ICC) test, and Bland-Altman plot were used for data analysis.
The majority of samples were in the age group of 60-65 years (28.57%) and the majority of them were male (66.66%). The results showed a significant positive correlation between MoCA and MMSE ( = 0.69, = 0.001), between MMSE and AMTS ( = 0.64, = 0.001), and between MoCA and AMTS tests ( = 0.62, = 0.001). The results also showed a weak agreement between MoCA and MMSE tests (ICC = -0.11, = 0.633), between MMSE and AMTS tests (ICC = -0.007, = 0.369), and between MoCA and AMTS tests (ICC = -0.001, = 0.780).
Based on the results, these tools seem to complement each other. The inconsistency between cognitive tests indicates a serious need to develop appropriate instruments for detecting cognitive disorders in elderly.
认知障碍是老年慢性肾衰竭患者中最常见的疾病之一。本研究旨在调查蒙特利尔认知评估量表（MoCA）、简易精神状态检查表（AMTS）和简易精神状态检查量表（MMSE）在评估伊朗北部吉兰医科大学接受血液透析的老年患者认知状态时的相关性和一致性。
本横断面研究对84例接受血液透析的老年人进行。纳入标准为年龄在60岁及以上、血液透析治疗至少6个月且具备读写能力。采用Pearson相关检验、组内相关系数（ICC）检验和Bland-Altman图进行数据分析。
大多数样本年龄在60 - 65岁组（28.57%），其中大多数为男性（66.66%）。结果显示MoCA与MMSE之间存在显著正相关（ = 0.69， = 0.001），MMSE与AMTS之间存在显著正相关（ = 0.64， = 0.001），MoCA与AMTS测试之间存在显著正相关（ = 0.6
