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老年期意识模糊:采用新型刺激识别测试进行评估

Senile confusion: assessment with a new stimulus recognition test.

作者信息

Brink T L, Bryant J, Catalano M L, Janakes C, Oliveira C

出版信息

J Am Geriatr Soc. 1979 Mar;27(3):126-9. doi: 10.1111/j.1532-5415.1979.tb04141.x.

DOI:10.1111/j.1532-5415.1979.tb04141.x
PMID:429732
Abstract

There is a need for rapid and convenient assessment instruments to test the aged for senile confusion due to organic brain syndrome (OBS). The Mental Status Questionnaire (MSQ) and the Face-Hand Test (FHT) have certain limitations. A valid instrument must measure short-term memory loss and recognition. Sixty-two patients were examined in 17 different trials of the Stimulus Recognition Test (SRT), which involves 10 items. Each item classified the patients according to staff ratings (P less than .001), MSQ MSQ scores (P less than .005), and FHT scores (P less than .005). The composite MSQ score on a scale of 0--10 also served to separate the patients according to staff ratings (P less than .005). The SRT scores correlated .81 to .67 with the MSQ and FHT scores. The SRT does not show the same false positive patterns as the MSQ and FHT. For that reason, it constitutes a useful diagnostic supplement. Suggestions for further research are made.

摘要

需要有快速便捷的评估工具来检测因器质性脑综合征(OBS)导致老年精神错乱的老年人。精神状态问卷(MSQ)和面手试验(FHT)有一定局限性。一个有效的工具必须能测量短期记忆丧失和认知能力。在涉及10个项目的刺激识别测试(SRT)的17项不同试验中,对62名患者进行了检查。每个项目根据工作人员评级(P < .001)、MSQ分数(P < .005)和FHT分数(P < .005)对患者进行分类。0至10分的综合MSQ分数也可根据工作人员评级将患者区分开来(P < .005)。SRT分数与MSQ和FHT分数的相关性为0.81至0.67。SRT没有显示出与MSQ和FHT相同的假阳性模式。因此,它是一种有用的诊断补充手段。文中还给出了进一步研究的建议。

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Senile confusion: assessment with a new stimulus recognition test.老年期意识模糊:采用新型刺激识别测试进行评估
J Am Geriatr Soc. 1979 Mar;27(3):126-9. doi: 10.1111/j.1532-5415.1979.tb04141.x.
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Senile confusion: limitations of assessment by the face-hand test, mental status questionnaire, and staff ratings.老年期意识模糊:面部-手部测试、精神状态问卷及工作人员评分评估的局限性
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引用本文的文献

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A review of screening instruments for assessing cognition and mental status in older adults.评估老年人认知和精神状态的筛查工具综述。
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