Haddad L B
J Gerontol. 1981 Sep;36(5):583-5. doi: 10.1093/geronj/36.5.583.
This study examined behavioral characteristics distinguishing psychiatric geriatric patients requiring alternative levels of care. Multiple behavior rating scales were administered to 389 elderly patients, concurrent with, but independent from, placement decisions of a clinical team. A discriminant function analysis revealed loadings on care needed, activities of daily living, and disorientation as factors discriminating skilled nursing from intermediate care patients. Orthogonal function loadings characterized psychiatric patients as having poorer communication skills, being less cooperative, manifesting greater psychopathology, and showing more seclusiveness. Further analysis provided by a cross-validation study support the utility of behavior rating scales for simulating outcome actions of decision makers.
本研究调查了区分需要不同护理级别的老年精神科患者的行为特征。对389名老年患者使用了多个行为评定量表，这些评定与临床团队的安置决策同时进行，但相互独立。判别函数分析显示，在所需护理、日常生活活动及定向障碍方面的负荷是区分熟练护理患者与中级护理患者的因素。正交函数负荷表明，精神科患者沟通能力较差、合作性较低、精神病理学表现更明显且更孤僻。交叉验证研究提供的进一步分析支持了行为评定量表在模拟决策者结果行动方面的效用。
