对老年精神分裂症患者功能状态的直接评估。
Direct assessment of functional status in older patients with schizophrenia.
作者信息
Klapow J C, Evans J, Patterson T L, Heaton R K, Koch W L, Jeste D V
机构信息
Department of Psychiatry, University of California, San Diego 92161, USA.
出版信息
Am J Psychiatry. 1997 Jul;154(7):1022-4. doi: 10.1176/ajp.154.7.1022.
OBJECTIVE
There has been a growing trend in medicine to evaluate the impact of illness on functional abilities. Such studies typically rely on the patient's or caregiver's report. The goal of this study was to assess directly the functional capacity of psychiatric patients, especially older ones.
METHOD
The subjects were 55 outpatients with schizophrenia and 72 normal persons ranging in age from 45 to 86 years. The subjects were administered the Direct Assessment of Functional Status Scale, which assess behaviour during simulated daily activity tasks in the areas of time orientation, communication, transportation, finance, shopping, grooming, and eating.
RESULTS
The patients with schizophrenia had significantly greater disability than the normal subjects according to total scale scores as well as the communication, transportation, finance, and shopping subscale scores. Global cognitive status was the best predictor of total scale score.
CONCLUSIONS
The Direct Assessment of Functional Status Scale is a promising instrument for functional assessment in outpatients with schizophrenia.
目的
在医学领域，评估疾病对功能能力的影响已成为一种日益增长的趋势。此类研究通常依赖患者或护理人员的报告。本研究的目的是直接评估精神科患者，尤其是老年患者的功能能力。
方法
研究对象为55名精神分裂症门诊患者和72名年龄在45至86岁之间的正常人。研究对象接受了功能状态直接评估量表测试，该量表评估在时间定向、沟通、交通、财务、购物、修饰和进食等领域模拟日常活动任务期间的行为。
结果
根据总量表得分以及沟通、交通、财务和购物分量表得分，精神分裂症患者的残疾程度明显高于正常受试者。整体认知状态是总量表得分的最佳预测指标。
结论
功能状态直接评估量表是一种很有前景的用于评估精神分裂症门诊患者功能的工具。
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