综合老年护理 (ICOPE) 查工具的诊断性能分析,用于识别内在能力下降
Fei Lu1, Jiaojiao Li1, Xiaohong Liu2
1Department of Geriatrics, Peking Union Medical College, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, No. 1 Shuai Fu Yuan, Dong Cheng District, Beijing, China.
BMC geriatrics
|August 23, 2023
概括
综合老年护理 (ICOPE) 查工具有效地识别了老年人的内在能力下降. 虽然高度敏感,但需要对活力领域进行改进,以更好地检测营养不良风险.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 诊断的准确性 诊断的准确性
背景情况:
- 内在能力 (IC) 是个人的积极属性的关键指标.
- 世界卫生组织 (WHO) 建议采用两步方法来评估老年人群中IC下降的情况.
- 综合老年护理 (ICOPE) 查工具被建议用于初步识别潜在问题.
研究的目的:
- 评估ICOPE查工具的诊断性能,以确定中国社区老年人的IC衰退.
- 评估ICOPE工具作为内在能力的初步选方法的有效性.
- 解决中国老年成人人口中关于IC查工具的研究缺口.
主要方法:
- 一项涉及228名75岁及以上社区居民的横截面研究.
- 利用世卫组织IC评估途径进行全面的IC评估.
- 使用2x2表和ROC曲线计算诊断性能指标,包括灵敏度,特异性和准确性.
主要成果:
- ICOPE工具确定了可能的IC下降率为79.4%,而实际下降率为73.2%,主要是在机动车行业.
- 获得了94.6%的灵敏度,62.3%的特异性和86.0%的整体诊断准确度.
- 在认知 (100%) 和运动方面表现出高灵敏度,但在活力方面表现出较低的灵敏度 (51.3%).
结论:
- 该ICOPE查工具是高度敏感和适合查社区居住的老年人的内在能力.
- 该工具在活力维度上的表现需要加强,以改善对营养不良风险的识别.
- 进一步完善ICOPE工具可以优化其在老年护理中的实用性.
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