蒙特利尔认知评估 (MoCA) 在一般实践中用于早期发现认知障碍:一项可行性研究
Cassandre Carton1, Matthieu Calafiore1,2, Charles Cauet1
1District of General Medicine, Faculty of Medicine, University of Lille, Lille, France.
BJGP open
|August 21, 2024
概括
蒙特利尔认知评估 (MoCA) 是可行的早期认知障碍 (CI) 检测在初级保健. 一般医生可以在例行诊所期间有效地管理MoCA,帮助患者获得早期支持.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 主要护理医学 医疗保健
背景情况:
- 一般医生 (GPs) 在早期发现认知障碍 (CI) 中发挥着至关重要的作用,为个人及其照顾者提供及时的支持.
- CI的早期发作通常发生在50至60岁之间.
- 迷你心理状态检查 (MMSE) 在法国广泛使用,但与蒙特利尔认知评估 (MoCA) 相比,轻度CI的敏感性和特异性较低,MMSE平均完成15分钟.
研究的目的:
- 评估在常规的一般实践商期间实施MoCA的可行性,以早期识别CI.
- 为了确定CI在初级保健环境中的流行率.
主要方法:
- 在法国的常规GP咨询期间,在现实条件下进行了一项定量,前性可行性研究.
- 一般医生 (GPs) 将MoCA给50岁及以上的成年人,这些成年人没有怀疑或确认CI.
主要成果:
- 总共有221个MoCA测试由61名全科医生进行.
- 对MoCA的平均施用时间为8分钟.
- 在62%的被评估患者中检测到轻度神经认知障碍.
结论:
- 摩卡是训练有素和经验丰富的医生在常规的全科医生咨询期间可行的和易于管理的工具.
- 这项研究支持MoCA在初级保健中用于早期发现认知障碍的使用.
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