加拿大法语系心血管患者家庭护理人员评估工具的翻译,调整和标准验证 (FAM-CAM-Fr)
Tanya Mailhot1,2, Zineb Bouaouina1,2, Imène Khetir1,2
1Montreal Heart Institute Research Center, Montréal, QC, Canada.
概括
法国家庭混评估方法 (FAM-CAM-Fr) 在心血管患者中检测狂妄症的特异性很高,有效排除了这种情况. 建议对这种基于护理人员的查工具进行进一步验证.
科学领域:
- 老年医学 老年医学
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
背景情况:
- 痴呆症在住院的老年人中经常被诊断不足,特别是在心脏病学环境中.
- 家庭护理人员的观察为认知变化提供了有价值的见解,补充了临床评估.
- 需要一个经过验证的法语工具来帮助护理人员评估加拿大急性护理中的妄想.
研究的目的:
- 翻译,文化适应和验证家庭混乱评估方法 (FAM-CAM) 适用于法语系心血管患者及其照顾者.
- 创建FAM-CAM-Fr工具,用于加拿大医疗保健机构.
主要方法:
- 翻译和文化适应遵循Sousa和Rojanasrirat (2011) 的指导方针.
- 标准验证涉及100个家庭护理人员和住院心血管患者.
- 将FAM-CAM-Fr性能与混评估方法 (CAM) 和DSM-5标准进行了比较.
主要成果:
- 在妄检测中,FAM-CAM-Fr表现出高特异性 (92.6%),但低灵敏度 (58%).
- 在FAM-CAM-Fr和CAM之间观察到适度的协议 (科恩的卡帕>0.50).
- 该工具显示了未经培训的护理人员的可用性,尽管灵敏度低于训练有素的组.
结论:
- FAM-CAM-Fr是一种有前途的,特定的查工具,用于心血管患者的痴呆症.
- 它的高特异性表明,尽管灵敏度较低,但在排除妄想方面具有有效性.
- 建议在不同的环境中进行进一步的验证,以提高其临床效用.
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