功能性认知查仪器及其在急诊室的老年人中的临床实用性:系统性审查
Francis S Gomes1, Justin Newton Scanlan2, Anne Cusick2
1Faculty of Medicine and Health, University of Sydney, Susan Wakil Health Building, D18 Western Ave, University of Sydney, Camperdown, 2006, NSW, Australia; Department of Occupational Therapy, Blacktown Hospital, Western Sydney Local Health District, Sydney, Australia.
Ageing research reviews
|February 13, 2026
概括
确定在急诊室 (ED) 中对老年人有效的认知查工具至关重要. 这次审查发现了三种具有临床实用性的仪器,但没有一个仪器尚未被验证用于ED使用,这突显了需要进一步研究的需要.
科学领域:
- 老年医学 老年医学
- 认知评估 认知评估
- 紧急护理 紧急护理
背景情况:
- 在老年急诊室 (ED) 护理中,认知查至关重要.
- 基于表现的功能性认知措施可以更好地识别损伤并预测出院后的结果.
- 目前没有任何证据基础指导用于紧急护理环境的功能认知仪器的选择.
研究的目的:
- 进行系统审查,以确定心理测量上健全和临床上有用的工具,以评估老年人功能性认知.
- 评估紧急护理所识别的仪器的临床实用性.
主要方法:
- 对六个基于表现的功能认知仪器数据库和使用基于共识的健康测量仪器选择标准 (COSMIN) 的心理测量研究进行系统审查.
- 排除了平均年龄在65岁以下的研究.
- 在ED中使用最新更新的,作者设计的,基于标准的共识矩阵进行临床实用性的评估.
主要成果:
- 在138项研究中确定了28种仪器和44种调整,评估了8种测量特性.
- 构造有效性是最常被评估的属性 (87%).
- 三种仪器符合所有八种临床实用性标准,但需要ED测试:德克萨斯功能生活量表,菜单任务和药盒测试.
结论:
- 这项研究是首次确定了在ED中针对老年人的已确立的心理测量证据和临床实用性标准的仪器.
- 迫切需要进行强有力的研究,以评估这些工具在ED环境中对放弃后结果的预测有效性.
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