测量高级痴呆症养老院居民非认知症状的工具:一个范围审查
Mary M Faherty1, Lauren A O'Mahony1, Lorna D Kenny1
1Centre for Gerontology and Rehabilitation, School of Medicine, University College Cork, Cork, Ireland.
Journal of the American Medical Directors Association
|February 19, 2026
概括
测量痴呆症中的激动和非认知症状 (NCSDs) 是可行的在养老院使用工具,如科恩-曼斯菲尔德激动目录 (CMAI) 和神经精神病学目录 (NPI). 然而,对于强大的干预性研究设计,数据有限.
科学领域:
- 老年学是指老年学的学科.
- 精神病学是一个精神病学.
- 临床研究 临床研究
背景情况:
- 在痴呆症中评估激动和非认知症状 (NCSD) 对于护理至关重要.
- 在高级痴呆症养老院设置中的评估工具的可行性和心理测量特性通常不清楚.
研究的目的:
- 确定在养老院中患有晚期痴呆症的人群中测量激动和其他NCSD的工具.
- 探索这些评估工具在这个特定人群中的有用性.
主要方法:
- 使用了一个范围审查方法.
- 从2000年1月到2024年10月,在多个数据库,试验注册表和灰色文献来源中进行了系统的搜索.
- PRISMA-ScR检查清单指导了报告.
主要成果:
- 在选3634个独特的标题和摘要后,包括了24篇文章.
- 神经精神科目录 (NPI) 和科恩-曼斯菲尔德激动目录 (CMAI) 是最常用的工具.
- 兴奋,冷漠和异常运动行为是常见的;精神病症状是罕见的. 提供了关于工具有效性和响应性的有限信息.
结论:
- 在高级痴呆症养老院居民中,刺激和NCSD的测量似乎是可行的,特别是在CMAI和NPI-养老院版本中.
- 目前的文献缺乏足够的数据来进行干预研究中可靠的样本大小计算.
- 未来的研究应该优先考虑开放式访问数据集,以提高数据的实用性和透明度,为这个弱势群体.
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