日常生活能力量表鉴别痴呆与轻度认知损害

发布时间：2018-07-02 15:15

  本文选题：痴呆 + 阿尔茨海默病　； 参考：《中国老年学杂志》2014年04期

【摘要】：目的评价Lawton日常生活能力量表鉴别痴呆与轻度认知损害的能力。方法根据纳入和排除标准筛选有记忆下降主诉的患者,结合临床痴呆分级量表得分分为认知正常组、轻度认知损害组和痴呆组,采用1~4分多水平计分方法对14个日常生活能力量表(ADL)测试条目进行评估,采用受试者工作曲线对量表区分不同认知损害患者的能力进行评价。结果多水平ADL量表具有很好的内部一致性(克朗巴赫α系数=0.93),ADL评分与MMSE呈负相关关系(偏相关系数为-0.793,P=0.000)。以16分作为分界值(≥16分为痴呆)区分痴呆与轻度认知损害最理想,敏感性和特异性分别为0.90、0.93,其中工具性日常生活能力评分(≥10分)具有相同的敏感性和特异性,但基本日常生活能力区分痴呆与轻度认知损害缺乏敏感性(P0.50)。结论多水平Lawton日常生活能力量表能有效地区分轻度认知损害和痴呆。
[Abstract]:Objective to evaluate the ability of Lawton ADL scale to distinguish dementia from mild cognitive impairment. Methods according to the inclusion and exclusion criteria, the patients with memory impairment were selected and divided into three groups: normal cognitive group, mild cognitive impairment group and dementia group. Fourteen ADL test items were evaluated by using a multi-level scoring method with 1-4 scores. The ability of the scale to distinguish patients with different cognitive impairment was evaluated by using the operating curve of the subjects. Results the multi-level ADL scale had good internal consistency (Cronbach 伪 coefficient 0.93) and the score of ADL was negatively correlated with MMSE (partial correlation coefficient was -0.793P 0.000). Using 16 points as the dividing point (鈮，

本文编号：2090537