阿尔茨海默病评定量表-认知部分中文版与日常生活能力量表评价血管性痴呆的信度与效度

发布时间：2019-07-08 09:44

【摘要】：目的研究阿尔茨海默病评定量表-认知部分中文版量表(ADAS-Cog)与日常生活能力(ADL)量表共同评价轻中度血管性痴呆(VD)患者的信度与效度,试探将两量表合并为一表精简重复的项目,添加部分缺乏的相关项目。方法选取76例符合NINDS-AIREN诊断标准确立的很可能VD患者为受试者,同时进行ADAS-Cog及ADL量表评分,考察两量表各条目间信度与效度。结果 ADAS-Cog与ADL量表中各项的内部一致性信度较高,克朗巴赫(Cronbach)α系数=0.947。ADAS-Cog量表与ADL量表总分呈显著正相关性(r=0.720,P0.01);并存在线性回归关系,回归方程为Y=0.696X+18.958。效度分析表明除基本ADL(BADL)第4项(简称B4,以下同)外,ADAS-Cog量表与ADL量表内部各项目均呈正相关性(r0)。结论 ADAS-Cog量表及ADL量表具有较高的信度,C7项与其他项目存在重复性,除B4外,两量表其余项目均有较好的效度。建议制作VD新量表时,在ADAS-Cog量表与ADL量表合并的基础上删除C7项及B4项,缩短评定时间,提高评价准确度,准确地为临床反映VD患者的智能情况及治疗效果提供比较敏感的标准化新工具。
[Abstract]:Objective to study the reliability and validity of Alzheimer's disease rating scale-Cognitive partial Chinese version scale (ADAS-Cog) and (ADL) scale for evaluating the reliability and validity of (VD) patients with mild to moderate vascular dementia. Methods 76 likely VD patients who met the diagnostic criteria of NINDS-AIREN were selected as subjects. ADAS-Cog and ADL scale scores were performed to investigate the reliability and validity of each item of the two scales. Results the reliability of internal consistency between ADAS-Cog and ADL was high. There was a significant positive correlation between Kronbach (Cronbach) 伪 coefficient = 0.947.ADAS-Cog and the total score of ADL (r 鈮，

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