CAJ | 학술논문

目的研究蒙特利尔认知评估量表(MoCA)北京版在沈阳市社区老年人群中应用的可行性以及量表的不足之处.方法于2011年在沈阳市4个社区采用MoCA北京版与简易精神状态检查量表(MMSE)对258例社区老年人进行认知功能测评.结果 MoCA北京版的Cronbach's α为0.836,MoCA北京版与M MSE评定结果高度相关(r=0.623,P＜0.01).受访者受教育程度＞12年者仅占15.1％,≤6年者占26.3％,若以受教育程度≤6年分界,仅有命名狮子、顺背数字、回忆菊花3个题目的得分差异无统计学意义.结论北京版MoCA量表对社区老年人认知功能的筛查是简便可行的,建议将加分教育程度界点调整为≤6年；“总分26 ～30分为正常”的评判标准过高.
목적 연구몽특리이인지평고량표(MoCA)북경판재침양시사구노년인군중응용적가행성이급량표적불족지처.방법 우2011년재침양시4개사구채용MoCA북경판여간역정신상태검사량표(MMSE)대258례사구노년인진행인지공능측평.결과 MoCA북경판적Cronbach's α위0.836,MoCA북경판여M MSE평정결과고도상관(r=0.623,P＜0.01).수방자수교육정도＞12년자부점15.1％,≤6년자점26.3％,약이수교육정도≤6년분계,부유명명사자、순배수자、회억국화3개제목적득분차이무통계학의의.결론북경판MoCA량표대사구노년인인지공능적사사시간편가행적,건의장가분교육정도계점조정위≤6년；“총분26 ～30분위정상”적평판표준과고.
Objective To assess the value of the Beijing version of Montreal Cognitive Assessment ( MoCA) in community dwelling older adults residing in Shenyang,China.Methods The stratified random sampling method was used to investigate the population over 60 years old in 4 communities of Shenyang in the year 2011.Mini-Mental State Examination (MMSE) and the Beijing version of MoCA were administered to all participants.258 old people finished the assessment.Results The internal consistency of the MoCA Beijing version was good,yielding a Cronbach alpha of 0.836.The correlation between the MoCA Beijing version and the MMSE was good(r=0.623,P＜0.001 ).Only 15.1％ participants had an education of over 12 years,but 26.3％ participants had an education of 6 years or less.Only 3 items of MoCA Beijing version ( naming lion,forward digit span,recall daisy) showed no significant difference between persons with and without over 6 years of education.Conclusions The results indicates that the Beijing version of MoCA have good reliability and validity.This study shows that an education of 6 years or less might be the proper population to add the one point in China,and the cutoff-point of 26 for normal is too high for Chinese population.