中国行为医学科学
中國行為醫學科學
중국행위의학과학
2008年
7期
662-664
,共3页
社区%痴呆%筛查工具%朝文版%信度%效度
社區%癡呆%篩查工具%朝文版%信度%效度
사구%치태%사사공구%조문판%신도%효도
Dementia%Screening instrument%Revised korean%Reliability%Validity
目的 朝文版检测社区痴呆筛查工具(CSID-K)的信度与效度.方法 以韩国社区65岁以上老年人为对象,选择痴呆组(实验组)以及抑郁症组、有文化的健康组、无文化的健康组(对照组)各30名,了解CSID-K评分情况以及他们的社会人口学特征、抑郁症的严重程度、认知功能.结果 CSID-K的认知分(COGSCORE)和扶养者分(RELSCORE)的半分信度、内部一致性信度、评定者之间一致性信度、重测信度分别为0.82,0.87,0.75,0.72和0.85,0.88,0.83,0.79,均优秀(P<0.01).实验组的COGSCORE、RELSCORE、识别功能分(DFSCORE)与简易精神状况检查之间的相关系数分别为0.90,-0.48,-0.76,与老年精神状态进度表B3器质性部分分数之间的相关系数分别为-0.76,0.34,0.60.实验组的COGSCORE、RELSCORE、DFSCORE分别为(21.3±3.1)分、(6.4±4.9)分、(0.3±0.2)分,与抑郁症组的(28.1±2.2)分、(4.0±1.9)分、(0.1±0.063)分和有文化组的(29.2±1.6)分、(2.5±2.1)分、(0.041±0.069)分以及无文化组的(27.7±1.8)分、(3.2±2.8)分、(0.086±0.096)分相比,均差异有显著性(P<0.05).结论 CSID-K能够可靠和有效地筛查出韩社区老年人中的痴呆,同时可用于l临床实际,也可用于跨文化研究.
目的 朝文版檢測社區癡呆篩查工具(CSID-K)的信度與效度.方法 以韓國社區65歲以上老年人為對象,選擇癡呆組(實驗組)以及抑鬱癥組、有文化的健康組、無文化的健康組(對照組)各30名,瞭解CSID-K評分情況以及他們的社會人口學特徵、抑鬱癥的嚴重程度、認知功能.結果 CSID-K的認知分(COGSCORE)和扶養者分(RELSCORE)的半分信度、內部一緻性信度、評定者之間一緻性信度、重測信度分彆為0.82,0.87,0.75,0.72和0.85,0.88,0.83,0.79,均優秀(P<0.01).實驗組的COGSCORE、RELSCORE、識彆功能分(DFSCORE)與簡易精神狀況檢查之間的相關繫數分彆為0.90,-0.48,-0.76,與老年精神狀態進度錶B3器質性部分分數之間的相關繫數分彆為-0.76,0.34,0.60.實驗組的COGSCORE、RELSCORE、DFSCORE分彆為(21.3±3.1)分、(6.4±4.9)分、(0.3±0.2)分,與抑鬱癥組的(28.1±2.2)分、(4.0±1.9)分、(0.1±0.063)分和有文化組的(29.2±1.6)分、(2.5±2.1)分、(0.041±0.069)分以及無文化組的(27.7±1.8)分、(3.2±2.8)分、(0.086±0.096)分相比,均差異有顯著性(P<0.05).結論 CSID-K能夠可靠和有效地篩查齣韓社區老年人中的癡呆,同時可用于l臨床實際,也可用于跨文化研究.
목적 조문판검측사구치태사사공구(CSID-K)적신도여효도.방법 이한국사구65세이상노년인위대상,선택치태조(실험조)이급억욱증조、유문화적건강조、무문화적건강조(대조조)각30명,료해CSID-K평분정황이급타문적사회인구학특정、억욱증적엄중정도、인지공능.결과 CSID-K적인지분(COGSCORE)화부양자분(RELSCORE)적반분신도、내부일치성신도、평정자지간일치성신도、중측신도분별위0.82,0.87,0.75,0.72화0.85,0.88,0.83,0.79,균우수(P<0.01).실험조적COGSCORE、RELSCORE、식별공능분(DFSCORE)여간역정신상황검사지간적상관계수분별위0.90,-0.48,-0.76,여노년정신상태진도표B3기질성부분분수지간적상관계수분별위-0.76,0.34,0.60.실험조적COGSCORE、RELSCORE、DFSCORE분별위(21.3±3.1)분、(6.4±4.9)분、(0.3±0.2)분,여억욱증조적(28.1±2.2)분、(4.0±1.9)분、(0.1±0.063)분화유문화조적(29.2±1.6)분、(2.5±2.1)분、(0.041±0.069)분이급무문화조적(27.7±1.8)분、(3.2±2.8)분、(0.086±0.096)분상비,균차이유현저성(P<0.05).결론 CSID-K능구가고화유효지사사출한사구노년인중적치태,동시가용우l림상실제,야가용우과문화연구.
Objective To test the reliable and valid of community screening interview for dementia-revised korean(CSID-K). Methods Study sample consisted of a dementia patient group and three control groups (depression, education, no-education), each of them was composed of 30 community residing elders in Korea. CSID-K was administered, and demographic characteristic, depression, and cognitive function were investigated. Results Split half reability (Guttmans'), internal consistency (Cronbach' s α), and inter-rater and test-retest (two weeks) reliabilities of the CSID-K were excellent. Scores on the CSID-K were significantly correlated with other measures for cognitive function. In addtion, scores on the CSID-K were significantly between the dementia patient group and three control groups. Conclusion CSID-K was a reliable and vaild instrument to screen dementia in Korean community residing old people. It could be used in clinical settings and for cross-cultural researches.
