主观认知下降问卷21在养老机构老年人认知评估中的优势分析

doi:10.16460/j.issn1008-9969.2023.08.012

摘要/Abstract

摘要： 目的比较主观认知下降问卷21与主观认知减退问卷在养老机构老年人认知评估中的应用价值,为有效识别认知下降老年人提供理论指导。方法采用便利抽样法,选取河北省6所养老机构内416名老年人为研究对象,采用一般资料调查表、主观认知下降问卷21、主观认知减退问卷、蒙特利尔认知评估量表收集资料,分析量表的接受者操作特性（ROC）曲线、最佳临界值、交叉检验准确率和阳性似然比。结果以蒙特利尔认知评估量表为参照,主观认知下降问卷21和主观认知减退问卷的ROC曲线下面积分别为0.897和0.809,且两者ROC曲线下面积之差为0.088（Z=4.343,P<0.001）,主观认知下降问卷21和主观认知减退问卷的最佳临界值分别为9.250和8.500,敏感度、特异度、交叉检验准确度和阳性似然比分别为0.822、0.881、0.815、6.930和0.798、0.810、0.750、4.200。结论与主观认知减退问卷中的自我主观认知评估问卷相比,主观认知下降问卷21更适用于评估养老机构老年人的认知功能。

关键词: 认知功能, 主观认知下降, 主观认知减退, 养老机构

Abstract: Objective To compare the application value of Subjective Cognitive Decline Questionnaire 21 (SCD-Q21) and Subjective Cognitive Decline Questionnaire (SCD-Q) in cognitive assessment of elderly people in nursing homes, and to provide theoretical guidance for effective identification of elderly people with cognitive decline. Methods A total of 416 elderly people in 6 nursing homes in Hebei Province were selected by convenience sampling. General Information Questionnaire, SCD-Q21, and SCD-Q, and Montreal Cognitive Assessment (MoCA) were used for the investigation. The receiver operating characteristic (ROC) curve, optimal threshold, cross check accuracy and positive likelihood ratio of the scales were analyzed. Results Taking MoCA as reference, the area under ROC curve of SCD-Q21 and SCD-Q was 0.897 and 0.809, respectively, and the difference between the areas under ROC curve was 0.088 (Z=4.343, P<0.001). The optimal cutoff value for SCD-Q21 and SCD-Q was 9.250 and 8.500, respectively. The sensitivity, specificity, cross-test accuracy and positive likelihood ratio was 0.822, 0.881, 0.815, 6.930 and 0.798, 0.810, 0.750, 4.200, respectively. Conclusion Compared with the Self-subjective Cognitive Assessment Questionnaire in SCD-Q, SCD-Q 21 is more suitable for evaluating the cognitive function of elderly people in nursing homes.

Key words: cognitive function, subjective cognitive decline, subjective cognitive decline, nursing home

中图分类号:

李慧源, 郭雪琪, 唐启群, 胡惠菊, 杨娇, 陈瑶. 主观认知下降问卷21在养老机构老年人认知评估中的优势分析[J]. 护理学报, 2023, 30(8): 12-16.

LI Hui-yuan, GUO Xue-qi, TANG Qi-qun, HU Hui-ju, YANG Jiao, CHEN Yao. Role of Subjective Cognitive Decline Questionnaire 21 in cognitive assessment of elderly people in nursing homes[J]. Journal of Nursing, 2023, 30(8): 12-16.

参考文献

[1] 胡晴, 宋银华, 王诗镔, 等. 养老机构老年人主观认知下降现况及影响因素研究[J]. 护理学杂志, 2022, 37(9):87-90. DOI:10.3870/j.issn.1001-4152.2022.09.087.
[2] 郝立晓, 邢悦, 贾建国,等. 英文版主观认知下降问卷21的汉化研究[J].中国全科医学,2021, 24(18):2349-2354. DOI:10.12114/j.issn.1007-9572.2021.00.403.
[3] Hao L, Jia J, Xing Y, et al.The reliability and validity test of subjective cognitive decline questionnaire 21 with population in a Chinese community[J]. Brain Behav, 2022, 12(8): e2709. DOI:10.1002/brb3.2709.
[4] Ryu SY, Kim A, Kim S, et al.Self- and informant-reported cognitive functioning and awareness in subjective cognitive decline, mild cognitive impairment, and very mild Alzheimer disease[J]. Int J Geriatr Psychiatry, 2020, 35(1):91-98. DOI:10.1002/gps.5224.
[5] Bubbico G, Di Iorio A, Lauriola M, et al.Subjective cognitive decline and nighttime sleep alterations, a longitudinal analysis[J]. Front Aging Neurosci, 2019, 11:142. DOI:10.3389/fnagi.2019.00142.
[6] Wong R, Al-Omary M, Baker D, et al.Cognitive dysfunction is associated with abnormal responses in cerebral blood flow in patients with single ventricular physiology: novel insights from transcranial doppler ultrasound[J].Congenit Heart Dis, 2019, 14(4):638-644. DOI:10.1111/chd.12763.
[7] Lane CA, Parker TD, Cash DM, et al.Study protocol: insight 46-a neuroscience sub-study of the MRC National Survey of Health and Development[J]. BMC Neurol, 2017, 17(1):75. DOI:10.2991/artres.k.200417.001.
[8] Cardoso J, Apagueno B, Lysne P, et al.Pain and the Montreal Cognitive Assessment (MOCA) in aging[J]. Pain Med, 2021, 22(8):1776-1783. DOI:10.1093/pm/pnab003.
[9] Gifford KA, Liu D, Romano R, et al.Development of a Subjective Cognitive Decline Questionnaire using item response theory: a pilot study[J]. Alzheimers Dement (Amst), 2015, 1(4):429-439. DOI:10.1016/j.dadm.2015.09.004.
[10] Rami L, Mollica MA, García-Sanchez C, et al.The Subjective Cognitive Decline Questionnaire (SCD-Q): a validation study[J]. J Alzheimers Dis, 2014, 41(2):453-466. DOI:10.3233/JAD-132027.
[11] Nasreddine ZS, Phillips NA, Bédirian V, et al.The Montreal Cognitive Assessment, MOCA: a brief screening tool for mild cognitive impairment[J]. J Am Geriatr Soc, 2005, 53(4):695-699. DOI:10.1111/j.1532-5415.2005.53221.
[12] Pinto TCC, Machado L, Bulgacov TM, et al.Is the Montreal Cognitive Assessment (MOCA) screening superior to the Mini-Mental State Examination (MMSE) in the detection of mild cognitive impairment (MCI) and Alzheimer's Disease (AD) in the elderly?[J]. Int Psychogeriatr, 2019, 31(4):491-504. DOI:10.1017/S1041610218001370.
[13] 胡惠菊, 韩静, 唐启群, 等. Morse跌倒评估量表与STEADI跌倒风险自评量表在养老机构老年人中的应用比较[J]. 护理学报,2021,28(19):8-12.DOI:10.16460/j.issn1008-9969.2021.19.008.
[14] 李运, 赵佳, 唐启群, 等. 居住养老机构的老年人失能现状及失能老年人的生活质量影响因素[J]. 中国老年学杂志, 2019, 39(5):1213-1216.DOI:10.3969/j.issn.1005-9202.2019.05.060.
[15] Valech N, Mollica MA, Olives J, et al. Informants' perception of subjective cognitive decline helps to discriminate preclinical Alzheimer's disease from normal aging[J]. J Alzheimers Dis, 2015,48 Suppl 1:S87-98.DOI:10.3233/JAD-150117.
[16] 朱莲莲,许虹波,董爱淑,等. Edmonton衰弱量表和Groningen衰弱指标在养老机构老年人衰弱评估中应用的比较[J]. 中国护理管理,2022,22(1):83-87.DOI:10.3969/j.issn.1672-1756.2022.01.018.

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