机构地区: 广州市脑科医院
出 处: 《中国临床心理学杂志》 2005年第4期402-404,共3页
摘 要: 目的:引入国外的老年性痴呆生活质量量表(QOL-AD)修订版,并分析其信度和效度。方法:将222例痴呆或轻微认知功能损害患者,分别评定其生活质量、认知功能、日常生活功能、心理状况、精神症状等,探讨它们之间的相关性,并对QOL-AD的内部一致性予以检验。结果:QOL-AD的内部一致性系数α=0.9243;QOL-AD得分与认知功能正相关(r=0.593,MMSE;r=0.446,FOM;r=0.599,RVR;r=0.489,BD;r=0.518,DS),与抑郁负相关(r=-0.316,HAMD-P),与日常生活功能相关(r=-0.781,ADL),与精神症状负相关(r=-0.504,BPRS)。结论:QOL-AD修订版具有良好的信度和效度,对今后的研究有一定的帮助。 Objective: To discuss the theoretical and practical issues of quality of life assessment in older adults with cognitive impairment, describe a new measure of quality of life for dementia, the QOL-AD(revised edition in Chinese), and examine the reliability and validity of this scale. Methods: The sample was composed of 222 patients with dementia or mild impaired cognitive. Each patient was rated for his/her quality of life by using the QOL-AD (Chinese Version). The functional and cognitive status, psychological state, physical function, and behavior problems of the patients were also assessed. Reliability and validity of the instrument were examined. Results: Reliability of the QOL-AD (revised edition in Chinese ) was fairly good. The internal consistency coefficient (ICC) was 0.9243. Validity was supported by correlation with measures of depression (r =-0.316,HAMD), daily functioning (r =-0.781), cognitive level (r =0.593,MMSE; r=0.446, FOM ; r =0.599, RVR ; r =0.489, BD ; r =0.518, DS), and psychiatric symptom (r =-0.504, BPRS). Conclusions: The QOL- AD (revised edition) seems to be reliable and valid for assessment of individuals with cognitive impairment. It's helpful to further research in dementia.