[Mini-Cog、MMSE、GPCOG测试在国内临床评价中老年患者认知障碍的应用:专家意见调查结果]。

T I Ionova, E V Frolova, K V Ovakimyan, E A Mkhitaryan, O N Tkacheva, D L Logunov, A Yu Oskova, E A Vasileva, Yu V Zhitkova, A A Gasparyan, K V Lunev, E A Luneva, N M Porfirieva, T P Nikitina
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引用次数: 1

摘要

目的:探讨专家对采用mini - kg、MMSE和GPCOG试验筛查评估老年及老年患者初级医疗阶段认知功能障碍的可行性的意见,并根据专家意见比较这些试验的不同特点。材料与方法:以6家医疗中心为调查对象进行专家调查。在调查之前,专家使用Mini-Kog、MMSE和GPCOG测试测试了常规就诊的老年和老年患者的认知功能,并使用GPCOG的相应部分采访了他们的亲属。在调查期间,专家填写了一份特殊的医生检查表,其中包含社会人口统计信息和关于在日常临床实践中使用评估老年人和老年患者认知功能的测试的问题。结果:调查对象为40名来自俄罗斯不同城市的专家(平均年龄±SD - 38.6±14.3岁,女性占82.5%)。在所有随访患者中,中老年患者占主要比例(76-100%)。所有的医生都认为对老年患者进行认知评估很重要,他们必须在实践中使用各种认知测试。大多数专家认为,在mini - kg、MMSE和GPCOG测试中,这三种工具都是信息丰富、方便且适合筛查老年患者认知障碍的工具。MMSE测试的信息量更大,也更方便。与其他两种工具相比,Mini-Kog是最简单、最省时的工具,也更容易被患者接受。GPCOG的一个优点是可以让信息提供者参与对老年患者认知功能的评估。结论:本研究结果可为进一步提高初级保健医生对老年患者认知功能障碍的早期检测方法提供参考。
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[The use of the Mini-Cog, MMSE, and GPCOG tests in domestic clinical practice for the evaluation of cognitive disorders in elderly and senile patients: the results of a survey of experts' opinions].

Objective: To explore the experts' opinion on the feasibility of using Mini-Kog, MMSE and GPCOG tests for screening assessment of cognitive impairment in elderly and senile patients at the primary stage of medical care, as well as to compare different characteristics of these tests according to experts' opinion.

Material and methods: The survey of specialists was carried out on the basis of 6 Medical Centers. Prior to the survey, specialists tested cognitive functions in elderly and senile patients during routine visits undergoing routine admission using Mini-Kog, MMSE and GPCOG tests, as well as interviewed their relatives using the corresponding section of the GPCOG. During the survey, specialists filled out a special physician checklist containing items for indicating socio-demographic information and questions regarding the use of tests for assessing cognitive functions in elderly and senile patients in daily clinical practice.

Results: The survey involved 40 specialists from different cities of Russia (mean age±SD - 38.6±14.3 years, 82.5% - women). Elderly and senile patients accounted for the predominant proportion (76-100%) of all followed-up patients. All physicians considered it important to conduct a cognitive assessment in elderly patients and they have to use various cognitive tests in their practice. According to most experts, among the Mini-Kog, MMSE and GPCOG tests, all three tools are informative, convenient and suitable for screening cognitive impairment in geriatric patients. The MMSE test is more informative and convenient. Mini-Kog, compared to the other two tools, is the simplest and most time-efficient tool that is also better perceived by patients. An advantage of the GPCOG is the possibility of participation of informants in the assessment of cognitive functions in older patients.

Conclusion: The findings could be used in further research focused on improving the approaches for early detection of cognitive impairment in geriatric patients by primary care physicians.

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Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova Medicine-Psychiatry and Mental Health
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