检验精神状态简短访谈的临床实用性。

IF 1.1 4区 医学 Q3 NURSING Research in Gerontological Nursing Pub Date : 2022-05-01 DOI:10.3928/19404921-20220428-02
Chih-Ying Li, Paul Arthur, Brian Downer, Craig A Velozo, Yong-Fang Kuo, Huey-Ming Tzeng, Kenneth J Ottenbacher
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引用次数: 0

摘要

精神状态简短访谈 (BIMS) 用于识别住在专业护理机构 (SNF) 和长期护理机构 (LTCF) 的患者的谵妄和所需支持。我们对 3,537,404 名从急症医院出院到专业护理机构或长期护理机构的患者进行了分析,并使用因子和 Rasch 分析来检验 BIMS 的临床实用性。超过 40% 的样本获得了最高分,这表明存在天花板效应。"重复三个单词 "是最简单的项目,也是唯一的失配项目(Outfit = 3.14)。BIMS 将个人区分为两个认知水平的能力有限(个人分层为 1.48)。虽然 BIMS 是一种广泛使用的认知障碍筛查工具,但我们发现它对大约一半入住 SNF/LTCF 的患者缺乏敏感性。我们的研究结果表明,应谨慎解释 BIMS,尤其是对轻度认知障碍患者。[老年护理研究》(Research in Gerontological Nursing),15(3),124-130。
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Examining the Clinical Utility of the Brief Interview for Mental Status.

The Brief Interview for Mental Status (BIMS) is used to identify delirium and needed supports in patients living in skilled nursing facilities (SNFs) and long-term care facilities (LTCFs). We analyzed 3,537,404 patients discharged from acute hospitals to SNFs or LTCFs with factor and Rasch analyses to examine the clinical utility of the BIMS. More than 40% of the sample had maximum scores, indicating a ceiling effect. "Repetition of three words" was the easiest and the only misfit item (Outfit = 3.14). The ability of the BIMS to distinguish individuals into two cognitive levels (with person strata of 1.48) was limited. Although the BIMS is a widely used screening tool for cognitive impairment, we found it lacked sensitivity for approximately one half of patients admitted to SNFs/LTCFs. Our results suggest the BIMS should be interpreted with caution, particularly for patients with mild cognitive impairment. [Research in Gerontological Nursing, 15(3), 124-130.].

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来源期刊
CiteScore
2.30
自引率
6.20%
发文量
44
审稿时长
>12 weeks
期刊介绍: Research in Gerontological Nursing is a forum for disseminating peer-reviewed, interdisciplinary, cutting-edge gerontological nursing research and theory to investigators, educators, academicians, clinicians, and policymakers involved with older adults in all health care settings. The Journal accepts manuscripts reporting research, theory, integrative and systematic reviews, instrument development, and research methods with the aims of improving the wellness and quality of care of the older adult population. Theory papers should advance gerontological knowledge, and integrative reviews should provide an analysis of the state of the science and provide direction for future research.
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