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首页> 外文期刊>Nordic journal of psychiatry. >The Danish version of the Baylor Profound Mental State Examination
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The Danish version of the Baylor Profound Mental State Examination

机译：丹麦文版的贝勒深刻精神状态考试

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Background: An instrument of assessing the cognitive status of the severely demented is needed. Aim: To validate the Danish version of the cognitive part of the Baylor Profound Mental State Examination (BPMSE-cog). Design: Participants were residents in dementia care units. The Mini-Mental State Examination (MMSE), the Severe Impairment Battery (SIB), the Geriatric Deterioration Scale (GDS) and the Disability Assessment of Dementia (DAD) were co-administered. Three assessments were performed: at baseline, 1 week and 6 months later. At visits 1 and 3, participants were assessed blinded by a geriatric psychiatrist (GDS, MMSE and diagnosis) and by a registered nurse (BPMSE-cog, SIB, DAD). At visit 2, assessments were made by the RN only. Testretest and inter-rater reliabilities were calculated. External validity was assessed in terms of correlation to MMSE, SIB, GDS and DAD; internal validity was assessed using Cronbach's alpha, Mokken/Loevinger coefficients and the item response analysis. Results: Inter-rater reliability and testretest reliability were very high for total scale as well as for the subscales. The external validity was satisfactory with correlation coefficients: MMSE: 0.74; SIB: 0.89; the GDS 0.83; DAD: 0.67 (P < 0.001). Results further indicate that there is a ceiling but no floor effect of the BPMSE-cog. The internal validity was highly satisfactory demonstrating sufficient internal consistency and homogeneity of the scale. The item response analysis showed an even distribution of the 25 items. Conclusion: The BPMSE-cog is a very stable and strong scale and is recommended as a severity measurement for the cognitive performance of patients suffering from severe dementia.
机译：背景：需要一种评估严重痴呆的认知状态的工具。目的：验证贝勒深刻精神状态考试（BPMSE-cog）的丹麦语版本的认知部分。设计：参与者是痴呆症监护室的居民。联合进行了迷你精神状态检查（MMSE），严重损伤电池（SIB），老年恶化量表（GDS）和痴呆症残疾评估（DAD）。进行了三个评估：基线，1周和6个月后。在第1次和第3次就诊时，由老年精神病医生（GDS，MMSE和诊断）和注册护士（BPMSE-cog，SIB，DAD）对参与者进行了盲法评估。在第2次访问中，仅由RN进行评估。计算了重新测试和评定者之间的可靠性。根据与MMSE，SIB，GDS和DAD的相关性评估外部有效性;内部有效性使用Cronbach's alpha，Mokken / Loevinger系数和项目反应分析进行评估。结果：评分员间信度和重测信度对总分表和子分表都非常高。外部效度令人满意，相关系数：MMSE：0.74;相对湿度：0.89; GDS 0.83; DAD：0.67（P <0.001）。结果进一步表明，BPMSE-cog有天花板但没有地板效应。内部有效性非常令人满意，表明该量表具有足够的内部一致性和均质性。项目响应分析显示25个项目的分布均匀。结论：BPMSE-cog量表非常稳定和强大，建议将其作为严重痴呆患者认知能力的严重程度测量指标。

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