老年人痴呆恐惧评估工具的系统评价  

A Systematic Review of Dementia Fear Assessment Tools in the Elderly

作　　者：唐冰雪 柏晓玲 李慧 余娜 陈雨潞 黄婧靓 TANG Bingxue;BAI Xiaoling;LI Hui;YU Na;CHEN Yulu;HUANG Jingliang(School of Nursing,Zunyi Medical University,Zunyi 563000,Guizhou Province,China;School of Nursing,Guizhou Nursing Vocational College,Guiyang 550025,Guizhou Province,China;Department of Critical Care Medicine,Guizhou Provincial People’s Hospital,Guiyang 550002,Guizhou Province,China;Department of Preventive Medicine,The Second Affiliated Hospital of Guizhou University of Chinese Medicine,Guiyang 550003,Guizhou Province,China)

机构地区：[1]遵义医科大学护理学院,贵州遵义563000 [2]贵州护理职业技术学院护理系,贵州贵阳550025 [3]贵州省人民医院重症医学科,贵州贵阳550002 [4]贵州中医药大学第二附属医院预防保健科,贵州贵阳550003

出　　处：《军事护理》2024年第8期13-17,共5页MILITARY NURSING

基　　金：贵州省基础研究计划项目(黔科合基础-ZK[2023]一般127);贵州省护理学会科研课题(GZHLKY202101)。

摘　　要：目的系统评价老年人痴呆恐惧评估工具的测量学属性和研究方法学质量,为医护人员选择合适的评估工具提供参考。方法检索PubMed、Embase、CINAHL、中国知网等数据库中有关老年人痴呆恐惧评估工具研究的文献,检索时限为建库至2023年4月23日;由2名研究者独立进行文献筛选和资料提取,评价纳入研究方法学质量及测量属性,汇总评估工具测量属性结果、判定其证据等级,形成最终推荐意见。结果共纳入了15项研究,涉及7种老年人痴呆恐惧评估工具,其中,6个量表均没有“任何等级证据证明内容效度充分,且内部一致性充分(至少为低质量证据)”,为B级推荐;有1个量表由于有高质量的证据证明其内部一致性的不充分,为C级推荐。结论痴呆恐惧量表(the fear of dementia scale for older adults,FODS)测量属性评价较为全面,临床应用可行性较高,且具有较好的信效度,可暂时被推荐,但其它测量特性仍需进一步验证。Objective To systematically evaluate the attributes of dementia fear assessment tools in the elderly and the methodological quality of the research,so as to provide references for their application.Methods Databases like PubMed,Embase,CINAHL,CNKI were searched for studies on dementia fear scale from the inception to April 23,2023.Literature was screened and data extracted independently by two researchers,methodological quality and tool attributes included in the study were evaluated,the results of each measurement attribute of the evaluation tools were summarized,and the level of evidence was determined to form the final recommendation.Results 15 studies were included,involving 7 assessment tools for senile dementia.6 scales didn’t have any grade evidence of sufficient content validity and sufficient internal consistency and fell into B-level recommendation.1 scale was recommended for C-level because of high-quality evidence to prove the insufficiency of its internal consistency.Conclusions FODS is temporarily recommended because of its comprehensiveness,feasibility in clinical application,better reliability and validity,but its other attributes still need to be further verified.

关 键 词：痴呆 恐惧 量表 系统评价 

分 类 号：R473.74[医药卫生—护理学]