The use of the neuropsychiatric inventory in nursing home residents -: Characterization and measurement

被引:364
作者
Wood, S [1 ]
Cummings, JL [1 ]
Hsu, MA [1 ]
Barclay, T [1 ]
Wheatley, MV [1 ]
Yarema, KT [1 ]
Schnelle, JF [1 ]
机构
[1] Scripps Coll, Dept Psychol, Claremont, CA 91711 USA
关键词
D O I
10.1097/00019442-200002000-00010
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
The authors assessed the validity of the nursing home version of the Neuropsychiatric Inventory-Nursing Home Version (NPI-NH), comparing the responses of certified nurses' aides (CNAs) and licensed vocational nurses (LVNs) with research observations. Correlations were significant but moderate for all of the domains of the NPI-NH (delusions, hallucinations, agitation/aggression depression, apathy disinhibition, euphoria, irritability/lability, and aberrant motor disturbances) except anxiety and appetite disturbance. The LVNs' ratings showed consistently higher correlations with the researchers' behavioral observations than did the CNAs: but were moderate and generally better for residents with high levels of neuropsychiatric symptoms, thus, caution should be used with any untrained rater in the nursing home setting. The NPI-NH used by non-research staff can be useful in identifying residents with significant neuropsychiatric disturbances, but may be limited as an instrument for tracking behavioral changes.
引用
收藏
页码:75 / 83
页数:9
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