这项工作旨在通过叙述性分析来描述综合老年评估中使用的主要量表,详细介绍其在心理测量特性(心理评估)和应用中的偏见方面的优缺点。选择的量表为:Barthel指数,KatzIndex,Lawton和BrodyScale,迷你精神状态检查,时钟测试,老年抑郁量表,和社会资源规模。
截至2021年1月,我们对MEDLINE(PubMed)的综述进行了快速系统综述,并使用PRISMA报告了研究结果,2020年。MeSH语言,关键词,布尔运算符AND和OR被用来构造可重复的搜索策略。
选择了31个符合资格标准的作品:18个系统评价,12篇文献综述,和一次范围审查。在某些量表上发现了多个版本,并观察到了解释上的偏见。短,建议使用易于管理的问卷,并应通过正规教育确定截止点。
老年综合评估量表价格低廉,有效,以及识别老年人问题和潜在问题的有用工具。它们应该很容易应用,不是广泛的,适用于多种文化和不同水平的正规教育,适用于不同残疾程度的个人。建议指导卫生专业人员使用它们,以避免在解释结果时出现偏差。
This work aims to describe the main scales used in comprehensive geriatric assessment through a narrative analysis detailing their clinical application in relation to their advantages and disadvantages in terms of their psychometric properties (mental assessment) and biases in their application. The scales selected were: Barthel Index, Katz Index, Lawton and Brody Scale, Mini-Mental State Examination, Clock Test, Geriatric Depression Scale, and the Social Resources Scale.
We conducted a rapid systematic
review of reviews in MEDLINE (PubMed) up to January 2021, reporting findings using PRISMA, 2020. MeSH language, keywords, and the Boolean operators AND and OR were used to construct the reproducible search strategy.
Thirty-one works were selected that met the eligibility criteria: 18 systematic reviews, 12 literature reviews, and one scoping
review. Multiple versions were found for some of the scales and biases in their interpretation were observed. Short, easy-to-administer questionnaires are recommended and cut-off points should be defined by formal education.
Comprehensive geriatric assessment scales are inexpensive, effective, and useful instruments for identifying problems and potential problems in the elderly. They should be easy to apply, not extensive, valid for multiple cultures and different levels of formal education, and applicable to individuals with different degrees of disability. It is recommended that health professionals be instructed in their use to avoid biases in the interpretation of the results.