Research Progress in Cognitive Function Assessment Tools for Patients with Advanced Dementia

doi:10.12114/j.issn.1007-9572.2019.00.275

Abstract

Abstract: Dementia is an irreversible neurodegenerative disease with a progressive course.The cognitive function of patients with dementia will gradually decrease as the disease progresses.At present，clinical medical staff and patients' families in China pay less attention to the late stage of dementia.The traditional cognitive function assessment tools have the floor effect and play a limited role in tracking cognitive function of patients with advanced dementia.Correct assessments of patients with advanced dementia can identify their residual cognitive functions and basic skills for survival，which provides medical staff useful information to track treatment outcomes，meanwhile increases caregivers' confidence and improves patients' quality of life.By reviewing the related researches on cognitive function assessment tools for patients with advanced dementia at home and abroad，we conducted a comparative analysis.The results showed that assessment tools have their own advantages and disadvantages and applicability in the evaluation of cognitive function of patients with advanced dementia，such as Severe Impairment Battery（SIB）scale，Severe Impairment Battery Short Version（SIB-S）scale，Severe Mini-Mental State Examination（SMMSE）scale，Baylor Profound Mental State Examination-cognitive（BPMSE-cog）scale，Test for Severe Impairment（TSI）scale，and Severe Cognitive Impairment Profile（SCIP）scale.This paper provides a basis for the selection of cognitive function assessment tools for patients with advanced dementia in China.

Key words: Dementia, Cognition, Review, Assessment tools

摘要： 痴呆是一种发展病程不可逆的神经退行性病变，患者的认知功能会随着疾病的进展不断减退。目前国内临床医护人员及家属对晚期痴呆的关注较少，传统的认知功能评估工具存在“地板效应”，在跟踪晚期痴呆患者认知功能方面能力有限。而对晚期痴呆患者进行正确的评估可以识别其残存的认知功能和维持生存的基本技能，为医护人员提供可以利用的信息，追踪治疗效果，同时提高照顾者的信心，改善患者的生活质量。本文通过回顾国内外发表的晚期痴呆患者认知功能评估工具的相关研究并进行对比分析，发现严重损害量表（SIB）、严重损害量表-缩减版（SIB-S）、简易精神状态检查表-重度（SMMSE）、贝勒严重精神状态检查量表-认知评估（BPMSE-cog）、严重损害测试量表（TSI）、严重认知损害量表（SCIP）等工具在评估晚期痴呆患者的认知功能方面具有各自的优缺点及适用性，为我国晚期痴呆患者认知功能评估工具的选择提供依据。

关键词: 痴呆, 认知, 综述, 评估工具

赵妍,练海娟,沈旭慧等. 晚期痴呆患者认知功能评估工具的研究进展[J]. 中国全科医学, 2019, 22(36): 4526-4531. DOI: 10.12114/j.issn.1007-9572.2019.00.275.

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