对认知障碍患者的希洪社会家庭评估量表(SFES)的修改版本的验证:“巴塞罗那SFES版本”。

P Garcia-Caselles, R Miralles, M Arellano, R M Torres, A Aguilera, M Pi-Figueras, A M Cervera
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引用次数: 23

摘要

目的是验证希洪社会家庭评估量表(SFES)的简化版本(巴塞罗那-SFES版本),用于认知障碍患者。一组34名认知障碍患者,入院的中长期护理机构,进行了分析。平均年龄80.2±7.4岁。Gijón的sses是缩写的,只选择了与家庭条件、社会联系和社会网络援助相对应的前三个项目组。巴塞罗那- sfes版本的评分范围在3到15分之间,得分低的老年患者与家人住在一起,有良好的联系,并参加社区活动。相比之下,得分高的老年人独居,缺乏社会支持,很少参与社区活动。根据barcelona - sses评分,将社会风险分为低社会风险(>/= 7分)、中等社会风险(8-9分)和高社会风险三类。本研究中使用的验证标准是:出院后目的地(家庭或机构)的barcelona - sses评分的预测价值,以及患者(或家属)对养老院明确制度化的要求。低社会风险9例(26.4%),中等社会风险8例(23.5%),高社会风险17例(50%)。巴塞罗那- sfes评分与出院后目的地之间存在显著关系。80%的患者出院到一个机构(护理和住宅),他们有高社会风险SFES评分(>/= 10)。此外,被执行明确的机构化请求的患者数量与巴塞罗那-SFES评分之间存在显著的相关性。在接受治疗的18例患者中,有15例(88.2%)属于高社会风险组。SFES的最低分数预示着出院,而最高分数预示着最终的机构化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Validation of a modified version of the Gijon's social-familial evaluation scale (SFES): the "Barcelona SFES Version", for patients with cognitive impairment.

The aim was to validate an abbreviated version of the Gijon's social-familial evaluation scale (SFES) (Barcelona-SFES version), on patients with cognitive impairment. A group of 34 patients with cognitive impairment, admitted to an intermediate-long-term-care facility, were analyzed. Mean age was 80.2 +/- 7.4 years. Gijón's SFES was abbreviated and only the first three item groups corresponding to family conditions, social contacts and assistance from the social network were selected. Barcelona-SFES version had a range score between 3 to 15 points, in which low scores identify older patients who live with their family, have good contacts, and participate in community activities. In contrast, high scores identify older persons who live alone and have poor social support and little participation with community activities. Three social risk categories were established according to the Barcelona-SFES score: low social risk (>/= 7 points), intermediate social risk (8-9 points) and high social points). Validation criteria used in the present study were: predictive value of Barcelona-SFES score of post-discharge destination (home or institution), and patient's (or family's) request for a definitive institutionalization in a nursing home. There were 9 patients with low social risk (26.4 %), 8 with intermediate social risk (23.5 %) and 17 with high social risk (50 %). A significant relationship between Barcelona-SFES scores and post-discharge destination was found. Eighty percent of patients discharged to an institution(nursing and residential homes), they had high social risk SFES scores (>/= 10) Also, a significant correlation was found between the number of patients for which a definitive institutionalization request was performed and the Barcelona-SFES scores. Fifteen (88.2 %) of the 18 patients for whom the request was done, were in the high social risk group. The lowest scores from SFES were predictive of home discharge, while the highest scores were predictive of a definitive institutionalization.

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