在孟加拉国健康老年人中调整孟加拉简易精神状态检查(MMSE-B)

Bangladesh Journal of Neuroscience Pub Date : 2016-07-31 DOI:10.3329/bjn.v32i2.57446

S. K. Ghose, Kazi Gias Uddin Ahmed, A. Chowdhury, A. Hasan, Muhammad Zillur Rahman Khan, Asm Rezaul Karim, K. Saha, H. Sina, -. Md Arifuzzaman

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引用次数: 2

摘要

背景:我们研究的目的是确定修改孟加拉语版本(MMSE- b)是否与孟加拉国人使用的迷你精神状态检查(MMSE)工具一样有效。方法:本研究于2013年1月至2013年12月在DMCH神经内科进行描述性观察性研究。共有200名符合纳入标准的健康成人(诊所的患者服务员)接受了结构化问卷调查，问卷包含年龄、性别、居住地、教育背景和MMSE英文版(MMSE- e)和MMSE- b修改孟加拉语版的问题(图1)。MMSE和MMSE- b均按1:1的比例施用。有文化的人被问及他们是否愿意用英语回答(MMSE- e)或他们想要翻译的形式，我们根据他们的意愿应用了MMSE (MMSE- t)的形式。但在另一组人中，无论受教育程度如何，都使用修改的孟加拉语版本(MMSE-B)。结果:患者平均发病年龄为58.1±7.8岁，年龄在50 ~ 70岁之间者占94%。男性在这两个群体中更常见(80,66)，并且大多数属于农村地区。MMSE-B主要用于只受过小学教育的人(5级以下，n=80)或没有受过教育的人(n=2)，而MMSE-E主要用于教育水平高于5级的人(n=96)。除第7题的MMSE-B平均得分高于第7题的MMSE-E平均得分(0.90比0.54)外，其余各题的认知领域相关系数均较好(相关系数范围为0.801 ~ 0.971)。MMSEB的平均得分大于MMSE-E的平均得分，除第1题与时间取向有关外，其余题均大于MMSE-E。MMSE-E和MMSE-B总分均值分别为24.04和24.91，相关系数为0.940。结论:MMSE-B适用于孟加拉国人民，无论其教育水平如何。孟加拉国神经科学杂志2016;Vol. 32 (2): 91-97

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Adapting Bangla Mini-Mental State Examination (MMSE-B) among Healthy Elderly in Bangladesh

Background: The aim of our study was to determine whether modified Bangla version (MMSE-B) is as effective as mini mental state examination (MMSE) tool for use in Bangladeshi people. Methods: This descriptive observational study was carried out in Department of Neurology, DMCH from January 2013 to December 2013. A total 200 healthy adults (patient attendants at the clinic) who met the inclusion criteria, were interviewed using a structured questionnaire containing information on age, sex, residence, educational backgrounds and questions set at MMSE English version (MMSE-E) and modified Bangla version for MMSE-B (Figure-1). MMSE and MMSE-B both were applied in 1:1 ration. The literate people were asked whether they are comfortable to answer in English (MMSE-E) or they would like the translated form and we applied the form of MMSE (MMSE-T) according to their wish. But in other group of people the modified Bangla version (MMSE-B) was used irrespective of level of education. Result: The mean age at presentation was 58.1±7.8 and 94% were within 50-70 years of age. Male were more common (80, 66) in both the groups and most of them belonging to rural areas. MMSE-B were mostly employed on people having only primary level of education (up to class five, n=80) or no education (n=2), whereas MMSE-E were employed up on people having a level of education higher than class five (n=96). Every question in each item of cognitive domain correlated well (correlation co-efficient range from 0.801- 0.971) except the 7th (correlation co-efficient 0.418) which had higher mean score for MMSE-B than those of MMSE-E (0.90 versus 0.54). The mean score of MMSEB was greater than the mean score of MMSE-E for most of questions except the 1st question that is related to orientation of time. The mean of total score in MMSE-E and MMSE-B were 24.04 and 24.91 respectively with a correlation co-efficient of 0.940. Conclusion: MMSE-B is adaptable for use in Bangladeshi people irrespective of level of education. Bangladesh Journal of Neuroscience 2016; Vol. 32 (2): 91-97

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Bangladesh Journal of Neuroscience

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