目的 系统评价老年人痴呆恐惧评估工具的测量学属性和研究方法学质量，为医护人员选择合适的评估工具提供参考。方法 检索PubMed、Embase、CINAHL、中国知网等数据库中有关老年人痴呆恐惧评估工具研究的文献，检索时限为建库至2023年4月23日;由2名研究者独立进行文献筛选和资料提取，评价纳入研究方法学质量及测量属性，汇总评估工具测量属性结果、判定其证据等级，形成最终推荐意见。结果 共纳入了 15项研究，涉及7种老年人痴呆恐惧评估工具，其中，6个量表均没有"任何等级证据证明内容效度充分，且内部一致性充分(至少为低质量证据)"，为B级推荐;有1个量表由于有高质量的证据证明其内部一致性的不充分，为C级推荐。结论 痴呆恐惧量表(the fear of dementia scale for older adults，FODS)测量属性评价较为全面，临床应用可行性较高，且具有较好的信效度，可暂时被推荐，但其它测量特性仍需进一步验证。
A Systematic Review of Dementia Fear Assessment Tools in the Elderly
Objective To systematically evaluate the attributes of dementia fear assessment tools in the elderly and the methodological quality of the research,so as to provide references for their application.Methods Databases like PubMed,Embase,CINAHL,CNKI were searched for studies on dementia fear scale from the inception to April 23,2023.Literature was screened and data extracted independently by two researchers,methodological quality and tool attributes included in the study were evaluated,the results of each measurement attribute of the evaluation tools were summarized,and the level of evidence was deter-mined to form the final recommendation.Results 15 studies were included,involving 7 assessment tools for senile dementia.6 scales didn't have any grade evidence of sufficient content validity and sufficient in-ternal consistency and fell into B-level recommendation.1 scale was recommended for C-level because of high-quality evidence to prove the insufficiency of its internal consistency.Conclusions FODS is temporari-ly recommended because of its comprehensiveness,feasibility in clinical application,better reliability and validity,but its other attributes still need to be further verified.
万方数据
维普
