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目的:评价全科医生认知功能评估量表-The General Practitioner Assessment of Cognition(GPCOG)的中文译本的信度和效度。方法:对263名社区健康老人和住院及门诊老年患者进行GPCOG评定,两周后对随机抽取的31人进行重测,评估GPCOG的中文译本的信度及效度。结果:GPCOG患者评估部分的Cronbach’α系数是0.682,GPCOG患者部分各条目与总分的相关系数为0.499-0.940,各条目间的相关系数为0.408-0.610,各条目及总分的先后两次测定的相关系数为0.855-0.981。GPCOG灵敏度98.08%,特异度91.94%。GPCOG患者部分总分和知情者部分总分与ADL总分呈负相关(P<0.01)。GPCOG患者部分的ROC曲线下面积(AUC)为0.983。结论:GPCOG具有良好的信度和效度,值得在我国综合医院和社区医院及初级护理机构推广应用。
OBJECTIVE: To evaluate the reliability and validity of the Chinese translation of The General Practitioner Assessment of Cognition (GPCOG). Methods: GPCOG was performed on 263 healthy elderly people and inpatients and outpatients with senile patients. Two weeks later, 31 randomly selected patients were retested to assess the reliability and validity of the Chinese translation of GPCOG. Results: The Cronbach’α coefficient of GPCOG patients evaluation part was 0.682. The correlation coefficient of some items of GPCOG patients with the total score was 0.499-0.940. The correlation coefficient of each item was 0.408-0.610. The items and total score were twice The correlation coefficient was 0.855-0.981. GPCOG sensitivity of 98.08%, specificity of 91.94%. The total scores of GPCOG patients’ partial total scores and informants were negatively correlated with the total score of ADL (P <0.01). The area under the ROC curve (AUC) for the GPCOG patient fraction was 0.983. Conclusion: GPCOG has a good reliability and validity, which is worthy of promotion and application in general hospitals, community hospitals and primary nursing institutions in our country.