Assessment of discomfort in advanced Alzheimer patients

Research in Nursing and Health - Tập 15 Số 5 - Trang 369-377 - 1992
Ann C. Hurley1,2, Beverly J. Volicer3, Patricia Hanrahan4, Susan Crocker Houde4, Ladislav Volicer5
1Ann C. Hurley, RN, DNSc, is associate director of the Geriatric Research, Education and Clinical Center, Edith Norse Rogers Memorial Veterans Hospital, Bedford, MA, and an adjunct assistant professor of nursing, Northeastern University.
2Geriatric Research, Education and Clinical Center, ENRM Veterans Hospital (182B), 200 Springs Road, Bedford, MA 01730.
3Beverly J. Volicer, PhD, is professor of Health Services Administration, University of Lowell.
4Patricia A. Hanrahan, RN, MS, and Susan Houde, RN, MS, are research assistants, ENRM Veterans Hospital, Bedford, MA.
5Ladislav Volicer, MD, PhD, is acting director of the Geriatric Research, Education and Clinical Center, ENRM Veterans Hospital, Bedford, MA, and professor of pharmacology and psychiatry and assistant professor of medicine, Boston University.

Tóm tắt

AbstractAn objective scale for measuring discomfort in noncommunicative patients with advanced Alzheimer's disease was empirically generated from the perspectives of nursing staff practicing on special care Alzheimer units and was judged to have content validity. On the basis of a pilot test, the discomfort scale was reduced to nine items. Quantifiable scoring procedures and a rater training program were developed. The scale (DS‐DAT) was tested longitudinally for 6 months with 82 subjects at two sites. Psychometric properties, measurement issues, and recommendations for use in practice and research are discussed.

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