Læknablaðið - 15.10.1986, Page 25

LÆKNABLAÐIÐ
257
lyflækningadeildar Borgarspítala veittu mér tækifæri til að
rannsaka sjúklinga öldrunarlækningadeildar og aðgang að
gögnum deildarinnar á meðan ég starfaði þar. Yfirlæknar
lyflækningadeildar Landspítalans veittu mér leyfi til að
rannsaka sjúklinga deildarinnar og aðstoðarlæknar og
hjúkrunarfræðingar gáfu álit sitt. Þessum aðilum kann ég bestu
þakkir.
SUMMARY
A study of cognitive impairment among aged and
alcoholics with a practical standardized test (MMS)
compared with global assessment of staff.
The Mini Mental State Examination has been shown to
be a practical method for grading the cognitive state of
patients. The present study was carried out in order to
test the usefulness of an Icelandic translation on
geriatric patients and alcoholics. The original MMS
examination was modified by using a Benton Visual
Retention Test (BVRT) of drawing a pentagon by
memory rather than using the Bender-Gestalt copy
design (BG) of drawing two intersecting pentagons. The
effect of this change was tested among general medical
inpatients.
The author tested 169 persons, three groups of patients
most of which were tested twice, and two control
groups, one for the aged and the other for the
alcoholics. The test results were compared to the clinical
diagnosis and to the description of computerized
tomography of the brain in the geriatric patients. In the
general medical ward the house staff was asked to assess
patients on a global scale for comparison. With regard
to the alcoholics the scores were related to different
items from the patients history.
The test-retest reliability among elderly and very old
patients in a stable condition was found to be very good.
The use of BVRT rather than BG does not have a
significant effect on the test results, especially not if the
average age of the patients is similar. However, more
patients succeed on the BVRT, especially the oldest. The
test results among the geriatric patients and among the
very aged control group are similar to those found
previously. By using the same cut-off point in scoring
the test the prevalence of cognitive impairment in the
aged control group seems to be similar to that found by
other methods among the very aged in Iceland. The test
results showed that the prevalence of cognitive
impairment among general medical inpatients aged
60-93 years is underestimated by subjective global
assessment of the staff. The alcoholic patients scored
lower on the Mini-Mental State Examination than the
control group of unskilled workers although they
improved slightly after a short period of detoxification
except on registration and recall which did not improve.
As found by the authors of the Mini-Mental State
Examination (3) the Icelandic translation was found to
be quick, easy to use and acceptable to the patients.
VIÐBÆTIR
MINI-MENTAL STATE
PRÓF TIL AÐ META GLÖP
DAGSETNING:_____KL:______
SJÚKLINGUR:________________________FNR._____NR:
LÆKNIR:________________________________________
HÆSTA FJÖLDI
SKORUN STIG
ÁTTUN
5 ( ) HVAÐA ÁR, ÁRSTÍÐ, MÁNAÐARDAGUR, DAGUR, MÁNUÐUR ER NÚNA
5 ( ) HVAR ERUM VIÐ LAND, LANDSHORN, BÆR, SPÍTALI, DEILD.
NÆMI
3 ( ) NEFNIÐ 3 HLUTI: ÍSEKUNDA TIL AÐ NEFNA HVERN. SPYRJIÐ SJÚKLING
SÍÐAN EFTIR ÞEIM. 1 STIG FÆST FYRIR HVERT RÉTT SVAR. NEFNIÐ HLUTINA
AFTUR UNS SJÚKLINGURINN HEFUR LÆRT ALLA 3 HLUTINA. TELJIÐ FJÖLDA
SKIPTA SEM NEFNA ÞARF OG SKRÁIÐ.