Clinical Experience with the NOSGER (Nurses' Observation Scale for Geriatric Patients) - Tentative Normative Data and Sensitivity to Change
R. Spiegel
Bok Engelsk
| Utgitt | L Tremmel Sandoz Pharma Ltd Clin Res & Dev C
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| Utgave | Orig.
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| Opplysninger | SUMMARY: The NOSGER is an assessment instrument used in psychgeriatrics, consisting of 30 observable items of behavior and measuring impairments in six aereas: memory, IADL(instrumental activities of daily living), ADL (activities of daily living), mood, social behavior and disturbing behaviour. Data collected in the course of validation studies were reanalysedoe to calculate tentative normative scores and to assess the scale's sensivity to change. Cutoff scores for elderly normal subjects living in the community are estimated around 10 for ADL and around 15 for memory and IADL disturbances. Cutoff values for the three non-cognitive NOSGER dimensions are not yet available. Sensivity to change (over 3 months) was shown to be relatively highest for memory, IADL and disturbing bahaviour and lowest for ADL in a group of patients with mild to moderate dementia. Correlations between NOSGER change scores and physisians' overall assessments of treatment efficacy in a drug study were highest for social behaviour, IADL and mood, suggesting that non-cognitive factors were at least important to determine doctors' assessments of change as changes in cognitive areas of behaviour. Further studies are on their way to supplement the present data set.
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