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KMID : 0869220000040020164
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Journal of Korean Geriatric Psychiatry
2000 Volume.4 No. 2 p.164 ~ p.172
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Korean Standardization of General Medical Health Rating on Dementia Patients
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정성수
신용제/안정애/여경희/신석철
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Abstract
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ABSTRACT Concurrent medical problem is common in dementia patients and critical to their care Despite its importance, there was no bedside global rating scale for the seriousness of medical comorbidity. Lykestos et al. newly developed a reliable bedside scale, the General Medical Health Rating (GMHR). The objective of this study was to standardize the GMHR in form of Korean version (KGMIIR). The study population consisted of 35 dementia patients in nursing home. Rating was performed by I physician and 2 nurses.
Forty percent (14/35) of patients had one or more unstable medical illnesses. KGMHR ratings no more than 3 were 71.5% (2 5/35) of patients. The value of inter-rater reliability coefficient a was 0.9121. Correlations between KGMHR ratings and number of unstable medical illnesses were high (r=0.487, p<0.01). KGMHR ratings were also correlated with number of medications being taken for comorbid conditions (r=0.542. p <0.01).
In conclusion, KGMHR is a very reliable and simple rating scale for medical comorbidity in dementia patients. So the KGMHR could he a useful tool for evaluation of comorhidity in dementia patients. To verify the prognostic value of KGMHR, farther large sized long-term study are needed.
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KEYWORD
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