한국판 Cohen-Mansfield 초조 척도(K-CMAI)의 표준화 연구
A Standardizational Study for the Korean Version of Cohen-Mansfield Agitation Inventory(K-CMAI)
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초록
두 평가자에서 K-CMAI의 내적일치도(Cronbach’ s α)는 각각 0.889와 0.893를 얻었고, 평가자간 신뢰 도의 κ 값은 CMAI의 빈도는 0.97, 간병인의 고통 정 도는 0.95이었다. K-CMAI는 요인 분석으로 3개의 요 인이 도출되었다. 제 1요인은 공격적인 행동으로 발로 차기, 움켜잡기, 물건 던지기, 할퀴기, 소리지르기, 자신 이나 다른 사람에게 상처내기, 때기기, 물어뜯기, 밀어 붙이기 등이었고, 제 2요인은 신체적으로 비공격적인 행 동으로 걷기/목적없는 배회, 전반적으로 차분하지 못함, 자기 자기가 아닌 곳으로 가려고 하기, 부적절하게 옷 입기 또는 옷 벗기 등이었고, 제 3요인은 언어적으로 초 조한 행동으로 불평하기, 끊임없는 관심이나 요구, 반복 적인 말이나 질문, 부정적으로 대하기, 악담 또는 폭언 등이었고, 마지막으로 제 4요인은 물건을 숨기기와 물 건 모으기였다. K-NPI의 민감, 탈억제, 그리고 이상 행동 영역이 K-CMAI의 제 1요인과 상관관계가 가장 높았다.
Abstract
Objectives：This study was conducted to standardize and develop the Korean version of Cohen-Mansfield Agitation Inventory(K-CMAI), which is a scale for assessing common agitated behaviors in elderly patients. Methods：After developing the K-CMAI, 166 patients, who met diagnostic criteria of dementia, were rated by it and Korean version of Neuropsychiatric Inventory(K-NPI). We tested internal consistency, interrater reliability, and factor analysis and correlation with K-CMAI and K-NPI. Results：Internal consistency of frequency of K-CMAI(Cronbach ’sα) in two raters were 0.889 and 0.893, respec¬tively, andκ value of interrater reliability was 0.97 for frequency and was 0.95 for difficulties of caregivers. Factor analysis from Varimax Rotation of K-CMAI was found 4 factors, such as aggressive behaviors, physically non-aggressive behaviors, verbally agitated behaviors, and hiding and hoarding, and we could confirm those 4 factors with Amos. Irritability, Disinhibition, and aberrant behavior domains of K-NPI were highly correlated with K-CMAI. Conclusions：The K-CMAI was showed good reliability and validity for the assessment of agitated behavior in elderly. The K-CMAI is an useful tool to caregiver for detecting abnormal behavior of dementia patients.
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