I-Cornell Scale yoxinzelelo kwi-Dementia (CSDD) yindlela yokukhusela iimpawu zokudandatheka kumntu onomdementi . Ngokungafani nezinye izikali kunye nezikrini zokudandatheka, i-CSDD iqwalasela iimpawu ezongezelelweyo zokudakumba ezingenakucaciswa ngokucacileyo ngumntu. Umzekelo, ukuba umthandayo okanye isigulane sine- Alzheimer's disease , isifo sengqondo somzimba okanye olunye uhlobo lokukhubazeka kwengqondo , akanakho ukuhlala ekwazi ukuchaza ngokucacileyo iimvakalelo zakhe.
I-Cornell Scale imilinganiselo yokuqwalasela kunye nemiqondiso yenyama engabonisa ukuxinezeleka.
Uvavanyo luphuhlisiwe nini?
I-CSDD yaqala ukupapashwa ngo-1988 nguGeorges S.Alexopoulos, uRobert C. Abrams, uRobert C. Young noCharles A. Shamoian. Abaphandi basebenza kwiConell Institute of Psychiatry kwiYunivesithi yaseConell.
Uvavanyo lulawulwe njani?
Imibuzo ibuzwa ngumhlobo osondeleyo, ilungu losapho okanye umkhathaleli (obizwa ngokuba ngumcebisi) owaziyo kakuhle umntu. Le mibuzo ikwabuzwa ngokuhlukeneyo kumntu ovavanywayo. Ukuba iimpendulo ezinikezwa ngumntu ovavanywayo kwaye onolwazi aluhambelani, umlawuli wovavanyo uhlaziya ulwazi olunikeziwe kwaye wenza isigqibo esekelwe kwingcamango yakhe yeklinikhi.
Kubalulekile ukuba uqaphele ukuba umniki-mvavanyo makangabikho izibonakaliso ezihambelana ngqo nokukhubazeka okanye ukugula. Umzekelo, ukuba umntu unesifo se- Parkinson kunye nesifo sengqondo somzimba , ukunyakaza kwakhe okuncinci kunye nentetho ayibalwa njengempawu zokudakumba kwaye kunikwa amanqaku angama-zero, okanye engekhoyo.
Luhlobo luni lweemibuzo olubandakanyiweyo?
I-Cornell Scale ibandakanya imibuzo kwiindawo ezihlanu:
- Iimpawu ezihambelana nomoya : Ukukhathazeka, ukudabuka, ukungabikho kwempendulo kwiziganeko ezimnandi kunye nokugwenxa
- Ukuphazamiseka kokuziphatha : Ukutshitshiswa , ukulibaleka (ukuhamba ngokukhawuleza) kunye nentetho, izikhalazo ezininzi (ezingabandakanyi izimpawu zesisu kuphela), kunye nokulahlekelwa ngumdla kwimisebenzi eqhelekileyo
- Iimpawu zeMpawu : Ukulahleka kokutya, ukulahleka kwesisindo, ukuphelelwa kancinci
- ImiSebenzi yeCyclic : Ukwandiswa kwempawu kusihlwa, ixesha elinzima lokulala, ukuvusa amaninzi ngexesha lokulala, ukuvusa ngaphambi kokuqhelekileyo kusasa
- Ukuphazamiseka Okuhle: Ukuzibulala, ukuzithemba, ukuzithemba, ukunyanzelisa ubuhlwempu, ukugula okanye ukulahleka. (Cornell Screen for Depress in Dementia)
I-CSDD ixhaswe njani?
Umbuzo ngamnye, iimpendulo ezilandelayo zilingana nenani lamaphupha achongiweyo:
- Ukungabi nalutho (kuthetha ukuba akukho zibonakaliso okanye ukuqwalaselwa kweso sigqibo): amaqondo angama-0
- Ubumnene ukuya kwi-Intermittent (ukuziphatha okanye uphawu olukhoyo ngezinye izihlandlo): iphuzu eli-1
- Eyona nzulu (ukuziphatha okanye uphawu olukhoyo rhoqo): 2 amanqaku
Ukulandela ukulawulwa kwesikali, umlawuli wovavanyo unquma ukuba yiyiphi inqanaba elona lichanekileyo kwaye uyongezelela amanqaku, ukwabela inani lamanqaku achazwe ngasentla. Amanqaku angaphezulu kwe-10 abonisa ukuxinezeleka okukhulu okunokwenzeka, kwaye amanqaku angaphezu kwe-18 abonisa ukuxinezeleka okukhulu.
Ingaba ithatha ixesha elingakanani?
I-Cornell Scale ithatha malunga nemizuzu engama-30 ukugqiba, eyenza ibe yinye yezikali zokudandatheka kakhulu. Oku kungenxa yokuba udliwano-ndlebe lwababini isigulane kunye nolwazi luqhutyelwa.
Ichanekile njani i-CSDD?
I-Cornell Scale iboniswe ukuba iyasebenza kakhulu ekuchongeni abantu abajongene nokudakumba. Okuthakazelisayo kukuba, nangona isixhobo senziwe ukuba sisebenzise kubantu abaneengqondo, singasetyenziselwa ngokuphumelelayo ukuvavanya ukudandatheka kwabo bangenayo ingqondo.
Uphando luye lwaqhutyelwa ukuhlola ukuphumelela kwayo kwiinkcubeko. Ngokomzekelo, uphando oluqhutywe ngo-2012 lubonakalise ukulunga nokuthembeka xa inguqulo yesiKorea yaseConell Scale isetyenziswe ukuvavanya ubukho bexinzelelo kubantu baseKorea.
Ukuqaphela iziganeko zoxinzelelo
Ukuxinezeleka kunokuphathwa kakuhle.
Ukuba wena okanye othandekayo wakho uziva evezwe ngxinzelelo, kubalulekile ukufumana uvavanyo kunye nonyango ngabaqeqeshi.
Imithombo:
I-Alexopoulos, i-GS Cornell Institute of Geriatric Psychiatry. I-Cornell Scale Yokudandatheka kwi-Dementia: UkuLawula & Ukubeka Iikhokelo.
I-Biological Psychiatry 1988; 23 (3): 271-284. I-Cornell Scale yoxinzelelo kwi-Dementia. http://www.biologicalpsychiatryjournal.com/article/0006-3223(88)90038-8/abstract
KwiSebe lezeMpilo. Urhulumente waseVictoria State. Isixhobo kunye neSibonelelo seMithombo yeeMithombo. Kufumaneka ngoFebhuwari 25, 2013. http://www.health.vic.gov.au/older/toolkit/06Cognition/03Ukunyanzeliswa/docs/Cornell%20Scale%20for%20Depression%20in%20Dementia%20(CSDD).pdf
Nordic Journal of Psychiatry. 2006; 60 (5): 360-4. I-Geriatric Depression Scale kunye ne-Cornell Scale yokudandatheka kwi-Dementia. Isifundo sobulungisa. http://www.ncbi.nlm.nih.gov/pubmed/17050293
Uphando loPhando. 2012; 9: 332-338. Ukuthenjwa kunye neValididty ye-Korean Version ye-Cornell Scale yokudandatheka kwi-Dementia.