Journal of Police Medicine

fa ﻫﻤﺨﻮاﻧﯽ آزﻣﻮن ﺷﻨﺎﺧﺘﯽ ﻣﻮﻧﺘﺮال و ﺗﺸﺨﯿﺺ ﻧﻮروﻟﻮژیﺴﺖ در ﺑﯿﻤﺎران ﺑﺎ اﺧﺘﻼﻻت ﺷﻨﺎﺧﺘﯽ Evaluating Reliability of the Montreal Cognitive Assessment Test and its Agreement with Neurologist Diagnosed among Patients with Cognitive Complaints مروری سيستماتيک Systematic Review ﻫﺪف: ایﻦ ﺑﺮرﺳﯽ ﺑﺎ ﻫﺪف ﻣﻘﺎیﺴﻪ ﻧﺘﺎیﺞ ﺗﺸﺨﯿﺼﯽ ﻧﻮروﻟﻮژیﺴﺖﻫﺎ ﺑﺎ آزﻣﻮن ﻣﻮﻧﺘﺮال در ﺑﯿﻤﺎران ﻣﺮاﺟﻌﻪﮐﻨﻨﺪه ﺑﻪ ﮐﻠﯿﻨﯿﮏ ﺑﺎﺷﮑﺎیﺎت اﺧﺘﻼل ﺷﻨﺎﺧﺘﯽ اﻧﺠﺎم ﺷﺪ. ﻣﻮاد و روشﻫﺎ: ﻃﯽ یﮏ ﻣﻄﺎﻟﻌﻪ ﺗﻮﺻﯿﻔﯽ-ﺗﺤﻠﯿﻠﯽ 213 ﺑﯿﻤﺎر ﺑﺎ ﻋﻼیﻢ ﻣﺸﮑﻼت ﺷﻨﺎﺧﺘﯽ ﮐﻪ ﺑﻪ درﻣﺎﻧﮕﺎه ﻧﻮروﻟﻮژی ﺑﯿﻤﺎرﺳﺘﺎن وﻟﯿﻌﺼﺮ ﻧﺎﺟﺎ ﻣﺮاﺟﻌﻪ ﮐﺮده و ﺑﻪ ﺷﯿﻮه در دﺳﺘﺮس اﻧﺘﺨﺎب ﺷﺪﻧﺪ و ﺑﻪ ﺗﺸﺨﯿﺺ ﻧﻮروﻟﻮژیﺴﺖ ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼل ﺷﻨﺎﺧﺘﯽ ﺑﻮدﻧﺪ، ﺑﻪ آزﻣﻮن ﻣﻮﻧﺘﺮال ﭘﺎﺳﺦ داده و ﻧﺘﺎیﺞ ایﻦ آزﻣﻮن ﺑﻪ ﻫﻤﺮاه ﻣﺸﺨﺼﺎت دﻣﻮﮔﺮاﻓﯿﮏ ﺑﯿﻤﺎران ﺑﻪوﺳﯿﻠﻪ ﻧﺮم اﻓﺰار SPSS ﻧﺴﺨﻪ 15 و ﺷﺎﺧﺺﻫﺎی آﻣﺎری ﻓﺮاواﻧﯽ، ﻣﯿﺎﻧﮕﯿﻦ، اﻧﺤﺮاف اﺳﺘﺎﻧﺪارد و آزﻣﻮن ﮐﺎی دو ﺗﺠﺰیﻪ و ﺗﺤﻠﯿﻞ ﺷﺪ. یﺎﻓﺘﻪﻫﺎ: ﺑﺮاﺳﺎس یﺎﻓﺘﻪﻫﺎ ﺑﯿﺸﺘﺮیﻦ ﻓﺮاواﻧﯽ اﻓﺮاد ﺑﯿﻤﺎر ﻣﺮﺑﻮط ﺑﻪ ﮔﺮوه ﺳﻨﯽ 35-39 ﺳﺎل ﺑﻮد. 54% از ﺑﯿﻤﺎران ﻣﺬﮐﺮ و 64%ﺑﯿﻤﺎران اﻓﺮاد ﻣﺆﻧﺚ ﺑﻮدﻧﺪ. اﮐﺜﺮیﺖ ایﻦ اﻓﺮاد را ﻣﺘﺄﻫﻠﯿﻦ و ﺑﺎ ﺳﻄﺢ ﺗﺤﺼﯿﻼت زیﺮ دیﭙﻠﻢ و ﺗﺮک زﺑﺎن ﺗﺸﮑﯿﻞ ﻣﯽدادﻧﺪ و اﻏﻠﺐ از ﻧﻈﺮ درﺟﻪ ﻧﻈﺎﻣﯽ، اﻓﺴﺮ ﺟﺰء ﺑﻮدﻧﺪ و ﺳﺎﺑﻘﻪ ﺧﺪﻣﺘﯽ اﮐﺜﺮ آﻧﺎن در ﻣﺤﺪوده 10-14ﺳﺎل ﺑﻮد. 12/2%از ایﻦ ﺑﯿﻤﺎران ﻣﻮرد ﻣﻄﺎﻟﻌﻪ ﺑﺎ ﮐﺴﺐ اﻣﺘﯿﺎز ﮐﻤﺘﺮ از 26 ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼل ﺷﻨﺎﺧﺘﯽ ﺗﺸﺨﯿﺺ داده ﺷﺪﻧﺪ. ﻫﻤﭽﻨﯿﻦ ﺑﯿﻦ ﻧﺘﯿﺠﻪ آزﻣﻮن ﻣﻮﻧﺘﺮال در ردهﻫﺎی ﻣﺨﺘﻠﻒﺳﻨﯽ، ﺟﻨﺴﯽ، وﺿﻌﯿﺖ ﺗﺄﻫﻞ، ﺳﻄﺢ ﺗﺤﺼﯿﻼت، ﻗﻮﻣﯿﺖ، درﺟﻪ ﻧﻈﺎﻣﯽ و ﺳﺎﺑﻘﻪ ﺧﺪﻣﺖ راﺑﻄﻪ آﻣﺎری ﻣﻌﻨﯽداری ﻣﺸﺎﻫﺪه ﻧﺸﺪ. ﻧﺘﯿﺠﻪﮔﯿﺮی: ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﻪ ﻣﻨﻈﻮر ﻣﻘﺎیﺴﻪ ﻫﻤﺨﻮاﻧﯽ آزﻣﻮن ﺷﻨﺎﺧﺘﯽ ﻣﻮﻧﺘﺮال ﺑﺎ ﺗﺸﺨﯿﺺ ﻧﻮروﻟﻮژیﺴﺖ در ﻣﺮاﺟﻌﯿﻦ ﺑﺎ ﺷﮑﺎیﺎت اﺧﺘﻼﻻت ﺷﻨﺎﺧﺘﯽ اﻧﺠﺎم ﺷﺪه اﺳﺖ. ﺑﺮ اﺳﺎس ایﻦ ﻣﻄﺎﻟﻌﻪ آزﻣﻮن ﻣﻮﻧﺘﺮال ﺑﻪ ﻋﻨﻮان یﮏ آزﻣﻮن ﺳﺮیﻊ ﺑﺮای ارزیﺎﺑﯽ اﺧﺘﻼﻻت ﺷﻨﺎﺧﺘﯽ در ﺑﯿﻤﺎران ﻣﺮاﺟﻌﻪﮐﻨﻨﺪه ﺑﻪ ﮐﻠﯿﻨﯿﮏﻫﺎی درﻣﺎﻧﯽ اﺳﺖ ﮐﻪ ﺑﻪ دﻟﯿﻞ ﻓﺮاواﻧﯽ ﺟﻤﻌﯿﺖ ﻣﺮاﺟﻌﻪﮐﻨﻨﺪه ﺑﻪ ایﻦ ﻣﺮاﮐﺰ ﻓﺮﺻﺖ ﮐﺎﻓﯽ ﺑﺮای اﺳﺘﻔﺎده از ﺳﺎیﺮ آزﻣﻮنﻫﺎی ﺗﺸﺨﯿﺼﯽ ﻧﯿﺴﺖ. ﻫﻤﭽﻨﯿﻦ ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ایﻨﮑﻪ ﺟﻤﻌﯿﺖ ﻣﻮرد ﺑﺮرﺳﯽ ﻧﻈﺎﻣﯿﺎن ﺑﻮده اﻧﺪﻧﺘﺎیﺞ ﺑﺎیﺪ ﺑﺎ اﺣﺘﯿﺎط ﺗﻌﻤﯿﻢ داده ﺷﻮد و ﭘﯿﺸﻨﻬﺎد ﻣﯽﺷﻮد ﮐﻪ در ﻣﻄﺎﻟﻌﺎت آیﻨﺪه ﮔﺮوهﻫﺎی ﻣﺘﻔﺎوت اﺟﺘﻤﺎﻋﯽ ﺑﺮرﺳﯽ ﺷﻮد. Aim: Mild cognitive impairment can be considered as an intermediate clinical state between normal cognitive aging and mild dementia. This study intends to compare the results of neurologists' diagnoses with the results of the Montreal Cognitive Assessment Test in patients with complaints of cognitive impairment. Materials and Methods: In a cross - sectional study, 213 patients whom - with signs of cognitive problems – have reffered to neurology clinic of valiasr Hospital of naja were selected availability and based on the neurologist's diagnosis to cognitive disorder responded the Montreal'  test. The test's results and demographic characteristics using statistical software SPSS indexes such as frequency, mean, standard, and Chi-square test were used for analysis Results: The findings showed that most of the patients aged 35-39 years. 54% of the patients were male and 46% female. The majority of these people wrer married, the education level was high school diploma, and their language was Turkish. They were mostly except officers and service experience mostly was in the range of 10-14 years. Also in results of Montreal test between in different categories of age, sex, marital status, education level, ethnicity, class and military service were no significant relationship. Conclusion: In this study, have tried to compare the results of neurologist's diagnostic, and the Montreal test in patients with Cognitive impairment complaint who referring to the clinic. According to this study of the Montreal cognitive assessment is a rapid test in patients admitted to a clinic , where because of large amount of population admitted there is not enough time to perform other diagnostic assessments. Also because the most studied population was military personnels , the results must be generalized with caution. It is recommended to study differnt social populations in future studies. آزمون ارزیابی شناختی مونترال, اختلال شناختی Montreal Cognitive Assessment, Cognitive impairment 15 21 http://jpmed.ir/browse.php?a_code=A-10-1-7&slc_lang=fa&sid=1 H Sikaroodi هژیر سیکارودی 10031947532846009312 10031947532846009312 No Professor of Brain and Neurology, Faculty of Medicine, University of Tehran, Iran داﻧﺸﯿﺎرﮔﺮوه ﻣﻐﺰ و اﻋﺼﺎب، داﻧﺸﮑﺪه ﭘﺰﺷﮑﯽ، داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﺗﻬﺮان ، ایﺮان A Majidi علی مجیدی 10031947532846009313 10031947532846009313 No Brain and Nervous Surgeon, Behdari Kul Naja, Tehran, Iran ﻣﺘﺨﺼﺺ ﺟﺮاﺣﯽ ﻣﻐﺰ و اﻋﺼﺎب، ﺑﻬﺪاری ﮐﻞ ﻧﺎﺟﺎ، ﺗﻬﺮان، ایﺮان S Samadi ساره صمدی 10031947532846009314 10031947532846009314 No Master of Health, Behdari Kul Naja, Tehran, Iran ﮐﺎرﺷﻨﺎس ارﺷﺪ ﺑﻬﺪاﺷﺖ، ﻣﺮﮐﺰ ﺗﺤﻘﯿﻘﺎت ﮐﺎرﺑﺮدی ﺑﻬﺪاری ﮐﻞ ﻧﺎﺟﺎ، ﺗﻬﺮان، ایﺮان H Shirzad هادی شیرزاد 10031947532846009315 10031947532846009315 No PhD in Genetics, Law Enforcement Industry and Technology Research Institute, NAJA Research and Studies Organization, Tehran, Iran دﮐﺘﺮای ﺗﺨﺼﺼﯽ ژﻧﺘﯿﮏ، ﭘﮋوﻫﺸﮑﺪه ﺻﻨﻌﺖ و ﻓﻨﺎوری اﻧﺘﻈﺎﻣﯽ، ﺳﺎزﻣﺎن ﺗﺤﻘﯿﻘﺎت و ﻣﻄﺎﻟﻌﺎت ﻧﺎﺟﺎ، ﺗﻬﺮان، ایﺮان H Aghdam حامد اقدم 10031947532846009316 10031947532846009316 Yes doctor and specialist of emergency medicine , tehran university of medical sciences , iran ﭘﺰﺷﮏ و ﻣﺘﺨﺼﺺ ﻃﺐ اورژاﻧﺲ، داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﺗﻬﺮان، ایﺮان A Azimi Kia عباس عظیمی کیا 10031947532846009317 10031947532846009317 No general practitioner, geographical law academy, research organization and naja studies, tehran, iran ﭘﺰﺷﮏ ﻋﻤﻮﻣﯽ، ﭘﮋوﻫﺸﮑﺪه ﺟﻐﺮاﻓﯿﺎیﯽ اﻧﺘﻈﺎﻣﯽ، ﺳﺎزﻣﺎن ﺗﺤﻘﯿﻘﺎت و ﻣﻄﺎﻟﻌﺎت ﻧﺎﺟﺎ، ﺗﻬﺮان، ایﺮان L Mohammadi Bakhsh لیلا محمدی بخش 10031947532846009318 10031947532846009318 No Persian Language and Literature specialist, Iranian Studies and Studies Organization, Tehran, Iran ﮐﺎرﺷﻨﺎس ارﺷﺪ زﺑﺎن و ادﺑﯿﺎت ﻓﺎرﺳﯽ، ﺳﺎزﻣﺎن ﺗﺤﻘﯿﻘﺎت و ﻣﻄﺎﻟﻌﺎت ﻧﺎﺟﺎ، ﺗﻬﺮان، ایﺮان