認知症診断テスト その1
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<p class="text-center">
注意！ JavaScriptが無効です。<br />
テスト結果を算出するには、ブラウザのJavaScriptを有効にして下さい。<br />
</p>
</noscript>
<br /><h1>認知症<br />その1 認知症評価尺度</h1><br />
<p class="text-center">以下の項目で当てはまる○をクリックしてください</p>
<blockquote>
<form name="frmSample">
<table>
<tbody>
<tr>
<th colspan="2">1．同じことを何度も言ったり、聞いたりする</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans01" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans01" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">2．物の名前が出てこなくなる</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans02" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans02" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">3．以前のような興味や関心が失われる</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans03" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans03" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">4．『あれ』、『それ』、『あそこ』などの代名詞が多くなる</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans04" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans04" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">5．話の内容にそぐわないピントはずれの受け答えをする</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans05" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans05" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">6．孫の名前が思い出せない</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans06" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans06" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">7．孫の顔がわからない</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans07" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans07" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">8．意味もなく怒る</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans08" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans08" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">9．人の悪口を平気で言う</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans09" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans09" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">10．笑わなくなる</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans10" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans10" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">11．困ったような、不安そうな表情を見せる</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans11" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans11" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">12．全体に活気がなくなる</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans12" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans12" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">13．表情が乏しくなる</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans13" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans13" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">14．物事に対して関心や興味がなくなる</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans14" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans14" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">15．盆栽を枯らしたり、テレビを見なくなったり、打ち込んでいた趣味をしなくなる</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans15" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans15" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">16．部屋が乱雑になる</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans16" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans16" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">17．家事をしない</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans17" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans17" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">18．料理をしたがらなくなる</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans18" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans18" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">19．化粧をしない</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans19" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans19" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">20．髪の毛がぼさぼさでも気にならない</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans20" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans20" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">21．洋服がだらしなくなる</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans21" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans21" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">22．おしゃれに関心がなくなる</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans22" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans22" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">23．入浴をおっくうがる</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans23" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans23" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">24．歯を磨かない</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans24" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans24" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">25．清潔への意識がなくなる</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans25" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans25" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">26．料理の味付けが変わる</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans26" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans26" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">27．鍋を火にかけっぱなしにする</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans27" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans27" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">28．砂糖と塩を間違える</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans28" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans28" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">29．簡単な計算を間違える</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans29" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans29" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">30．親しかった友人と会おうとしない</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans30" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans30" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">31．冠婚葬祭を欠席する</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans31" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans31" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">32．外出を嫌がる</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans32" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans32" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">33．家に閉じこもる</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans33" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans33" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">34．何度も同じ話を繰り返す</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans34" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans34" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">35．聞いたばかりのことをまた聞き返す</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans35" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans35" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">36．同じ場所を行ったり来たりする</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans36" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans36" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">37．引き出しを理由もなく開け閉めする</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans37" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans37" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">38．何度も同じことを確認する</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans38" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans38" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">39．混乱する</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans39" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans39" class="choice" /></div></td>
</tr>
<tr>
<th colspan="2">40．言い訳する</th>
</tr>
<tr>
<td>はい </td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="1" name="Ans40" class="choice" /></div></td>
</tr>
<tr>
<td>いいえ</td><td nowrap="nowrap" class="enter"><div align="center"><input onclick="Calc()" type="radio" value="0" name="Ans40" class="choice" /></div></td>
</tr>
</tbody>
</table> <div class="text-center"><span id="msg"></span>
<br /><br />
はい： <input class="gokei" readonly size="5" name="txtYes" type="text" /> 個 / いいえ：<input class="gokei" readonly size="5" name="txtNo" type="text" /> 個<br class="d-block d-md-none">
<br><input type="reset" value="リセット" width="50" onClick="ResetForm()" class="resetbtn">
<br />
<br />
『はい』のほうが『いいえ』より多い場合<br />
認知症の疑いがあります
</div>
<br />
<br />
</form>
</blockquote>
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