对昏迷恢复规模的巴西葡萄牙语的验证 - 经过修订
Ana Paula Silva Champs1, Thayse Nayara Freitas do Vale Santanna2, Christian Marques Couto3
1Rede SARAH de Hospitais de Reabilitação, Belo Horizonte MG, Brazil.
Arquivos de neuro-psiquiatria
|November 20, 2024
概括
巴西葡萄牙昏迷恢复尺度修订 (CRS-R) 证明了可靠的管理和高有效性在评估严重脑损伤患者的意识. 这种工具显示了评级者之间强烈的共识,并且与其他已建立的评级表有很好的相关性.
科学领域:
- 神经科学是一个神经科学.
- 临床神经学 临床神经学
- 康复医学 康复医学 康复医学
背景情况:
- 昏迷恢复量表 (CRS) 于1991年推出,以提高严重脑损伤时意识的诊断准确性.
- 修订后的昏迷恢复量表 (CRS-R) 于2004年开发出来.
- 评估严重脑损伤患者的意识对于治疗和预后至关重要.
研究的目的:
- 为了验证Coma Recovery Scale-Revised (CRS-R) 的巴西葡萄牙语的适应.
- 评估CRS-R在巴西葡萄牙语中的并发有效性.
- 确定巴西葡萄牙语中CRS-R的inter-和intrarater协议.
主要方法:
- 评估了30名严重脑损伤的患者.
- 使用格拉斯哥昏迷量表 (GCS) 和完全概述不响应量表 (FOUR) 进行了同时评估.
- 七名康复专家评估了inter-和intrarater的可靠性.
主要成果:
- 在所有CRS-R子尺度中发现了中等至高的间可靠性 (科恩卡帕=0.7650.892).
- 对于总的CRS-R分数,观察到具有统计意义的inter-和intrarater intraclass相关系数.
- 总CRS-R得分和总GCS/FOUR得分之间的高相关性表明可接受的并发有效性.
结论:
- 巴西葡萄牙语CRS-R由训练有素的专业人员可靠地管理.
- 对于CRS-R总得分和子尺度,已经证明了实质性的或几乎完美的间隔器协议.
- 巴西葡萄牙语CRS-R和其他标准化尺度之间的高并发有效性得到证实.
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