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洛文斯坦沟通量表的可靠性和有效性

Anna Oksamitni^1,2, Hiela Lehrer¹, Ilana Gelernter²

¹The Intensive Care for Consciousness Rehabilitation Department, the Department of Spinal Rehabilitation, Loewenstein Rehabilitation Medical Center, Raanana 4355840, Israel.

Neurology international

|August 27, 2025

概括

洛文斯坦沟通量表 (LCS) 在评估有意识障碍 (DOC) 的患者中表现出强大的可靠性和有效性. 这种工具在临床和研究应用中对沟通性表现有价值.

科学领域:

神经科学
康复医学
临床评估

背景情况:

意识障碍 (DOC) 在准确评估患者的沟通能力方面存在重大挑战.
洛文斯坦沟通量表 (LCS) 旨在评估DOC患者的沟通能力.

研究的目的:

调查洛文斯坦沟通量表 (LCS) 作为意识障碍患者评估工具的可靠性和有效性.

主要方法:

在两个时间点评估了23名没有反应的清醒综合征 (UWS) 和18名最小意识状态 (MCS) 的住院患者.
评估的患者使用了两名评分员的LCS和一个评分员的昏迷恢复量表 (CRS- R).

主要成果:

在评价者之间观察到高的LCS分数 (58-100%) 和强烈的相关性 (r=0. 599-1000).
LCS显示出高的内部一致性 (克朗巴赫α> 0. 7) 和与CRS- R得分的显著相关性 (r = 0. 554- 0. 949).

结论:

洛文斯坦沟通量表 (LCS) 是一种可靠且有效的工具,用于评估有意识障碍的患者的沟通能力.
在临床实践和DOC领域的研究中,建议使用LCS作为一个有价值的工具.

关键词:

沟通的评估有意识障碍最小的意识状态可靠性没有反应的清醒综合征有效期

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