关于秘密意识的共识:德尔菲研究
Caroline Schnakers1, Berno Overbeek2,3, Niko Fullmer1
1Research Institute,Casa Colina Hospital and Centers for Healthcare, Pomona, CA 91767, USA.
Brain communications
|December 4, 2025
概括
专家们就"隐藏意识"达成共识,认为这是患有意识障碍的患者的首选术语,这些患者表现出大脑活动,但没有行为迹象. 这促进了这些人的研究和临床护理.
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:
- 识别意识障碍的隐藏意识对于患者护理和研究至关重要.
- 缺乏标准化的术语阻碍了理解和管理有意识障碍的患者的进步.
- 现有的术语如"认知运动解离"和"功能锁定综合征"缺乏共识.
研究的目的:
- 为了在意识障碍患者表现出隐蔽意识的术语和定义上达成专家共识.
- 评估对隐藏意识,认知运动解离,功能锁定综合征和非行为最小意识状态等术语的共识.
主要方法:
- 德尔菲的一项研究涉及96名国际意识障碍专家.
- 使用REDCap来评估两轮的术语和定义专家协议.
- 共识定义为中位数得分为5,四分位数范围≤1,和≥75%的协议.
主要成果:
- 在两轮会议中,超过三分之二的陈述达成了共识.
- 专家小组确定了"秘密意识"和其定义作为首选的术语.
- 超过75%的专家同意"秘密意识"作为标准化术语.
结论:
- 国际专家小组建议"隐蔽意识"对于有意识障碍的患者,这些患者缺乏行为症状,但表现出大脑活动.
- 这种共识为未来的研究和意识障碍的临床标准化提供了基础.
- 这些发现支持改善诊断准确性和对隐藏意识的理解,需要进一步的研究来临床应用.
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