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急性脑损伤后康复中神经心理评估电池筛查模块的生态效度

Ecological validity of the neuropsychological assessment battery screening module in post-acute brain injury rehabilitation.

作者信息

Temple Richard O, Zgaljardic Dennis J, Abreu Beatriz C, Seale Gary S, Ostir Glenn V, Ottenbacher Kenneth J

机构信息

CORE Health Care, Dripping Springs, TX, USA.

出版信息

Brain Inj. 2009 Jan;23(1):45-50. doi: 10.1080/02699050802590361.

DOI:10.1080/02699050802590361
PMID:19096970
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2787405/
Abstract

PRIMARY OBJECTIVE

To assess the ecological validity of the Screening Module of the Neuropsychological Assessment Battery (NAB-SM) using the Functional Independence Measure (FIM).

METHOD

Seventy individuals with moderate-to-severe traumatic brain injury at a residential post-acute rehabilitation facility were administered the FIM instrument and the NAB-SM upon admission. Hierarchical regression analysis was used to examine the relationship between the variables from these two assessment measures.

RESULTS

Hierarchical models revealed that (1) the NAB-SM Total score was significantly associated with the FIM instrument Total score as well as the Motor and Cognition sub-scale scores, above and beyond the contribution of demographic variables, (2) the NAB-SM Language, Memory and Spatial domain scores were significantly associated with of the FIM instrument Cognition sub-scale score and (3) the NAB-SM Spatial domain score was significantly associated with of the FIM instrument Total and Motor sub-scale scores.

CONCLUSIONS

The current findings support previous research and provide strong evidence for the ecological validity of the NAB-SM with regard to functional abilities as assessed by the FIM instrument.

摘要

主要目的

使用功能独立性测量(FIM)评估神经心理评估量表筛查模块(NAB-SM)的生态效度。

方法

在一家住院后急性康复机构中,对70名中重度创伤性脑损伤患者入院时进行FIM工具和NAB-SM评估。采用分层回归分析来检验这两种评估方法中变量之间的关系。

结果

分层模型显示:(1)NAB-SM总分与FIM工具总分以及运动和认知子量表得分显著相关,超出了人口统计学变量的影响;(2)NAB-SM语言、记忆和空间领域得分与FIM工具认知子量表得分显著相关;(3)NAB-SM空间领域得分与FIM工具总分和运动子量表得分显著相关。

结论

当前研究结果支持先前的研究,并为NAB-SM在FIM工具评估的功能能力方面的生态效度提供了有力证据。

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