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脑血管病变患者神经心理学测量与自我护理技能之间的关系。

The relationship between neuropsychological measures and self-care skills in patients with cerebrovascular lesions.

作者信息

Campbell A, Brown A, Schildroth C, Hastings A, Ford-Booker P, Lewis-Jack O, Adams C, Gadling A, Ellis R, Wood D

机构信息

Howard University Psychology, Department of Washington, DC 20059.

出版信息

J Natl Med Assoc. 1991 Apr;83(4):321-4.

PMID:1920503
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2627064/
Abstract

The present investigation examined the relationship between performance on the Michigan Neuropsychological Battery (MNB) and selected self-care skills in a group of patients with unilateral cerebrovascular lesions. Among MNB measures, left-sided somatosensory and motor functions were the best predictors of self-care skills, showing that in these stroke patients lower level cerebral functions mediated by the right hemisphere are more strongly related to the self-care skills examined than higher cerebral functions. Also, evidence that patients with cerebrovascular lesions in the left hemisphere performed better than patients with right hemisphere lesions in several self-care categories is further indication that right hemisphere processes have a special role to play in the mediation of these self-care activities. The research and clinical implications of these findings are noted.

摘要

本研究调查了一组单侧脑血管病变患者在密歇根神经心理测验(MNB)中的表现与所选自我护理技能之间的关系。在MNB各项测量中,左侧躯体感觉和运动功能是自我护理技能的最佳预测指标,这表明在这些中风患者中,由右半球介导的较低水平的脑功能比较高水平的脑功能与所检查的自我护理技能的相关性更强。此外,有证据表明,在几个自我护理类别中,左半球脑血管病变患者的表现优于右半球病变患者,这进一步表明右半球在这些自我护理活动的调节中具有特殊作用。文中指出了这些发现的研究和临床意义。

相似文献

1
The relationship between neuropsychological measures and self-care skills in patients with cerebrovascular lesions.脑血管病变患者神经心理学测量与自我护理技能之间的关系。
J Natl Med Assoc. 1991 Apr;83(4):321-4.
2
Neuropsychological predictors in stroke rehabilitation.
J Clin Exp Neuropsychol. 1988 Aug;10(4):363-79. doi: 10.1080/01688638808408245.
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Acquiring and maintaining self-care skills after stroke. The predictive value of apraxia.中风后获得和维持自我护理技能。失用症的预测价值。
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Neuropsychological studies of blacks with cerebrovascular disorders: a preliminary investigation.患有脑血管疾病的黑人的神经心理学研究:一项初步调查。
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A cross-cultural study on impaired self-awareness in Japanese patients with brain dysfunction.
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Acute recovery from patterns in stroke patients: neuropsychological factors.中风患者模式的急性恢复:神经心理学因素。
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Differences in recovery from constructional apraxia after right and left hemisphere stroke?
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[Left unilateral spatial neglect and its relation to testing methods, neurological manifestations and lesion site].[左侧单侧空间忽视及其与检测方法、神经学表现和病变部位的关系]
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The relationship of cognitive skills performance to activities of daily living in stroke patients.中风患者认知技能表现与日常生活活动的关系。
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引用本文的文献

1
Caveats in the neuropsychological assessment of African Americans.非裔美国人神经心理学评估中的注意事项。
J Natl Med Assoc. 2002 Jul;94(7):591-601.

本文引用的文献

1
ADL status in stroke: relative merits of three standard indexes.中风患者的日常生活活动能力状况:三种标准指标的相对优点
Arch Phys Med Rehabil. 1980 Aug;61(8):355-8.
2
Self-care skills: behavioral measurement with Klein-Bell ADL scale.自我护理技能:使用克莱因-贝尔日常生活活动量表进行行为测量。
Arch Phys Med Rehabil. 1982 Jul;63(7):335-8.
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Visuospatial deficits after right hemisphere stroke.右半球中风后的视觉空间缺陷。
Am J Occup Ther. 1982 May;36(5):314-21. doi: 10.5014/ajot.36.5.314.
4
Predicting Barthel ADL score at 6 months after an acute stroke.预测急性中风后6个月的巴氏日常生活活动能力评分。
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Stroke: influence of patient's sex and side of weakness on outcome.中风:患者性别及偏瘫侧对预后的影响
Arch Phys Med Rehabil. 1984 Sep;65(9):513-6.
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Behavioral correlates of recovery of self-care in hemiplegic patients.偏瘫患者自我护理恢复的行为关联
Arch Phys Med Rehabil. 1968 Aug;49(8):449-54.
7
Relationship between initial competence and ability to profit from cues in brain-damaged individuals.脑损伤个体的初始能力与从线索中获益能力之间的关系。
J Abnorm Psychol. 1970 Jun;75(3):248-59. doi: 10.1037/h0029368.
8
Predictors of long-term recovery in cerebrovascular disease.脑血管疾病长期恢复的预测因素。
Arch Phys Med Rehabil. 1967 Aug;48(8):415-9.
9
Measuring disability after a stroke.中风后残疾情况的测量。
J Epidemiol Community Health. 1985 Mar;39(1):86-9. doi: 10.1136/jech.39.1.86.
10
Motor and perceptual impairments in acute stroke patients: effects on self-care ability.急性中风患者的运动和感知障碍:对自我护理能力的影响。
Stroke. 1987 Nov-Dec;18(6):1081-6. doi: 10.1161/01.str.18.6.1081.