University of California, San Francisco, United States.
Eur J Cardiovasc Nurs. 2012 Jun;11(2):223-30. doi: 10.1016/j.ejcnurse.2011.03.007. Epub 2012 Mar 6.
Cognitive impairment is a recognized consequence of heart failure; however, there are no neuropsychological batteries with documented psychometric data in the chronic heart failure population.
To document the psychometric properties of a brief neuropsychological battery in a chronic heart failure sample.
The Repeatable Battery for the Assessment of Neuropsychological Status, Trail Making Test Part A and Part B, and letter fluency was administered to a sample of individuals with chronic heart failure.
Eighty individuals with stable heart failure participated in this study. Individuals with chronic heart failure scored significantly lower than expected age and education adjusted norms in the domains of attention (p < 0.001), memory (p < 0.001), language (p < 0.001), executive function (p < 0.001), and psychomotor speed (p = 0.02). Scores on the tests of memory and executive function correlated to functional status (r = 0.28, p = 0.02 and r = 0.29, p = 0.03, respectively). Acceptable convergent validity and test-retest reliability were documented for this battery.
The neuropsychological battery had adequate reliability and validity in individuals with chronic heart failure.
认知障碍是心力衰竭的公认后果；然而，在慢性心力衰竭人群中，没有经过文献证明的心理计量数据的神经心理学测试组合。
记录一个简短的神经心理学测试组合在慢性心力衰竭样本中的心理计量学特性。
对一组慢性心力衰竭患者进行了重复性神经心理状态评估测试、连线测试 A 和 B，以及字母流畅性测试。
80 名稳定心力衰竭患者参与了这项研究。与预期的年龄和教育调整标准相比，慢性心力衰竭患者在注意力（p < 0.001）、记忆（p < 0.001）、语言（p < 0.001）、执行功能（p < 0.001）和心理运动速度（p = 0.02）方面的得分显著降低。记忆和执行功能测试的分数与功能状态相关（r = 0.28，p = 0.02 和 r = 0.29，p = 0.03）。该测试组合具有可接受的聚合效度和重测信度。
该神经心理学测试组合在慢性心力衰竭患者中具有足够的可靠性和有效性。
