一种用于评估神经疾病患者数值能力的新临床工具：日常生活中的数值活动。
A new clinical tool for assessing numerical abilities in neurological diseases: numerical activities of daily living.
机构信息
Dipartimento di Neuroscienze, Università di Padova Padova, Italy ; Laboratorio di Neuropsicologia, I.R.C.C.S. Fondazione Ospedale San Camillo Lido di Venezia, Italy.
Laboratorio di Neuropsicologia, I.R.C.C.S. Fondazione Ospedale San Camillo Lido di Venezia, Italy.
出版信息
Front Aging Neurosci. 2014 Jun 20;6:112. doi: 10.3389/fnagi.2014.00112. eCollection 2014.
The aim of this study was to build an instrument, the numerical activities of daily living (NADL), designed to identify the specific impairments in numerical functions that may cause problems in everyday life. These impairments go beyond what can be inferred from the available scales evaluating activities of daily living in general, and are not adequately captured by measures of the general deterioration of cognitive functions as assessed by standard clinical instruments like the MMSE and MoCA. We assessed a control group (n = 148) and a patient group affected by a wide variety of neurological conditions (n = 175), with NADL along with IADL, MMSE, and MoCA. The NADL battery was found to have satisfactory construct validity and reliability, across a wide age range. This enabled us to calculate appropriate criteria for impairment that took into account age and education. It was found that neurological patients tended to overestimate their abilities as compared to the judgment made by their caregivers, assessed with objective tests of numerical abilities.
本研究旨在构建一种工具，即数字日常生活活动（NADL）量表，旨在识别可能导致日常生活问题的特定数字功能障碍。这些障碍超出了可从评估一般日常生活活动的现有量表中推断出来的范围，并且不能通过标准临床工具（如 MMSE 和 MoCA）评估的认知功能普遍恶化的测量来充分捕捉。我们评估了对照组（n = 148）和受各种神经疾病影响的患者组（n = 175），他们接受了 NADL 以及 IADL、MMSE 和 MoCA 评估。NADL 测试组合在广泛的年龄范围内具有令人满意的结构有效性和可靠性。这使我们能够计算出适当的损伤标准，这些标准考虑了年龄和教育程度。结果发现，与由 caregiver 通过客观的数字能力测试进行的评估相比，神经患者往往高估了自己的能力。
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