头部损伤后社会结局的异质性。
The heterogeneity of social outcome following head injury.
作者信息
Dodwell D
机构信息
University Department of Neurology, Manchester Royal Infirmary, UK.
出版信息
J Neurol Neurosurg Psychiatry. 1988 Jun;51(6):833-8. doi: 10.1136/jnnp.51.6.833.
This study compares nine different measures of social outcome applied to 56 patients seen 0 to 4 years after head injury. Social outcome was found to be heterogeneous: correlations between the measures and a principal components analysis both indicated that time off work (as a percentage of time since injury) was independent of most other measures of social performance. In the group studied, the best measures of non-work social performance were the Katz Adjustment Scales form 2 (socially expected activity) and Bond's Social Scale, which both showed good agreement between subject and informant ratings. If a single outcome measure is desired (to include work and non-work social performance), the most suitable measure was found to be the Glasgow Outcome Scale, original and extended versions.
本研究比较了应用于56例头部受伤后0至4年就诊患者的九种不同社会结局测量方法。发现社会结局具有异质性：这些测量方法之间的相关性以及主成分分析均表明，误工时间（占受伤后时间的百分比）与大多数其他社会表现测量方法无关。在所研究的群体中，非工作社会表现的最佳测量方法是Katz适应量表第二版（社会预期活动）和邦德社会量表，这两种量表在受试者和 informant 评分之间均显示出良好的一致性。如果需要单一的结局测量方法（包括工作和非工作社会表现），则发现最合适的测量方法是格拉斯哥结局量表的原始版本和扩展版本。
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