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《牛津认知筛查量表韩国版(K-OCS)的常模研究》

The Korean Version of the Oxford Cognitive Screen (K-OCS) Normative Study.

作者信息

Cho Eunyoung, Choi Sungwon, Demeyere Nele, Hwang Sean Soon Sung, Kim MinYoung

机构信息

Department of Rehabilitation Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.

Department of Psychology, Duksung Women's University, Seoul, Korea.

出版信息

Ann Rehabil Med. 2024 Feb;48(1):22-30. doi: 10.5535/arm.23149. Epub 2024 Feb 28.

DOI:10.5535/arm.23149
PMID:38433006
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10915309/
Abstract

OBJECTIVE

To generate a Korean version of the Oxford Cognitive Screen (K-OCS) and obtain cutoff scores that determine the impairment of each subdomain. Post-stroke cognitive impairment (PSCI) negatively impacts the rehabilitation process and independence in daily life. Its obscure manifestations require effective screening for appropriate rehabilitation. However, in most rehabilitation clinics, psychological evaluation tools for Alzheimer's dementia have been used without such considerations. The OCS is a screening assessment tool for PSCI and vascular dementia that can evaluate the cognitive domains most often affected by stroke, including language, attention, memory, praxis, and numerical cognition. It comprises 10 subtasks and enables quick and effective cognitive evaluation.

METHODS

The K-OCS, which considers Korea's unique cultural and linguistic characteristics, was developed with the approval and cooperation of the original author. Enrollment of participants without disabilities was announced at Duksung Women's University, Yongin Sevrance Hospital, CHA Bundang Medical Center. The study was conducted between September 2020 and March 2022 on 97 male and female participants aged ≥30 years.

RESULTS

All the 97 participants completed the task. In this study, the 5th percentile score was presumed to be the cutoff value for each score, and the values are provided here. The cutoff score for each OCS subtask was similar to that of the original British version.

CONCLUSION

We suggest the usability of the K-OCS as a screening tool for PSCI by providing the cutoff value of each subtask.

摘要

目的

生成牛津认知筛查量表韩语版(K - OCS),并获得用于确定各子领域功能损害的临界值。中风后认知障碍(PSCI)对康复进程和日常生活自理能力有负面影响。其表现隐匿,需要进行有效筛查以实现恰当的康复治疗。然而,在大多数康复诊所,并未考虑这些因素,而是一直使用针对阿尔茨海默病痴呆的心理评估工具。OCS是一种用于PSCI和血管性痴呆的筛查评估工具,可评估中风最常影响的认知领域,包括语言、注意力、记忆、实践能力和数字认知。它由10个分任务组成,能够实现快速有效的认知评估。

方法

在原作者的批准与合作下,开发了考虑韩国独特文化和语言特征的K - OCS。在德成女子大学、龙仁Severance医院、CHA盆唐医疗中心发布了招募无残疾参与者的公告。该研究于2020年9月至2022年3月期间对97名年龄≥30岁的男女参与者进行。

结果

97名参与者全部完成了任务。在本研究中,假定第5百分位数分数为每个分数的临界值,并在此提供这些值。每个OCS分任务的临界值与原始英国版相似。

结论

我们通过提供每个分任务的临界值,表明K - OCS作为PSCI筛查工具的可用性。

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本文引用的文献

1
Domain-specific cognitive impairment 6 months after stroke: The value of early cognitive screening.脑卒中后 6 个月的特定领域认知障碍:早期认知筛查的价值。
Int J Stroke. 2024 Mar;19(3):331-341. doi: 10.1177/17474930231205787. Epub 2023 Oct 14.
2
The Oxford Cognitive Screen for use with Australian people after stroke (OCS-AU): The adaptation process and determining cut scores for cognitive impairment using a cross-sectional normative study.《用于澳大利亚脑卒中患者的牛津认知筛查(OCS-AU):使用横断面规范研究确定认知障碍的适应过程和截断分数》
Aust Occup Ther J. 2023 Feb;70(1):73-85. doi: 10.1111/1440-1630.12838. Epub 2022 Sep 1.
3
The Dutch Oxford Cognitive Screen (OCS-NL): psychometric properties in Flemish stroke survivors.
荷兰牛津认知筛查(OCS-NL):在弗拉芒中风幸存者中的心理测量学特性。
Neurol Sci. 2022 Nov;43(11):6349-6358. doi: 10.1007/s10072-022-06314-2. Epub 2022 Aug 16.
4
Post-Stroke Cognitive Impairment and Dementia.卒中后认知障碍和痴呆。
Circ Res. 2022 Apr 15;130(8):1252-1271. doi: 10.1161/CIRCRESAHA.122.319951. Epub 2022 Apr 14.
5
Lesion symptom mapping of domain-specific cognitive impairments using routine imaging in stroke.利用常规影像学对特定领域认知障碍的病灶症状进行映射。
Neuropsychologia. 2022 Mar 12;167:108159. doi: 10.1016/j.neuropsychologia.2022.108159. Epub 2022 Jan 15.
6
The European Portuguese version of the Oxford Cognitive Screening (OCS-Pt): a screening test for acute stroke patients.《牛津认知筛查(OCS-Pt)的欧洲葡萄牙语版本:急性脑卒中患者的筛查测试》。
Neurol Sci. 2022 Jun;43(6):3717-3728. doi: 10.1007/s10072-022-05880-9. Epub 2022 Jan 13.
7
A Danish version of the Oxford cognitive screen: a stroke-specific screening test as an alternative to the MoCA.丹麦版牛津认知筛查量表:一种针对脑卒中的特异性筛查测试,可替代 MoCA。
Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2020 Jan;27(1):52-65. doi: 10.1080/13825585.2019.1577352. Epub 2019 Feb 11.
8
Executive Summary of Stroke Statistics in Korea 2018: A Report from the Epidemiology Research Council of the Korean Stroke Society.《2018年韩国卒中统计执行摘要:来自韩国卒中协会流行病学研究委员会的报告》
J Stroke. 2019 Jan;21(1):42-59. doi: 10.5853/jos.2018.03125. Epub 2018 Dec 18.
9
The Russian version of the Oxford Cognitive Screen: Validation study on stroke survivors.牛津认知筛查量表俄文版:对中风幸存者的验证研究。
Neuropsychology. 2019 Jan;33(1):77-92. doi: 10.1037/neu0000491. Epub 2018 Oct 15.
10
Consolidated principles for screening based on a systematic review and consensus process.基于系统评价和共识过程的综合筛选原则。
CMAJ. 2018 Apr 9;190(14):E422-E429. doi: 10.1503/cmaj.171154.