Corrigan J D, Arnett J A, Houck L J, Jackson R D
Arch Phys Med Rehabil. 1985 Sep;66(9):626-30.
A reality orientation group for brain injured patients was developed to improve attention deficits, confusion and anterograde amnesia during post-traumatic amnesia (PTA). Seven behavioral objectives are used to define adequate orientation, attention, immediate retention, episodic recall and use of memory aids. Daily performance in each of these areas is aggregated to establish a weekly summary score. Inter-rater reliability was found to be 0.875. The weekly aggregate score assesses recovery during PTA with increases corresponding to qualitative changes in patient progress. This weekly score has proven valuable as a management tool in rehabilitation by indicating when advanced training is warranted, whether a plateau in progress has been reached and when deterioration may be occurring.
为脑损伤患者设计了一个现实定向训练小组，以改善创伤后遗忘（PTA）期间的注意力缺陷、意识模糊和顺行性遗忘。使用七个行为目标来定义充分的定向、注意力、即时记忆、情景回忆和记忆辅助工具的使用。对这些领域中每个领域的日常表现进行汇总，以建立每周总结分数。评定者间信度为0.875。每周汇总分数评估PTA期间的恢复情况，分数增加与患者进展的定性变化相对应。这个每周分数已被证明是康复管理中的一个有价值的工具，它可以表明何时需要进行进阶训练、是否已达到进展平稳期以及何时可能出现病情恶化。
