Christensen J M, Cook E A, Martin B C
University of Tulsa, OK 74104-3180, USA.
Clin Nurs Res. 1997 Feb;6(1):105-18. doi: 10.1177/105477389700600109.
The purpose of this study was to test the reliability of an experimental assessment tool for identifying and differentiating between psychodynamic and neurogenic denial in stroke patients. A one-page criterion referenced denial assessment tool was used by interdisciplinary rater teams to evaluate patients with either right or left hemisphere insults. High interrater reliability was obtained. Assessment data indicated that right-CVA patients had higher psychodynamic and neurogenic denial scores than left-CVA patients. Higher psychodynamic denial scores were also observed in the second month post-stroke. The experimental denial assessment tool proved to be a practical way for identifying and differentiating psychodynamic and neurogenic forms of denial. This tool can provide a means for ongoing assessment to support precise nursing diagnoses and promote effective patient-focused care planning throughout the rehabilitation process.
本研究的目的是测试一种用于识别和区分中风患者心理动力学性否认和神经源性否认的实验性评估工具的可靠性。跨学科评估团队使用一份单页的标准参照否认评估工具来评估右侧或左侧半球受损的患者。获得了较高的评估者间信度。评估数据表明，右侧脑血管意外（CVA）患者的心理动力学性否认和神经源性否认得分高于左侧CVA患者。在中风后的第二个月也观察到较高的心理动力学性否认得分。实验性否认评估工具被证明是识别和区分心理动力学性否认和神经源性否认形式的一种实用方法。该工具可为持续评估提供一种手段，以支持准确的护理诊断，并在整个康复过程中促进以患者为中心的有效护理计划。
