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題 名 | Glasgow昏迷評估量表與反應程度量表之信效度評估=Reliability and Validity Evaluation of GCS and RLS85 in Clinical Applications |
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作 者 | 張秉宜; 李淑燕; 洪珮珊; 張玲華; 卓妙如; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 4:1 2002.01[民91.01] |
頁 次 | 頁17-27 |
分類號 | 415.208 |
關鍵詞 | 意識程度; Glasgow昏迷評估量表; 反應程度量表; Level of consciousness; Glasgow coma scale; GCS; A reaction level scale; RLS85; |
語 文 | 中文(Chinese) |
中文摘要 | 意識障礙可能發生在醫院中任一科別的病患。然而醫護人員間常對患者意識程度(Levels of consciousness, LOC)之評估標準或認知不同,因此有必要提高臨床護理人員對意識程度評估之認知與共識。本研究採專家内容效度,以個案描述(Vignette)方式取得意識程度、Glasgow昏迷評估量表(Glasgow Coma Scals, GCS)、反應程度量表(Reaction Level Scale, RLS85)三組相對應之意識程度類別(Categories)的一致性;再以意識程度、GCS與RLS85為工具,由4名觀察員觀察並記錄52位個案之意識程度,結果顯示評量者間使用RLS85評估意識程度之一致性高於GCS;96.15%比78.8%。本研究建議臨床在職教育將RLS85納入,以教導醫護人員使用RLS85作為臨床意識評估之輔助工具。 |
英文摘要 | Patient's altered mental status (AMS) can happen in any section in the hospital. However, standardized terms and definitions regarding levels of consciousness have not been set up. It is necessary to define clear standards and also improve nurses' skills in assessing the levels of consciousness of patients. According to the literature review, it is known that the Glasgow Coma Scale (GCS), the most popular and adapted scale, is not a reliable tool in assessing patient's conscious level. The Reaction Level Scale (RLS85) is designed based on the motor responses similar to the GCS and was tested as a reliable tool. RLS85, GCS, and 5 conscious levels with clear definitions were used tools in this study. Twenty vignettes of 5 different levels of consciousness were designed and scored by 5 experts using both GCS and the RLS85 to form 2 categories of conscious status. Four observers were trained to assess 52 patients in a Neuro ICU using both GCS and the RLS85. Inter-rater agreement is higher in using RLS85 to assess patient's conscious levels than using the GCS, 96.15% vs. 78.8%. |
本系統中英文摘要資訊取自各篇刊載內容。