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頁籤選單縮合
題名 | Wisconsin Card Sorting Test Performance after Putaminal Hemorrhagic Stroke=被殼出血的中風病人在威斯康辛卡片分類測驗之表現 |
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作者 | 蘇純瑩; 汪宜霈; 張瑞昆; 郭乃文; 關皚麗; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 22:2 民95.02 |
頁次 | 頁75-84 |
分類號 | 415.922 |
關鍵詞 | 威斯康辛卡片分類測驗; 被殼; 出血型中風; Wisconsin card sorting test; Putamen; Hemorrhagic stroke; |
語文 | 英文(English) |
中文摘要 | 本文的主要目的是要比較 55 位被殼出血的中風病人,在中風後三個月於威斯康辛卡片分類測驗之表現與 69 位年齡相若的正常人之差異。損傷的定義為病人組的標準分數 (z 分數) 低於正常控制組平均數以下 1.64 個標準差。研究結果發現在控制教育程度變項之後,整體而言組別之間有顯著差異,但教育程度與交互作用並無顯著差異。單項變數分析顯示 5 個威斯康辛卡片分類測驗的分數達到組別之間的顯著水準,包括堅持性反應數、堅持性錯誤數、概念程度反應數、所完成的卡片分類數和完成第一個分類所需的卡片數。被殼出血病人組在威斯康辛卡片分類測驗的兩個 z 分數 (亦即完成第一個卡片分類所需的次數和堅持性反應數) 落於損傷範圍,並且 40%-47% 的病人在所完成的卡片分類數、堅持性反應數、堅持性錯誤數以及完成第一個卡片分類所需的次數之得分皆低於損傷範圍。威斯康辛卡片分類測驗的分數在區辨病人與正常人之正確率為 91.9%。其中以堅持性錯誤數、概念程度反應數和總正確數這三個分數最具有區辨力。最後,左右腦側化效果並沒有顯著地顯現於病人的威斯康辛卡片分類測驗之分數。本文的發現提供進一步的證據支持被殼在認知模式轉換能力的角色,對於復健相關專業人員有重要的臨床意義。 |
英文摘要 | The purpose of this study was to compare the performance differences in the Wisconsin Card Sorting Test (WCST) between 55 patients with putaminal hemorrhage (PH) 3 months after stroke and 69 age-matched normal controls. Impairment on WCST was defined as performance greater than 1.64 standard deviation below the control mean. A multivariate analysis of covariance (MANCOVA) controlling for education yielded a significant main effect for group but not for education and interaction of group × education. Univariate analyses revealed significant between-group differences in five WCST measures, including perseverative errors (PE), perseverative responses (PR), conceptual-level responses (CLR), number of categories completed (NCC), and trials to complete the first category (TCC). For patients with PH, z-scores for two WCST indices were within the impaired range: TCC and PR. A high percentage of patients (40–47%) scored in the designated impaired range on NCC, PR, PE, and TCC. The WCST variables discriminated patients from controls with an overall accurate classification rate of 91.9%. Of these, the variables that contributed most to the differentiation between patients and normal controls were PE, CLR, and total number correct (TNC) (a standardized canonical discriminant function coefficient > 0.40). Finally, no significant hemispheric laterality effects emerged on any of the WCST variables. The results of this study provide further evidence of impaired mental set shifting in stroke patients with PH. The implications for rehabilitation professionals are discussed, and recommendations for further research are made. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。