洛文斯顿作业疗法用认知评定成套测验的应用研究  

Application of the Loewenstein Occupational Therapy Cognitive Assessment(LOTCA) Battery in Chinese Version

作　　者：恽晓平[1] 郭华珍[1] 陈巍[1] 

机构地区：[1]中国康复研究中心博爱医院康复评定科,北京100077

出　　处：《中国康复理论与实践》1999年第3期110-113,120,共5页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：通过应用ＬＯＴＣＡ 成套测验对健康人进行认知能力的评定，建立适用于我国的ＬＯＴＣＡ 评分标准。５４ 例健康成人，２５ 例脑血管病患者参加测验。评定分三个阶段进行。第一阶段，健康人组受试者接受原版ＬＯＴＣＡ评定；第二阶段，对原版中某些检查内容做必要的修改后再进行测验；第三阶段，应用ＬＯＴＣＡ评定脑血管病患者。结果显示，健康人组与脑血管病组ＬＯＴＣＡ 得分具有显著性差异（Ｐ＜ ０．００１～Ｐ＜ ０．０００１）。原版范畴测验结果明显低于正常范围，而修改后的范畴测验结果与ＬＯＴＣＡ 作者结果一致。结果还显示了测验分数高低与文化程度有关。ＬＯＴＣＡ操作简单，实用性强，是临床康复中评定认知功能的系统、敏感。The purpose of this study was to provide standards for healthy people performance on a Chinese version of the LOTCA.Fifty four the healthy and twenty five CVA patients participated in this study.The study was conducted in three phases.In phase one,the healthy subjects were assessed with the original version of the LOTCA.In phase two,the subjects who had made mistake in recognition of a typewriter for English in the sub test one,the healthy subjects were assessed with the original version of the LOTCA.In phase two,the subjects who had made mistake in recognition of a typewriter for English in the sub test of Categorization or had not known it at all were reassessed by the revised sub test of Categorization.In phase three,the LOTCA was administered to CVA patients.The results show significant differences between the healthy people and CVA patients.The score on the sub test of Categorization of the original version of LOTCA was much less than perfect,however the results of revised Categorization test was consistent with that from Katz et al.The results also show that years of education were related to perceptual cognitive performance.The LOTCA is a feasible and valuable tool,and is recommended for these individuals who has problems with cognition and perception.

关 键 词：脑血管意外 认知障碍 评定 LOTCA 

分 类 号：R743.3[医药卫生—神经病学与精神病学]