基于修订版昏迷恢复量表的“意识障碍评估”微信小程序的应用

目的探讨无意识障碍相关背景人员使用基于修订版昏迷恢复量表的“意识障碍评估”微信小程序的正确率,并推荐小程序使用人群。方法选取110例无意识障碍相关背景的受试者,使用小程序对意识障碍的患者进行评估,记录评估所需的时间及结果,评估结束后填写调研问卷,分析评估的正确率及影响正确率的因素。结果受试者使用小程序平均耗时(190.4±115.4)s。其中94例结果和专业评定结果一致,正确率为85.45%。影响正确率的因素包括使用者的文化程度以及被评估者的意识状态(P<0.05),评估者文化程度越高,使用小程序的正确率越高。植物状态患者的评估正确率低于其他意识状态。结论无意识障碍相关背景人员使用“意识障碍评估”小程序正确率较高,推荐高中及以上文化程度者使用“意识障碍评估”小程序对患者进行意识状态的筛查。

Objective To study the accuracy rate of the"Assessment of Disorders of Consciousness"program based on the Coma Recovery Scale-Revised(CRS-R)among people without disorders of consciousness(DOC)related background,and to recommend the users of the program.Methods A total of 110 subjects without DOC related background were selected,and the patients with DOC were evaluated using the program.The time required for evaluation and the conclusion were recorded.After the evaluation,questionnaires were filled in to analyze the accuracy rate of evaluation and the factors affecting the accuracy rate.Results The average time of using the program was(190.4±115.4)s.The results of 94 cases were consistent with the results of professional evaluation,and the correct rate was 85.45%.The factors affecting the correct rate included the educational level of the user and the consciousness state of the patients(P<0.05).The higher the educational level of the user,the higher the correct rate of the program.Patients in vegetative state had lower accuracy than those in other conscious states.Conclusion The accuracy rate of the"Assessment of consciousness disorders"program is high for people without DOC related background.It is recommended that those with high school education and above could use the program to screen the consciousness state of patients.