The reliability and validity of the China Nanjing consciousness recovery scale in assessing patients with acute disorder of consciousness
10.3969/j.issn.1001-1242.2025.12.010
- VernacularTitle:中国南京意识恢复量表在急性意识障碍患者中应用的单中心信度与效度研究
- Author:
Changbao WANG
1
;
Bin XIE
;
Zhiqiang GAO
Author Information
1. 南京紫金医院,江苏省 南京市,211100
- Publication Type:Journal Article
- Keywords:
China Nanjing consciousness recovery scale;
acute disorder of consciousness;
score scale;
reliability;
validity
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(12):1833-1837
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the reliability and validity of the China Nanjing consciousness recovery scale(CNCRS)in assessing patients with acute disorder of consciousness(DOC).Method:A total of 306 patients with acute DOC admitted to Nanjing Zijin Hospital between August 2023 and August 2024 were enrolled.Each patient was assessed using both the Glasgow Coma Scale(GCS)and CNCRS.The correlation between GCS and CNCRS scores were analyzed,and the reliability and validity of these two scales were compared.Result:The DOC degree of enrolled patients was severe,with a tracheotomy rate of 61.8%.The median GCS score was 7(5,10)for males and 6(5,9)for females,while the median CNCRS score was 3(1,8)for males and 3(1,7)for females.Scores from both scales were statistically significant correlated across gender groups(P<0.001).The Cron-bach's α coefficient of CNCRS(male 0.918,female 0.889)was higher than that of GCS(male 0.687,female 0.658),indicating superior internal consistency.The validity index Kaiser-Meyer-Olkin(KMO)value(male 0.891,female 0.857)was also higher than the GCS scale(male 0.600,female 0.602),demonstrating better construct validity.Conclusion:The CNCRS demonstrates good reliability and validity and can be effectively applied for the evalu-ation of patients with acute disturbance of consciousness.
