การศึกษารุ่นวิสคอนซินบัตรเรียงบัตรทดสอบ 64 (WCST-64) ในผู้ป่วยโรคหลอดเลือดสมองผู้แต่ง/บรรณาธิการ: Supattra Wongchaisri, M.Sc.* Sucheera Phattharayuttawat, Ph.D.** Yongchai Nilanont, M.D.***สถาบัน: * คณะบัณฑิตศึกษา โปรแกรมจิตวิทยาคลินิก ภาควิชาจิตเวชศาสตร์ คณะแพทยศาสตร์ศิริราชพยาบาล มหาวิทยาลัยมหิดล ** ภาค Psychaitry คณะแพทยศาสตร์ศิริราช Hปี: 2011วัตถุประสงค์: การเปรียบเทียบฟังก์ชันการบริหารของผู้ป่วยโรคหลอดเลือดสมองในการควบคุมกลุ่มโดยวิสคอนซินบัตรเรียงลำดับ 64 ทดสอบการ์ดรุ่น (WCST-64)เนื้อหา/บทคัดย่อ: Objectives : The objective of this research is to compare the executive functions of stroke patients to control group by using the Wisconsin Card Sorting Test-64 Card Version (WCST-64). Executive functions include abstract reasoning, shift cognitive set (flexibility of mind to adjust to new situations) etc. Method : The study groups were comprised of 34 stroke patients, and 34 volunteers with normal brain functions who had been screened for dementia, depression and psychoses through the Thai Mental State Examination (TMSE) and the Thai Mental Health Questionnaire (TMHQ). Data collection was tested by WCST-64 to assess executive function. The available data was analyzed by using Nonparametric mean and t-test. Results : The results of this research were revealed by examining the score differences from the WCST-64 between the stroke patients and control group. These results could be categorized into 7 groups : Total Corrects, Total Errors, Perseverative Responses, Conceptual Level Responses, Categories Completed, Trails to Complete 1st Category (p<0.05) and Perseverative Errors (p<0.001). The scores on Total Corrects, Conceptual Level Responses and Categories Completed of stroke patients was significantly less than those of the normal group. The score on Total Errors, Perseverative Responses, Perseverative Errors and Trails to Complete 1st Category of normal group were significantly less than those of the stroke patients. Furthermore, when we compared the patients with lesions on the left side with those with lesions on the right hemisphere, the Failure to Maintain set had significant statistical differences at .05 only. As for the differences in terms of post stoke duration, no significant statistical differences were found between the 3 groups (3 month, 6 months, 1 year). Conclusion : These shows that the WCST-64 is able to assess executive function in a way that is convenient, fast, standardized, and in a way that also does not disturb the patients excessively, and assesses functional ability for stroke patients in rehabilitation.
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