Score Diagnosis, Intractability, Risk, and Emotional domains 0–2 each (higher = more favorable); sum 0–8.
各域 0–2 分（2=最有利）：
Simplified four-domain DIRE teaching score inspired by the full seven-item DIRE in reference literature.
Full DIRE uses seven 1–3 scales; this is an educational aggregate only.
仅供教学参考，不能替代临床诊断或治疗决策。