COMMUNICATION ACTIVITY IN STROKE PATIENTS WITH APHASIA
COMMUNICATION ACTIVITY IN STROKE PATIENTS WITH APHASIA
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DOI：
10.2340/16501977-1122
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发表时间：
2013-04-01
影响因子：
3.5
通讯作者：
Darrigrand, Benedicte
中科院分区：
文献类型：
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作者：
Mazaux, Jean-Michel;Lagadec, Tiphaine;Darrigrand, Benedicte
目的：探讨脑卒中失语患者的交流障碍。患者和方法：对失语患者进行前瞻性、多中心队列研究，连续纳入首次中风后失语患者，并于1年后在家中进行检查。评估包括中风严重程度量表、Barthel指数、波士顿失语诊断检查、沟通问卷和失语抑郁评定量表。结果：共纳入164例患者。在随访评估的100名幸存者中，根据波士顿诊断失语症检查严重程度评分，24%患有严重失语症，12%患有中度失语症，64%患有轻度失语症。患者主要报告在与陌生人和/或抽象话题对话、使用电话、阅读和书写行政文件、处理金钱和户外交流活动方面存在困难。交流与失语症严重程度密切相关。年龄、性别、文化程度、居住状况、脑卒中类型对沟通活动无影响。在多变量分析中，卒中的严重程度和失语的严重程度占58%的方差，是随访时沟通问卷得分的独立预测因子。结论：记录失语症患者最严重的沟通障碍有助于为失语症患者的言语和语言治疗设定优先目标。
Objective: To study communication disability in stroke patients with aphasia.Patients and methods: Prospective, multicentric cohort study of patients with aphasia, consecutively included after a first stroke, and examined 1 year later at home. Assessment included a stroke severity scale, the Barthel Index, the Boston Diagnostic Aphasia Examination, a communication questionnaire, and the Aphasia Depression Rating Scale.Results: A total of 164 patients were included. Among the 100 survivors assessed at follow-up, 24% had severe aphasia, 12% moderate aphasia and 64% mild aphasia according to the Boston Diagnostic Aphasia Examination severity score. Patients mainly reported difficulties in conversation with strangers and/or on abstract topics, using a phone, reading and writing administrative documents, dealing with money and outdoor communication activities. Communication was strongly related to aphasia severity. Age, gender, education level, residence status and type of stroke had no influence on communication activity. On multivariate analysis, severity of stroke and severity of aphasia on inclusion were found to account for 58% of variance and were independent predictors of the communication questionnaire score at follow-up.Conclusion: Documenting the most impaired communication skills may help to set priority goals for speech and language therapy in aphasia.