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Improvement of communication disabilities in aphasia patients

改善失语症患者的沟通障碍

基本信息

批准号：
11672376
负责人：
TAMURA Ayako
金额：
$ 0.83万
依托单位：
The University of Tokushima
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1999
资助国家：
日本
起止时间：
1999 至 2001
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11672376/
关键词：
aphasia communication SLTA simplification 失語ストラテジー復唱

项目摘要

In order to clarify communication disabilities in aphasia patients, we observed how inpatients with moderate to severe aphasia communicate. The results showed that patients who could repeat words and phrases often used "asking"for communication purposes, while those who could not repeat often used "nodding'. Next, to shorten the amount time required to perform the Standard Language Test of Aphasia (SLTA) in the acute phase and to abridged bedside test to be used on patients with severe aphasia, we attempted to extract most important test items. Subjects were 111 right-handed patients (77men, 34women) diagnosed with aphasia. The age (mean± SD) of these patients was 60.1±1.08 years. Cause of aphasia was cerebrovascular disease in 92patients, brain tumor in 15, and traumatic head injury in 4. Severity of aphasia was severe in 29patients, moderate in 47, and mild in 35. The first principal comportment consisted of "Listening" and "reading" test items : the second principal component consisted of "writing" test items : and the third principal component consisted of "speaking" test items. The 25 items in the SLTA were subjected to multivariate analysis (analysis of principal components), and the 13 most important test items were identified. These 13 items contain the four essential conditions (i. e. , listening, speaking, writing and reading) for language function tests, and represent about half of the entire SLTA test items. This abridged SLTA can be conducted in a relatively short period of time and is useful for bedside screening for aphasia.

为了阐明失语症患者的沟通障碍，我们观察了中重度失语症患者的沟通方式。结果显示，能够重复单词和短语的患者经常使用“询问”进行交流，而不能重复的患者则经常使用“点头”。接下来，为了缩短在急性期进行失语症标准语言测试（SLTA）所需的时间，并简化用于严重失语症患者的床边测试，我们试图提取最重要的测试项目。研究对象为111例右利手失语症患者（男77例，女34例）。这些患者的年龄（平均值± SD）为60.1±1.08岁。失语原因为脑血管病92例，脑肿瘤15例，颅脑外伤4例。失语症的严重程度为重度29例，中度47例，轻度35例。第一主成分由“听”和“阅读”两个测试项目组成，第二主成分由“写”测试项目组成，第三主成分由“说”测试项目组成。对SLTA中的25个项目进行多变量分析（主成分分析），并确定了13个最重要的测试项目。这13个项目包含四个基本条件（一）。e.听力、口语、写作和阅读），占整个SLTA测试项目的一半左右。这种简化的SLTA可以在相对较短的时间内进行，并有助于失语症的床边筛查。