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Discourse abilities in patients with dementia of the Alzheimer type-with reference to communication problems in their everyday life

阿尔茨海默型痴呆患者的言语能力——参考日常生活中的沟通问题

基本信息

批准号：
11835050
负责人：
HONDA Rumi
金额：
$ 1.34万
依托单位：
Hiroshima Prefectural College of Health and Welfare (2000-2002)Hiroshima Prefectual College of Health and Welfare (1999)
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 2002
项目状态：
已结题

项目摘要

The aims of this study were to develop measures to assess discourse of people with Alzheimer's disease (AD) and to investigate its relation to communication in everyday situations. For these purposes, we newly invented a set of discourse rating scales through our qualitative analysis of discourse of 9 patients with Alzheimer' s disease.With these scales, the discourse performance of people with mild AD, people with mild aphasia and healthy controls was assessed and compared. The results revealed a number of the discourse characteristics of people with AD, which were not found in discourse of people with aphasia nor healthy controls.We also tried to investigate the discourse change in AD at different stages of disease, and some relation between the results of the discourse measures and severity of the disease was suggested. However, the conclusion should be reserved because of the scarcity of severely impaired patients' data.As for the difficulties of communication in everyday situations, we interviewed family key persons who were taking care of AD patients. While many of the family members of AD patients reported that they found repetition of the same talks and questions, forgetfulness, reduced ability of comprehension, inability to cope with problems, etc., few family members found problems of language.We also investigated the relation between these problems observed by family members and the results of the discourse measures. Some of the discourse characteristics, such as language impairments, were common, but there were also characteristics that disagreed. In order to understand the communication problems of people with AD, we need information from family members as well as assessment of discourse in clinical settings.

这项研究的目的是制定措施来评估阿尔茨海默病(AD)患者的话语，并调查其与日常情况下交流的关系。为此，我们通过对9例阿尔茨海默病患者S语篇的定性分析，设计了一套语篇评定量表，用该量表对轻度阿尔茨海默病患者、轻度失语症患者和健康对照组的语篇表现进行了评估和比较。研究结果揭示了失语症患者和健康对照组所没有的AD患者话语特征，并探讨了AD患者在疾病不同阶段的话语变化，以及话语测量结果与疾病严重程度之间的关系。然而，由于严重受损患者的数据稀缺，因此应该保留结论。对于日常情况下沟通困难的问题，我们采访了照顾AD患者的家庭关键人员。虽然许多AD患者家属反映他们发现重复相同的谈话和问题、健忘、理解能力下降、无法应对问题等，但很少有家属发现语言问题。我们还调查了家属观察到的这些问题与话语测量结果的关系。一些话语特征，如语言障碍，是常见的，但也有不同的特征。为了了解阿尔茨海默病患者的沟通问题，我们需要来自家庭成员的信息以及对临床环境下的话语的评估。