Screening Test and Speech-Language Rehabilitation Program among Residents of Nursing Homes

为了提高老年人的医疗服务质量，言语语言障碍的评估和康复是非常重要的。本研究的目的是发展养老院居民言语语言的筛查测试和康复。为了制定筛选测试，我们根据各领域的标准审查，编制了79个项目的草案。研究对象为217名体弱个体。测定了量表的信度、信度和效度。通过因子分析和通过率分析，我们提取了19项作为最终版本。Cronbach a系数分别为0.91和0.98。基于灵敏度和特异性，检测语言障碍的分界点为16分中的13分，言语障碍为5分中的2级，以显示言语可理解性。开展康复治疗，首先进行小组多认知治疗，每周1小时，持续4个月。研究对象为63名轻度或中度痴呆患者。结果显示，中度痴呆患者的MIME （Mini-Mental Statement examination）总分、导向和语言评分均显著提高（p<0.05）。其次，我们对4名老年失语症患者进行了促进失语症交际效果的治疗，每周30分钟，持续3个月。因此，他们提高了沟通的自发性和沟通策略。

Tb improve the quality of health care for the frail elderly, evaluation and rehabilitation of speech-language disorders is very important The purpose of the present study was to develop the screening test and rehabilitation of speech-language among residents of nursing homes.Tb develop the screening test, we prepared the draft consisted 79 items based on standard examination of various areas. Subjects were 217 frail individuals. The interrater reliability, intrarater reliability and validity were determined. Using factor analysis and pass rate analysis, we extracted 19 items as a final version. Cronbach a coefficients were 0.91 and 0.98. Based upon the sensitivity and specifidty, the cutoff point to detect language disorder was the score of 13 out of 16, speech disorder was grade 2 in 5 point to reveal speech intelligibility.Tb develop the rehabilitation, firstly, we carried out the group multi cognitive therapy fix one hour a week for 4 months. Subjects were 63 mild or moderate dementia individuals. As a result, moderate dementia patients improved MIME (Mini-Mental Statement examination) total score and caientation and language score significantly (p<0.05). Secondly, we carried out the therapy of Promoting Aphasics Communicative Effectiveness for 30 minutes a week for 3 months, Subjects were 4 elderly aphasics. As a result, they improved communicative spontaneity and communication strategy.