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

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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.