Nursing Support for Children with Mental Retardation and Speech Impediment to Help Improve Their Cognitive Development and Social Participation Using Electronic Voice-Synthesis

采用电子语音合成技术，为智力发育迟缓和脑语言区缺陷儿童开发了一款“优语通”助语软件及辅助设备；即说话困难，但仍有语言理解功能。进一步的研究是为了确定新开发的软件的实际应用需要什么样的独创性，从而确保儿童的认知发展和社会参与与改进的护理支持。(1)考虑到手指的灵活性、力量或控制能力差，规定了必要的措施。(2)通过软件和辅助设备提供护理支持，确定了认知或言语功能改善的过程。(3)分析了通过增加刺激来提高交流能力对儿童心理功能或生活质量的预期效果。更多的来自人际关系和有效使用新开发的辅助工具。在神户大学，对两个孩子进行了临床检查。在特殊需要儿童学校的合作下，招募了有残疾（包括说话困难）的儿童。两个孩子都明白，活动（例如，音乐将会开始，饭菜将会准备好）是按照语音“Uribow Talk”的信息进行的。“Uribow Talk”引起了他们的兴趣，因为他们了解了原因（“Uribow Talk”信息）和结果（事件）。使用内置的语音请求，可以有效地提高儿童的语言理解能力。在滋贺县大学，本研究是在一所幼儿园的儿童、一所初中的特班学生和一所特殊教育学校的儿童的合作下进行的。“Uribow Talk”被证明在培养孩子的沟通技巧方面是有效的，使他们能够通过改善面部表情、情绪稳定和社交能力来享受与他人的关系。少

A talking-aid software (“Uribow Talk") and auxiliary equipments were developed using electronic voice-synthesis for children with mental retardation and defects in speech-language area of brain ; i. e., difficulty talking although with functions remaining for language comprehension. Further studies were made to determine what ingenuity should be required for practical application of the newly-developed software thus ensuring children their cognitive development and social participation with improved nursing support. (1) Necessary measures were specified with considerations for poor dexterities, strength, or control of hand-finger motions. (2) The process was determined in which the cognitive or speech-language functions could be improved as a result of nursing support provision with the aid of the software and auxiliary equipments. (3) The expected effects were analyzed in the children' s mental functions or quality of life, when communication abilities were improved by increased stimu … More lus from personal relationships and effective usage of newly-developed aids.In Kobe University, the clinical examinations were given to two children. With the cooperation of the school for children with special needs, children with disabilities (including talking problems) were recruited. Both children understood that the event (e. g. music will be on, meal will be served) followed in accordance with the voiced “Uribow Talk" message. The “Uribow Talk" aroused their interest as they understood the cause (“Uribou Talk" message) and effect (the event). The use of built-in requests voiced from the “Uribow Talk" may be effective in improving the language comprehension in children.In the University of Shiga Prefecture, the study was conducted with the cooperation of children in a nursery school, of special-class students in a junior high school, and those in a special education school.The “Uribow Talk" proved to be effective in developing communication skills in children, enabling them to enjoy relationships with others with improved facial expressions, emotional stability, and sociability. Less