IMPROVING SPEECH IN VENTILATOR SUPPORT PATIENTS

在大多数接受气管切开和阳性支持的患者中- 压力呼吸器，讲话的特点是短语太 短暂、沉默的停顿时间过长，以及音量和音质 波动太大。这项研究中提出的 应用程序旨在确定如何提高此类用户的语音质量 患者，特别是患有神经肌肉疾病的患者。它的重点将是 是为了确定简单、廉价和有效的干预措施 安然无恙。这项研究将分两个阶段进行，一个阶段将 评估短期结果和评估长期结果 结果。第一阶段将考察各种因素的影响 不同呼吸机对语音的调节。这些调整是 发现在不妥协的情况下提高语言能力是最有效的 将进一步检查短期的心肺功能。 在研究的第二阶段。第二阶段将测试 经监测选择呼吸机调整的远期疗效 连续多次心肺状况和言语行为 几天。功能结果也将在适当的情况下进行评估。 这项研究将具有直接的临床应用价值。它将提供那些 参与呼吸机支持临床护理的专业人员 患者(例如，肺科医生、呼吸治疗师和语言专家) 语言病理学家)一种基于数据的确定呼吸机的方法 针对个别患者的设置将不仅考虑到 心肺需要，但与言语相关的需要也是如此。

In most patients who are tracheostomized and supported with positive- pressure ventilators, speech is characterized by phrases that are too short, silent pauses that are too long, and loudness and voice quality fluctuations that are too large. The research proposed in this application is designed to determine how to improve the speech of such patients, particularly those with neuromuscular disorders. Its focus will be to identify effective interventions that are simple, inexpensive, and safe. This research will be conducted in two phases, one that will evaluate short-term outcomes and another that will evaulate long-term outcomes. The first phase will examine the influence of a variety of different ventilator adjustments on speech. Those adjustments that are found to be most effective for improving speech without compromising cardiopulmonary function on a short-term basis will be examined further in the second phase of the research. The second phase will test the long-term efficacy of selected ventilator adjustments by monitoring cardiopulmonary status and speech behavior over many consecutive days. Functional outcome also will be assessed in appropriate cases. This research will have direct clinical applications. It will offer those professionals involved in the clinical care of ventilator-supported patients (e.g., pulmonologists, respiratory therapists, and speech- language pathologists) a data-based approach for determining ventilator settings for individual patients that will take into account not only cardiopulmonary needs, but speech-related needs as well.