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

结核病对提高体弱老年人的保健质量，言语语言障碍的评估和康复非常重要。本研究的目的是开发养老院居民言语语言的筛查测试和康复。受试者为217名体弱者。对评分员间信度、评分员内信度和效度进行了检验。通过因子分析和通过率分析，我们提取了19个项目作为最终版本。Cronbach a系数分别为0.91和0.98。根据敏感度和特异度，判断语言障碍的临界点为13分(满分16分)，言语障碍为2级(5分)。为促进康复，我们首先进行团体多认知治疗，每周固定1小时，为期4个月。研究对象为63名轻、中度痴呆症患者。结果显示，中度痴呆患者的MIME总分、治疗和语言评分均有显著改善(p&lt；0.05)。其次，对4例老年失语症患者进行为期3个月的每周30分钟的促进失语症患者交流效能的治疗。结果，他们提高了交际的自发性和交际策略。

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.