阿尔茨海默病患者的语言和沟通干预:系统性审查
Nefeli K Dimitriou1, Anastasia Nousia2, Eleni-Nefeli Georgopoulou1
1Department of Speech and Language Therapy, School of Health Sciences, University of Ioannina, 45500 Ioannina, Greece.
Healthcare (Basel, Switzerland)
|April 13, 2024
概括
语言康复,特别是与认知训练相结合,对阿尔茨海默病患者 (pwAD) 产生积极影响. 虽然综合训练可以提高认知能力和生活质量,但独立语言治疗的支持证据有限.
科学领域:
- 神经科学是一个神经科学.
- 老年学是一门学科.
- 语音和语言病理学 语言病理学
背景情况:
- 语言障碍是阿尔茨海默病 (AD) 的常见症状.
- 针对性语言康复在阿尔茨海默病患者护理中往往未得到充分利用.
- 认知能力下降显著影响了AD患者的沟通能力.
研究的目的:
- 系统地审查关于语言培训对阿尔茨海默病患者认知结果的影响的证据.
- 评估语言康复的有效性,无论单独还是与认知训练相结合.
- 评估对语言,非语言认知功能和生活质量的影响.
主要方法:
- 在PubMed,Google Scholar和Cochrane数据库中进行系统的文献搜索,截至2023年11月.
- 包括八项研究:四项随机对照试验和四项观察性研究.
- 干预措施的分析,包括单独的语言培训和语言和认知培训的联合培训.
主要成果:
- 一种共识表明,语言康复,特别是与认知训练相结合时,对语言和非语言认知功能 (记忆,注意力,执行功能) 产生了积极的结果.
- 大多数研究报告说,阿尔茨海默病患者及其照顾者的生活质量都有所改善.
- 语言和认知训练的结合表明了认知领域的广泛改善.
结论:
- 结合语言和认知训练在改善阿尔茨海默病患者的认知功能方面是有效的.
- 支持单独语言康复疗法的有效性的证据有限.
- 由于研究异质性 (干预类型,持续时间,样本大小,评估工具) 需要进一步研究.
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