在患有行为变体前性痴呆症的患者中识别和解决功能性沟通挑战
Gabriela Meade1, Mary M Machulda2, Heather M Clark1
1Department of Neurology, Mayo Clinic, Rochester, MN.
American journal of speech-language pathology
|June 6, 2024
概括
患有行为变异前性痴呆症 (bvFTD) 的患者经历了重大沟通挑战. 语音语言病理学家可以帮助识别障碍,并为这些患者及其照顾者提供量身定制的策略.
科学领域:
- 神经退行性疾病 神经退行性疾病
- 语音和语言病理学 语言病理学
- 通信科学 通信科学
背景情况:
- 行为变异前性痴呆症 (bvFTD) 的特点是早期的行为和人格变化.
- 沟通障碍是bvFTD的一个重要但未被充分研究的方面.
- 患有bvFTD的患者经常面临功能性沟通的逐渐限制.
研究的目的:
- 描述四名被诊断患有bvFTD的患者的沟通挑战.
- 在bvFTD患者中识别功能性沟通的常见障碍.
- 为语音语言病理学家 (SLP) 提供建议,以协助这一患者群体.
主要方法:
- 案例系列设计涉及四名患有bvFTD和渐进性沟通障碍的患者.
- 综合性评估包括语音和语言,神经心理学和神经学测试.
- 记录了临床概况和病史,有三名患者参加了随访.
主要成果:
- 54-66岁的患者表现出明显的行为变化,影响了沟通.
- 观察到的是一种失言症 (失言症,单词含义丧失,语法失明) 和语言失言症.
- 执行功能受损被注意到,视觉空间技能相对节省. 尽管有功能限制,但没有人获得定期的SLP支持.
结论:
- 这项研究强调了与bvFTD相关的沟通障碍.
- 在识别沟通障碍和为患者和护理合作伙伴实施量身定制的策略方面,SLP至关重要.
- 需要进一步的研究来评估bvFTD患者的治疗疗效.
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