厨房评估:职业治疗师和患有脑卒中后失语症的患者之间评估和反的互动分析
Deborah Hersh1,2, Claire Morrisby3, Brooke Ryan1,4
1Speech Pathology, Curtin School of Allied Health, Curtin University, Perth, Australia.
Disability and rehabilitation
|June 8, 2024
概括
对中风患者的评估可能具有挑战性. 反,特别是对于那些有失言症的人来说,如果不敏感地提供反,可能会阻碍参与康复,从而影响心理健康.
科学领域:
- 康复医学 康复医学 康复医学
- 语言学的语言学.
- 临床心理学 临床心理学
背景情况:
- 脑卒中患者经常接受多学科评估.
- 人们对患者的体验和评估反对康复参与的影响不太了解.
- 失言症在评估和反交付期间会使沟通复杂化.
研究的目的:
- 在中风后的评估中探索患者的经历.
- 分析评估互动和反对患者参与康复的影响.
- 激发对临床相互作用的反思,并在例行评估期间提供反.
主要方法:
- 分析了一种真实的厨房评估:职业治疗师与患有失言症的中风患者之间的互动.
- 利用基于系统功能语言学的语音功能分析.
- 考虑了交互式框架来探索评估解释和反.
主要成果:
- 临床医生表现出交互主导,与不对齐的交互框架.
- 观察到患者的脱离,与临床医生处理失语症和评估背景有关.
- 评估背景依赖于问答和以赤字为中心的沟通.
结论:
- 评估会议和反对中风患者来说可能是情感上的挑战,有时被认为是"坏消息".
- 敏感的沟通对于支持心理健康和康复参与至关重要.
- 需要提高对评估反如何影响患者心理状态和参与度的认识.
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