成功与慢性失言症相处:经过5年的手术后的结果和程序改进
Michelle Armour1,2, Susan Brady1
1Northwestern Medicine Marianjoy Rehabilitation Hospital, Wheaton, IL.
概括
这项研究表明,在阿法西亚中心项目一年后,阿法西亚患者的生活质量显著改善,这些收益在使用生命参与性阿法西亚方法 (LPAA) 持续了五年.
科学领域:
- 神经学 神经学
- 语音语言病理学 语言病理学
- 康复医学 康复医学 康复医学
背景情况:
- 由于大脑损伤而导致的沟通障碍 - - 失言症 (Aphasia) 显著影响生活质量.
- 生活参与式的阿法西亚方法 (LPAA) 强调了阿法西亚患者的现实参与和有意义的活动.
- 语障康复计划中生活质量结果的长期持久性需要进一步调查.
研究的目的:
- 评估参与阿法西亚中心计划的阿法西亚患者的长期生活质量结果的持久性.
- 在5年的时间内,评估生活参与方法对阿法西亚 (LPAA) 的有效性.
- 为了确定生活质量的改善是否持续到干预的最初一年之后.
主要方法:
- 进行了一项基于证据的实践质量改进项目.
- 十名患有慢性失言症的参与者在五年内始终参与LPAA指导的小组编程.
- 脑卒中和失语生活质量量量表 (SAQOL-39) 在基线,一年和5年进行管理;计划数据通过调查在5年收集.
主要成果:
- 从基线到1年,从基线到5年,观察到自我报告的生活质量的显著改善.
- 在1年级和5年级的整体生活质量得分中没有发现显著差异.
- 包括物理和通信在内的SAQOL-39的特定领域也显示了持续的改善,在1年和5年之间没有进一步的变化.
结论:
- 生活参与方式的阿法西亚 (LPAA) 模型为患有慢性阿法西亚的个体提供了持续改善的生活质量的方法.
- 使用LPAA值的阿法西亚中心项目可以带来持续的积极结果.
- 这些发现支持基于LPAA的干预措施的长期有效性,提高了阿法西亚患者的生活质量.
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