对比阿法西亚康复中的患者结果:密集综合,修改密集综合和常规护理模型
Jenna Griffin-Musick1, Catherine Off1, Victoria Scharp2
1School of Speech, Language, Hearing and Occupational Sciences, University of Montana, Missoula.
与常规护理相比,强化综合性失言症计划 (ICAP) 和修改后的ICAP (mICAP) 显示出改善失言症中风幸存者的沟通和福祉的希望. 在这项试点研究中,这两种模型都证明了可行性和初步有效性.
科学领域:
- 神经学 神经学
- 语音语言病理学 语言病理学
- 康复科学 康复科学 康复科学
背景情况:
- 在中风幸存者中,失言症显著损害了功能性沟通,参与和心理社会福祉.
- 需要新的,以人为中心的,整体的康复模式,用于后急性失言症.
研究的目的:
- 评估三种不同的语障康复服务提供模式的可行性和初步有效性.
- 强化综合性失言症计划 (ICAP),修改的ICAP (mICAP) 和常规护理 (UC) 的比较.
主要方法:
- 一项I期准随机研究,涉及18名患有后急性失语症的参与者.
- 参与者被分配到ICAP (4周,84小时),mICAP (2周,24小时) 或UC (8周,24小时).
- 结果措施评估了语言,功能性沟通,心理社会福祉和生活质量.
主要成果:
- 与UC组相比,ICAP和mICAP的参与者在多个结果指标中显示出更大的积极变化.
- 所有参与者都完成了他们的课程,ICAP的坚持率最高,其次是mICAP,然后是UC.
- 在任何三个条件中都没有观察到任何磨损.
结论:
- ICAP和mICAP模型似乎是可行的,并且在语障康复中初步有效.
- 这些发现支持对ICAP和mICAP的进一步调查,以满足失言症患者的各种需求.
- 这些密集型模型提供了潜在的改进,比通常的护理中风幸存者与失语.
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