多方位交流方式的构架在老年脑卒中患者运动性失语的实效研究

摘要 目的 探讨建立多方位交流方式的构架对改善老年性失语脑卒中患者语言功能恢复的效果。方法 根据患者（或家属）的意愿，数字随机抽取60例患者，分为观察组30例，对照组30例。对照组给与常规治疗和护理，观察组在此治疗和护理基础上，通过交流方式构架的方案进行护理干预，观察患者自发语、理解、复述、命名等方面的变化。结果 两组常规内科治疗和早期语言康复治疗均相同的情况下，理解能力，表达能力评分均升高；观察组与对照组相比，理解能力，表达能力评分改善更加显著，差异有统计学意义（P＜0.01）。与对照组相比，入组后一个月末无明显差异（P＞0.05），具有可比性；入组后3个月末，观察组较对照组明显升高（P＜0.01）。两组患者满意度评分，对照组为（89.38±6.47），观察组为（95.48±4.51），观察组明显高于对照组（t=4.301，P＜0.01）。 结论 交流方式的构架应用于运动性失语的脑卒中患者中，能有效的促进患者语言功能的康复，提高患者及家属的满意度。

Effectiveness of multi-directional communication framework in motor aphasia of elderly stroke patients

Abstract Objective To explore the effect of establishing a establishing a multi-directional communication framework on improving language function recovery in elderly aphasic stroke patients. Methods According to the wishes of patients (or family members), 60 patients were randomly selected and divided into observation group (30 cases) and control group (30 cases). The control group was given routine treatment and nursing, while the observation group was given nursing intervention on the basis of the treatment and nursing. The changes of patients'' spontaneous speech, understanding, repetition and naming were observed. Results Under the same conditions of routine medical treatment and early language rehabilitation treatment, the scores of comprehension and expression ability were increased in both groups. Compared with the control group, the scores of comprehension and expression ability were improved more significantly in the observation group (P < 0.01). Compared with the control group, there was no significant difference at the end of one month after admission (P > 0.05), which was comparable. At the end of three months after admission, the observation group was significantly higher than the control group (P < 0.01). The satisfaction score of the two groups was(89.38 ± 6.47) in the control group and (95.48 ± 4.51) in the observation group. The satisfaction score of the observation group was significantly higher than that of the control group (t=4.301, P < 0.01). Conclusion The framework of communication style applied to stroke patients with motor aphasia can effectively promote the rehabilitation of language function and improve the satisfaction of patients and their families