| 毛妍,孙明亮,项洁.以微信平台为载体的家庭参与式语言康复训练对卒中后失语的干预效果观察[J].中国康复,2024,39(7):397-400 |
| 以微信平台为载体的家庭参与式语言康复训练对卒中后失语的干预效果观察 |
| Intervention effect of family participatory language rehabilitation training based on WeChat platform on aphasia after stroke |
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| DOI： |
| 中文关键词: 微信平台 家庭参与式 语言康复训练 卒中 失语 |
| 英文关键词: WeChat platform family participation language rehabilitation training stroke aphasia |
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| 中文摘要: |
| 目的：探讨以微信平台为载体的家庭参与式语言康复训练对卒中后失语（PSA）的干预效果。方法：选取沭阳县中医院康复科住院治疗的PSA患者80例，按随机数字表法分成观察组和对照组各40例。2组均在出院后进行3个月的居家语言康复，观察组由微信平台管理团队通过微信对患者家属进行反馈和指导，对照组则通过电话进行。判定患者语言训练依从性并于干预前、干预3个月后，分别采用西方失语症成套测验（WAB）评定患者语言功能、采用功能性言语沟通能力判定法（CFCP）评定患者沟通能力。结果：2组训练3个月后，观察组训练依从率为97.50%，高于对照组的（P＜0.05）；干预前，2组患者WAB评分、AQ值、CFCP评分比较均无统计学差异；干预3个月后，2组患者WAB评分、AQ值、CFCP评分均高于干预前（均P＜0.05），且观察组均高于对照组（均P＜0.05）。结论：对PSA患者开展以微信平台为载体的家庭参与式语言康复训练，可明显提高训练依从性，有效改善语言功能，显著提升失语商及沟通能力。 |
| 英文摘要: |
| Objective: To explore the intervention effect of family participatory language rehabilitation training based on WeChat platform on post-stroke aphasia (PSA). Methods: Totally, 80 PSA patients admitted to our hospital from September 2021 to June 2023 were collected and randomly divided into a conventional group (n=40, receiving routine rehabilitation education) and a research group (n=40, receiving family participatory language rehabilitation training using WeChat platform as a carrier on the basis of the routine group) using a random number table method. All patients received regular speech training during their stay in the hospital. The patient’s language training compliance was determined. Before and after 3 months of intervention, the patients’ language function was assessed by the western aphasia battery (WAB), which was calculated as aphasia quotient (AQ), and the patients’ communication ability was assessed by the Chinese functional communication profile (CFCP). Results: The training compliance rate of the research group was 97.50%, which was higher than the 80.00% of the conventional group (P<0.05). Before intervention, there were no statistically significant differences in the WAB 4 scores, AQ values, and CFCP scores between the two groups. After 3 months of intervention, the WAB scores, AQ values, and CFCP scores in both groups were higher than before intervention (P<0.05), and those in the research group were higher than in the conventional group (P<0.05). Conclusion: Conducting family participatory language rehabilitation training on WeChat platform for PSA patients can obviously improve training compliance, effectively improve language function, and significantly enhance AQ and communication skills. |
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