心理康复结合语言训练对脑卒中后失语症患者语言功能的影响

Effect of psychological rehabilitation and language training on language function of patients with aphasia after stroke

目的探心理康复结合语言训练对脑卒中失语症患者语言功能的影响。方法选取脑卒中后失语症患者72例，随机分为两组，各36例，对照组采用常规康复护理，观察组在对照组的基础上联合心理康复结合语言训练。在干预前、干预4周结束时分别采用中文版卒中后失语患者抑郁问卷（医院版）（SADQ—H）以及中国康复研究中心《汉语标准失语症检查表（CRRCAE）》对护理效果进行评价。结果干预后，观察组SADQ—H量表评分低于对照组，观察组听理解、复述、说、出声读、阅读5项正答率均高于对照组，观察组患者语言功能改善率优于对照组[（19．22±4．85）VS．（24．01±5．93）]，差异有统计学意义（P〈0．05）。结论心理康复结合语言训练对脑卒中失语症患者语言康复及心理障碍具有积极影响。

Objective To explore the effect of psychological rehabilitation and language training on the language function of patients with aphasia after stroke. Methods 72 patients with aphasia after stroke were randomly divided into a control group and an observation group. The control group took routine rehabilitation nursing training; in addition, the observation group took psychological rehabilitation and language training. Chinese Rehabilitation Research Center Standard Aphasia Examination（CRRCAE） and SADQ-H were used to evaluated the nursing effects before and 4 weeks after the intervention. Results After the intervention, the score of SADQ-H was lower in the observation group than in the control group [（19.22 ＋ 4.85） vs. （24.01 ~ 5.93）]; and the five positive rates of listening-to-understand, repeating, speaking, reading out, and reading were higher and the improvement rate of language function was better in the observation group than in the control group, with statistical differences （P〈0.05）. Conclusions Psychological rehabilitation and language training has positive effect on language rehabilitaion and psychological disorder in patients with aphasia after stroke.