摘要
目的探讨徵调干预配合语言训练对脑卒中失语症患者抑郁及语言康复效果的影响。方法将纳入的57例脑卒中失语症患者随机分为3组，徵调音乐组20例采用语言训练配合聆听五行音乐的徵调，西洋音乐组18例采用语言训练配合聆听西洋音乐，空白对照组19例进行单纯的语言训练。实验4周后，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）】对失语症患者的抑郁状况以及语言康复临床疗效进行评价。结果实验后徵调音乐组SADQ．H评分较空白对照组降低幅度最大，徵调音乐组治疗效果明显优于西洋音乐组和空白对照组，差异有统计学意义。结论徵调音乐配合语言训练干预脑卒中失语症患者，可以改善患者抑郁状态，提高语言训练的依从性和积极性，从而促进语言功能的康复，聆听徵调对脑卒中失语症患者康复具有积极作用，值得进一步推广应用。
To explore the effect of listening zhidiao tone in the five elements music to-gether with language training on the rehabilitation of stroke patients with aphasia. Methods 57 subjects of stroke patients with aphasia were randomly divided into three groups, one was zhidiao music group, another was west music group, and the third was the control group. Four weeks later, using the scale called the ＂Chinese Rehabilitation Research Center Standard Aphasia Examination （CRRCAE）and the Stroke Aphasic Depression Questionnaire Hospital Version（SADQ-H） to see the variance of scores of language function, and depression in the three groups before and after intervention. Results After the intervention, depressed mood scores of three groups decreased significantly, zhidiao music group experi- enced less depressed mood compared with the control group. According the Ridit analysis, the clinical cu- rative effect was significantly better in the zhidiao music group than in the western music group or the control group. Conclusions Zhidiao music combined with language training can improve the patients＂ depression status, and improve compliance and enthusiasm of language training, so as to promote the reha-bil- itation of the language function. Listening to zhidiao music had a positive role in language rehabilitation in stroke patients with aphasia, and worthy of further promotion and application.
出处
《中国实用护理杂志》
北大核心
2013年第23期12-15,共4页
Chinese Journal of Practical Nursing
基金
福建省自然科学基金（2011J01200）
