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护理学报 ›› 2021, Vol. 28 ›› Issue (11): 16-20.doi: 10.16460/j.issn1008-9969.2021.11.016

• 循证护理 • 上一篇    下一篇

卒中后失语患者言语康复管理的证据总结

王润a, 周春兰a, 玉美b, 周君桂b, 刘瑜b, 杨丽潇a, 叶孝灵a   

  1. 南方医科大学南方医院 a.护理部; b.康复理疗科,广东 广州 510515
  • 收稿日期:2020-12-24 出版日期:2021-06-10 发布日期:2021-07-06
  • 通讯作者: 周春兰（1962-）,女,湖南益阳人,硕士,主任护师,护理部主任,博士研究生导师,E-mail:lanchun200488@126.com
  • 作者简介:王润（1998-）,女,湖南娄底人,本科学历,护师。
  • 基金资助:
    国家自然科学基金面上项目（72074106）; 2020年广东省自然科学基金面上项目（2020A1515010373）; 南方医院护理创优循证护理项目（2020EBNb008）

Evidence Summary of Speech and Language Rehabilitation Management in Patients with Post-stroke Aphasia

WANG Runa, ZHOU Chun-lana, YU Meib, ZHOU Jun-guib, LIU Yub, YANG Li-xiaoa, YE Xiao-linga   

  1. a. Dept. of Nursing Administration; b. Dept. of Rehabilitation, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
  • Received:2020-12-24 Online:2021-06-10 Published:2021-07-06

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摘要： 目的 总结卒中后失语患者言语康复的相关证据,为临床医务人员开展言语康复管理提供依据。方法 系统检索国内外数据库与专业机构网站中有关卒中后失语患者言语康复的临床指南、证据总结、系统评价以及专家共识,并进行质量评价与证据提取。结果 共纳入14篇文献,包括1篇临床决策,1篇证据总结,8篇指南以及4篇系统评价。从言语康复的筛查与评估、组织培训、康复环境、康复时机、康复方式、随访以及健康教育7个方面总结了24条证据。结论 积极开展失语筛查、组织培训康复团队成员、营造良好的康复环境、把握最佳的康复时机、选择个性化的康复方式以及制定全面的健康教育与随访计划可提高言语康复的有效性。

关键词: 脑卒中, 失语症, 言语治疗, 康复护理, 循证护理

Abstract: Objective To summarize the evidence of speech and language rehabilitation in patients with post stroke aphasia, and to provide reference for speech and language rehabilitation management in clinical practice. Methods We searched databases and websites to collect guidelines, evidence summaries, systematic reviews and expert consensus on speech and language rehabilitation for patients with post stroke aphasia. Quality evaluation and evidence extraction of the included literature were also carried out. Results A total of 14 pieces of literature were incorporated, including 1 clinical decision, 1 evidence summary, 8 guidelines, and 4 systematic reviews and 24 pieces of evidence were summarized from 7 aspects: screening and assessment of aphasia, training, rehabilitation environment, optimal timing, rehabilitation methods, follow-up visits and health education. Conclusion The effectiveness of speech and language rehabilitation can be improved by aphasia screening, training for rehabilitation team members, a good rehabilitation environment, grasping the optimum rehabilitation timing, personalized rehabilitation methods, and comprehensive health education and follow-up plans.

Key words: stroke, aphasia, speech and language therapy, rehabilitation nursing, evidence-based nursing

中图分类号: 

  • R473.74
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