发育性失语症患者的综合治疗:系统案例研究中基于特殊教育、康复和心理学的选定方法。

Neuro endocrinology letters Pub Date : 2023-12-12
Michal Vostrý, Ilona Pešatová, Barbora Lanková, Otakar Fleischmann, Jaroslava Jelínková, Ivana Štolová, Radka Beranová, Nikola Mundoková
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摘要

目的本文论述了在捷克共和国教育领域立法框架内发展和支持发育性失语症患者的可能性,并介绍了对一名被诊断患有发育性失语症(根据 ICD-10;F80.1 和 F80.2)的儿童患者进行系统性病例研究的结果:研究旨在确定长期特殊教育、康复和心理干预、言语治疗和音乐治疗等综合疗法对患者沟通能力发展的影响。根据预先确定的相关特征(6 岁,即进入小学前,被诊断为发育性失语症),通过分层随机抽样的方式选取了患者。一名 6 岁儿童患者在法定代理人的同意下参与了研究。治疗的重点是特殊教育护理、语言治疗、音乐治疗和心理干预(包括心理治疗)。在住院期间和住院后的护理中,还有一名物理治疗师和一名职业治疗师在场:研究结果表明,在治疗被诊断为发育性失语症的患者时,需要职业治疗师、物理治疗师、特殊教育工作者、言语治疗师、音乐治疗师和心理学家定期开展密切的多学科合作。这些专业人员特别关注特定领域的支持,重点是认知、语言和运动功能以及社会适应能力。
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Combination therapy for patients with a developmental dysphasia: selected approaches based on special education, rehabilitation and psychology in a systematic case study.

Objective: The paper deals with the possibilities of the development and the support of individuals with developmental dysphasia with regard to the legislative framework of the Czech Republic in the field of education and presents the results of a systematic case study of a child patient diagnosed with developmental dysphasia (according to ICD-10; F80.1 and F80.2).

Case report: The study aimed to determine the effect of combined therapy using long-term special educational, rehabilitation and psychological intervention, speech therapy and music therapy on the development of the patient's communication skills. The proband was selected by random, stratified sampling based on pre-determined relevant characteristics (age 6 years i.e., before entering primary school, diagnosed with developmental dysphasia). A 6-year-old child patient participated in the research with the consent of the legal representative. The therapy was focused on special educational care, speech therapy, music therapy and psychological intervention (including psychotherapy). During the hospitalization and post-hospitalization care, there was also the presence of a physiotherapist and an occupational therapist.

Conclusion: The results of the research point out the need for regular and close multidisciplinary cooperation of an occupational therapist, a physiotherapist, a special educator, a speech therapist, a music therapist and a psychologist when working with patients diagnosed with developmental dysphasia. These professions focus specifically on specific areas of support with a focus on cognitive, phatic and motor functions with the support of social adaptability.

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