Davidson Bronwyn, Howe Tami, Worrall Linda, Hickson Louise, Togher Leanne
Communication Disability Centre, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
Top Stroke Rehabil. 2008 Jul-Aug;15(4):325-40. doi: 10.1310/tsr1504-325.
The language changes experienced by a person with aphasia following a stroke often have sudden and longlasting negative impact on friendships. Friendship relationships are core to social engagement, quality of life, and emotional well-being. The aims of this study were to describe everyday communication with friends for older people with and without aphasia and to examine the nature of actual friendship conversations involving a person with aphasia.
This naturalistic inquiry drew data from two phases of research: a participant observation study of 30 older Australians, 15 of whom had aphasia following a stroke, and a collective case study using stimulated recall to examine friendship conversations involving an older person with aphasia.
People with aphasia communicated with fewer friends and had smaller social networks. "Friendship" was a core domain of communication for older people and participation in leisure and educational activities was focal in everyday communication with friends. Case study data of conversations between three older people with aphasia and their friends illuminated features of "time," the role of humour, and friends having shared interests.
Aphasia has been found to impact on friendships. A need exists for research and intervention programs to address communication with friends for older people with aphasia.
中风后失语症患者经历的语言变化往往会对友谊产生突然且持久的负面影响。友谊关系是社会参与、生活质量和情感幸福的核心。本研究的目的是描述有失语症和无失语症老年人与朋友的日常交流，并考察涉及失语症患者的实际友谊对话的性质。
这项自然主义探究从两个研究阶段收集数据：对30名澳大利亚老年人进行的参与观察研究，其中15人中风后患有失语症；以及一项集体案例研究，使用刺激回忆法考察涉及一名失语症老年人的友谊对话。
失语症患者与朋友交流的人数较少，社交网络也较小。“友谊”是老年人交流的核心领域，参与休闲和教育活动是与朋友日常交流的重点。三名失语症老年人与其朋友之间对话的案例研究数据揭示了“时间”的特征、幽默的作用以及朋友之间的共同兴趣。
已发现失语症会影响友谊。需要开展研究和干预项目，以解决失语症老年人与朋友交流的问题。
