Brain Injury Programme, National Rehabilitation Hospital, Dun Laoghaire, Co. Dublin, Ireland.
NeuroRehabilitation. 2013;32(2):351-8. doi: 10.3233/NRE-130855.
A high incidence of depression following a stroke has been reported. Many studies exclude those with communication impairments. However, there is an increased risk of psychosocial issues for individuals with communication difficulties. Psychosocial issues have a significant impact on the individual and their families. There is very limited research in this area.
A retrospective case review of the assessment and intervention with three individuals with significant communication difficulties following stroke was completed. Key interdisciplinary intervention factors were identified.
Psychosocial issues were identified in all three cases. The assessment of cognitive difficulties, interdisciplinary intervention targeting communication between family members, facilitation of emotional expression and liaison with appropriate community services were identified as key interventions. These interventions targeted at psychosocial issues resulted in a positive outcome for the individuals and their family.
Psychosocial issues are prevalent in individuals and their families with significant communication impairments following stroke. Clinically, these issues may be overlooked. The complexity of working with individuals with cognitive and communication impairments also contributes to poor identification of psychosocial issues. This case series clearly highlights that intervening at the psychosocial level through interdisciplinary working can facilitate meaningful outcomes for the individual and their family.
据报道，中风后抑郁症的发病率很高。许多研究都将有沟通障碍的患者排除在外。然而，有沟通困难的人存在心理社会问题的风险增加。心理社会问题对个人及其家庭有重大影响。该领域的研究非常有限。
对三名中风后有严重沟通障碍的患者的评估和干预进行了回顾性病例研究。确定了关键的跨学科干预因素。
在所有三个病例中都发现了心理社会问题。评估认知困难、针对家庭成员之间沟通的跨学科干预、促进情感表达以及与适当的社区服务联系被确定为关键干预措施。这些针对心理社会问题的干预措施为个人及其家庭带来了积极的结果。
在中风后有严重沟通障碍的个人及其家庭中，心理社会问题普遍存在。临床上，这些问题可能被忽视。与认知和沟通障碍患者一起工作的复杂性也导致心理社会问题的识别不佳。这个病例系列清楚地强调了通过跨学科工作在心理社会层面进行干预可以为个人及其家庭带来有意义的结果。
