Steel Joanne, Ferguson Alison, Spencer Elizabeth, Togher Leanne
Speech Pathology, The University of Newcastle, Newcastle, NSW 2308, Australia.
Brain Inj. 2013;27(7-8):819-30. doi: 10.3109/02699052.2013.775492. Epub 2013 Jun 12.
To investigate speech pathologists' current practice with adults who are in post-traumatic amnesia (PTA).
Speech pathologists with experience of adults in PTA were invited to take part in an online survey through Australian professional email/internet-based interest groups.
Forty-five speech pathologists responded to the online survey. The majority of respondents (78%) reported using informal, observational assessment methods commencing at initial contact with people in PTA or when patients' level of alertness allowed and initiating formal assessment on emergence from PTA. Seven respondents (19%) reported undertaking no assessment during PTA. Clinicians described using a range of techniques to monitor cognitive-communication during PTA, including static, dynamic, functional and impairment-based methods.
The study confirmed that speech pathologists have a key role in the multidisciplinary team caring for the person in PTA, especially with family education and facilitating interactions with the rehabilitation team and family. Decision-making around timing and means of assessment of cognitive-communication during PTA appeared primarily reliant on speech pathologists' professional experience and the culture of their workplace. The findings support the need for further research into the nature of cognitive-communication disorder and resolution over this period.
调查言语病理学家对处于创伤后遗忘症（PTA）阶段的成年人的当前治疗方法。
邀请有治疗处于PTA阶段成年人经验的言语病理学家通过澳大利亚专业电子邮件/基于互联网的兴趣小组参与在线调查。
45名言语病理学家回复了在线调查。大多数受访者（78%）报告称，从首次接触处于PTA阶段的患者时或患者警觉程度允许时开始，使用非正式的观察性评估方法，并在患者从PTA状态清醒后开始进行正式评估。7名受访者（19%）报告称在PTA期间未进行任何评估。临床医生描述了在PTA期间使用一系列技术来监测认知交流，包括静态、动态、功能性和基于损伤的方法。
该研究证实，言语病理学家在多学科团队照顾处于PTA阶段的患者方面发挥着关键作用，尤其是在家庭教育以及促进患者与康复团队和家人的互动方面。关于PTA期间认知交流评估的时间和方式的决策似乎主要依赖于言语病理学家的专业经验及其工作场所的文化。研究结果支持需要进一步研究这一时期认知交流障碍的性质和解决方法。
