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意识障碍的恢复:通过交流优化自主能力。

Emergence from Disorders of Consciousness: Optimizing Self-Agency Through Communication.

机构信息

Department of Rehabilitation Programs, Madonna Rehabilitation Hospitals, 5401 South Street, Lincoln, NE 68506, USA.

Research Institute, Madonna Rehabilitation Hospitals, 5401 South Street, Lincoln, NE 68506, USA.

出版信息

Phys Med Rehabil Clin N Am. 2024 Feb;35(1):175-191. doi: 10.1016/j.pmr.2023.07.002. Epub 2023 Aug 12.

Abstract

Language and communication deficits are intrinsic to disorders of consciousness. This article will provide an overview of language and communication deficits that can significantly confound the accuracy of diagnostic assessment in these patients. Authors will also discuss interventions to promote early communication using assistive technology and augmentative communication rehabilitation strategies. Finally, this article will discuss the importance of family education as well as ethical considerations connected to the recovery of communication and adaptive strategies to support patient autonomy and enhance self-agency.

摘要

语言和沟通障碍是意识障碍的固有特征。本文将概述这些患者的诊断评估准确性可能受到严重干扰的语言和沟通障碍。作者还将讨论使用辅助技术促进早期沟通的干预措施,以及增强沟通康复策略。最后,本文将讨论与沟通恢复和适应性策略相关的重要性,以支持患者的自主性和增强自我决策能力,以及与这些策略相关的家庭教育和伦理考虑。

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本文引用的文献

1
Behavioral Assessment of Patients with Disorders of Consciousness.意识障碍患者的行为评估。
Semin Neurol. 2022 Jun;42(3):249-258. doi: 10.1055/s-0042-1756298. Epub 2022 Sep 13.
2
What names for covert awareness? A systematic review.隐蔽意识有哪些名称?一项系统综述。
Front Hum Neurosci. 2022 Aug 5;16:971315. doi: 10.3389/fnhum.2022.971315. eCollection 2022.
3
Classifying Disorders of Consciousness: Past, Present, and Future.意识障碍分类:过去、现在和未来。
Semin Neurol. 2022 Jun;42(3):239-248. doi: 10.1055/a-1883-1021. Epub 2022 Jun 23.
5
Update on neuroimaging in disorders of consciousness.意识障碍的神经影像学进展。
Curr Opin Neurol. 2021 Aug 1;34(4):488-496. doi: 10.1097/WCO.0000000000000951.

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