CAJ | 학술논문

目的研究洛文斯顿作业疗法认知评定量表(LOTCA)与西方失语症成套测验(WAB)的相关性,为临床应用提供可靠性依据.方法选择脑损害后汉语失语症患者37例,应用LOTCA成套测验评定其认知功能,采用WAB成套测验评定其语言功能.对LOTCA成套测验的各分项分值及总分与WAB成套测验中的各分项分值及失语商、操作商、大脑皮质商之间的关系分析,采用SPSS 12.0软件进行Pearson相关分析、偏相关分析.结果 37例脑损害后失语症患者全部进入结果分析.LOTCA成套测验的总分和WAB的失语商、操作商、大脑皮质商均有显著性正相关(P＜0.01);LOTCA成套测验中的知觉力、思维运作能力分项分值和WAB中各个亚项均有显著性正相关关系(P＜0.01);LOTCA成套测验中的定向力、视运动组织能力的得分除和WAB中的复述无显著性相关关系(P0.05)之外,而与其他变量均有显著性正相关关系(P＜0.05).结论认知功能与语言功能有高度密切关系,LOTCA成套测验可用于脑损害后汉语失语症的认知功能评定.
목적 연구락문사돈작업요법인지평정량표(LOTCA)여서방실어증성투측험(WAB)적상관성,위림상응용제공가고성의거.방법 선택뇌손해후한어실어증환자37례,응용LOTCA성투측험평정기인지공능,채용WAB성투측험평정기어언공능.대LOTCA성투측험적각분항분치급총분여WAB성투측험중적각분항분치급실어상、조작상、대뇌피질상지간적관계분석,채용SPSS 12.0연건진행Pearson상관분석、편상관분석.결과 37례뇌손해후실어증환자전부진입결과분석.LOTCA성투측험적총분화WAB적실어상、조작상、대뇌피질상균유현저성정상관(P＜0.01);LOTCA성투측험중적지각력、사유운작능력분항분치화WAB중각개아항균유현저성정상관관계(P＜0.01);LOTCA성투측험중적정향력、시운동조직능력적득분제화WAB중적복술무현저성상관관계(P0.05)지외,이여기타변량균유현저성정상관관계(P＜0.05).결론 인지공능여어언공능유고도밀절관계,LOTCA성투측험가용우뇌손해후한어실어증적인지공능평정.
Objective To study the correlation of the Loewenstein Occupational Therapy Cognitive Assessment and the Western Aphasia Battery, and to offer trusty warrant for clinical application.Methods A total of 37 patients with aphasia following brain lesions were selected.They received an evaluation by the Loewenstein Occupational Therapy Cognitive Assessment for their recognition function, and an evaluation by the Western Aphasia Battery for their language function.The association between every subentry scores, total scores on the Loewenstein Occupational Therapy Cognitive Assessment and the western aphasia battery of every subentry scores, aphasia quotient, performance quotient and cortical quotient was analyzed by using Pearson correlations analysis, partial correlations analysis, with the program SPSS 12.0.Results All 37 patients were involved in the result analysis.Correlations of total scores in LOTCA and the aphasia quotient, the performance quotient,the cortical quotient in WAB were positively significant (P＜0.01).Correlations of Visual and Spatial Perception,Thinking Operations subentry scores, total scores in LOTCA and every subentry scores in WAB were positively significant (P＜0.01 ).Correlations of Orientation, Visual Motor Organization subentry scores in LOTCA and repetition in WAB were not significant (P＞0.05 ).However, correlations of it and other items in WAB were significant (P＜0.05 ).Conclusions The relation between Language function and cognitive function was highly close correlated.The LOTCA can be clinically used to evaluate the Chinese aphasia subjects with cognitive problems after brain lesions.