主概念分析和看图叙事评估在失语症语篇评估中的应用

Application of Main Concept Analysis and Story Narration Assessment in Aphasia Discourse Assessment

张雪茹;刘巧云;胡伟斌

1:华东师范大学教育学部康复科学系

2:兰州城市学院教育学院

摘要
目的 比较主概念分析和看图叙事评估在失语症语篇评估中的应用,探讨二者的临床适用性。方法 招募失语症患者8例和健康对照组22例,使用本土组图材料诱发语言样本,分别用主概念分析法和看图叙事法评估两组受试者的语言表现,比较组间差异,分析两种方法评估结果的一致性、评估者间信度和评估者内部信度。结果 主概念分析结果为失语症组准确且完整(accurate and complete, AC)主概念数(P<0.01)、每分钟准确且完整(AC/min)主概念数(P<0.05)和主概念分数(main concept, MC scores)(P<0.05)均显著低于对照组,未提及(absent, AB)主概念数均显著高于对照组(P<0.05);看图叙事评估结果为失语症组分图讲述内容评分(P<0.05)、分图讲述总分(P<0.05)和整体讲述总分(P<0.05)均显著低于对照组。两种评估方法的标准分无显著差异,评估者间信度和评估者内部信度良好。结论 两种方法的临床适用性良好,评估结果一致。主概念分析在量化评估语篇信息的质与量方面有优势,看图叙事评估考查句法和语篇宏观结构,能反映整体语言表现。
关键词
主概念分析;看图叙事评估;语篇评估;失语症
基金项目(Foundation):
甘肃省教育科学规划“十三五”课题[GS(2020)GHB4654]
作者
张雪茹;刘巧云;胡伟斌
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