Influence Of Music Training On Speech Dysfunction And Depression In Broca Aphasia Patients After Stroke

Purpose:The purpose of this study was to investigate the influence of music training on speech dysfunction and depression in Broca aphasia patients after stroke,and to objectively evaluate the rehabilitation of speech function and depression in Broca aphasia patients after stroke.BDAE,CRRCAE and SADQ-H scales were used to confirm the effectiveness of music training in the rehabilitation of speech function and improve the depression of Broca aphasia patients after stroke.To provide a new,effective,safe and inexpensive rehabilitation nursing plan to improve the speech function and depression of Broca aphasia patients after stroke.Method:This study was selected from 68 patients with Broca aphasia after stroke who were hospitalized and treated in the encephalopathy center of a tertiary hospital in Changchun and met the criteria for atresia.The cases were collected from December 2021 to December2022.Subjects were divided into music group and control group by random envelope method according to the order of treatment,34 cases in each group.The control group received speech rehabilitation nursing training on the basis of routine treatment and basic nursing,and the music group received music training and nursing on the basis of routine treatment and basic nursing.After 21 days of standard intervention,the improvement of speech function and depressive mood in Broca aphasia patients after stroke was assessed by the Boston Diagnostic Aphasia Test(BDAE),the Chinese Standard Aphasia Test List(CRRCAE)of the China Rehabilitation Research Center and the Chinese version of the Depression Questionnaire for Aphasia Patients after Stroke(SADQ-H).Results:1.Baseline standardsBefore intervention,the baseline data(age,gender,education level)and related factors(course of disease,nature of lesion)of the two groups were compared between the two groups,and there was no significant difference(P > 0.05).The baseline of the two groups of patients was basically the same,and the balance was comparable.2.Classification of aphasia severity(1)After 21 days of intervention,BDAE grading in both control group and music group was improved to varying degrees,and statistical analysis showed that P < 0.05 was significant.(2)BDAE grading,the music group was significantly higher than the control group,and the difference was statistically significant(P < 0.05).3.Language function score(1)After 21 days of intervention,after statistical analysis,the P<0.01 of 5 items of listening comprehension,retelling,speaking,reading and reading in the music group was significantly significant,and the P<0.05 of 2 items was described and calculated,which was statistically significant.In the control group,6 items of listening comprehension,retelling,speaking,reading aloud,reading and describing 6 items had a P<0.01,which was statistically significant,and 2 items of transcription and dictation had a P<0.05,which was statistically significant.(2)After 21 days of intervention,the scores of CRRCAE sub-items in the music group and the control group were statistically analyzed compared with before the intervention,and the P<0.01 of the four items of listening comprehension,retelling,aloud reading and reading in the music group was statistically significant compared with the control group.4.Depression status score(1)After 21 days of intervention,SADQ-H scores in both the music group and the control group were lower than those before intervention,and the difference was statistically significant(P < 0.01).(2)The score of depression in the music group was significantly lower than that in the control group,and the difference was statistically significant(P < 0.05).Conclusion:1.Music training and nursing can promote the improvement of speech function of stroke Broca aphasia patients,and the effect is better than that of speech rehabilitation nursing in listening comprehension,retelling,aloud reading and reading.2.Music training and nursing can effectively alleviate the depressive symptoms of stroke Broca aphasia patients,and then improve the medical treatment of patients and actively promote the rehabilitation of speech function.