Avaliação da linguagem em pacientes pós acidente vascular cerebral hospitalizados

• Ano de defesa: 2020
• Autor(a) principal: Alvarenga, Bianca Gonçalves
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Biblioteca Digitais de Teses e Dissertações da USP
• Palavras-chave em Português: Acidente vascular cerebral; Afasia; Aphasia; Cerebral vascular accident; Language disorders; Language tests; Testes linguagem; Transtornos da linguagem
• Link de acesso: https://www.teses.usp.br/teses/disponiveis/25/25143/tde-25102021-155211/

Stroke has become a public health problem, affecting individuals of different age groups. Aphasia is a consequence of stroke with brain lesions in the areas responsible for language, and its impairment varies as functional communication becomes unfeasible. The present study aimed to characterize language disorders in subjects with aphasia at the bedside with ischemic stroke. The sample consisted of convenience and consisted of 40 subjects diagnosed with aphasia, resulting from ischemic stroke with impaired oral and / or written communication, still in bedside situation in a Hospital in the interior of São Paulo, for a period of 6 months. For the assessment of oral and written language, the BEST-2 instrument was used and the Token Test was used to assess comprehension. Correlations between variables were analyzed using the Spearman, Mann-Whitney and Friedman correlation coefficient. The prevalence in the sample was of male subjects (52.5%) with an average age of 66.4 years, with a prevalence of alcoholism regarding risk factors (65.5%). As for the injury site, the distribution was heterogeneous with the right fronto-parieto-temporal, right frontoparietal and lacunar left thalamus representing 10% of the subjects, the most affected side was the left (45%). In total, 97.5% of the sample used antithrombotic agents during the hospitalization period. The assessed language skills were preserved in most subjects. The results presented show a level of significance between the language test and education (p = 0.02). There was no statistically significant difference between variables with the language skills assessed in the test. In the analysis of the Token Test, 7% of the subjects presented mild changes in their understanding. Therefore, it is possible to mention that it was not possible to characterize all language alterations of subjects with aphasia at the bedside after a stroke.