Perception des gênes et du handicap des patients aphasiques post-AVC

Abstract : Background: patients with post-stroke aphasia are particularly affected in their activities and participations. Patient’s disabilities could be perceived differently by healthcare providers due to communication disorders or to the influence of patient’s caregiver. Objectives: the aim of this study was to compare patients’ perception of their disabilities assessed by a standardised questionnaire and the perceptions of their caregiver, their General Practitioners (GPs) and their Speech and Language Therapists (SLTs) for chronic post-stroke aphasic patients. Methods: sixteen post-stroke aphasic patients were included. During a face-to-face interview performed by a physician and a speech therapist, disabilities were assessed by the G-MAP (Grid for Measurements of Activity and Participation), a 24-item check-list following the 6 categories of the International Classification of Functioning, Disability and Health. Same assessment regarding caregivers’, GPs’ and SLTs’ perceptions of patients’ disabilities was performed. Results: regarding GPs, significant overestimation of disabilities was noted particularly regarding interpersonal interactions and relationships whereas SLTs had a better perception. In another hand, SLTs misperceived disabilities in the intimate life of their patients. Discussion: perception of disabilities of aphasic patients by healthcare providers in primary care seemed to be overestimated, particularly regarding interpersonal interactions and relationships, contrary to patients without language impairment for whose disabilities in several areas could be underestimated. These findings suggest that people with post-stroke aphasia should be considered independently, and that healthcare network, particularly collaborations between GPs and SLTs, should be strengthened in order to permit a better management of patients’ disabilities.
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Master Thesis
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Pierre Charaire. Perception des gênes et du handicap des patients aphasiques post-AVC. Médecine humaine et pathologie. 2018. ⟨dumas-02064169⟩

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