مجله دانشکده پزشکی اصفهان

مجله دانشکده پزشکی اصفهان

تأثیر کتاب‌درمانی بر بهبود روانی گفتار کودکان مبتلا به لکنت: مطالعه‌ی مورد منفرد

نوع مقاله : Original Article(s)

نویسندگان
1 دانشجوی کارشناسی ارشد کتابداری و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
2 استادیار، گروه گفتاردرمانی، دانشکده‌ی علوم توانبخشی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
3 دانشیار، گروه کتابداری و اطلاع‌رسانی پزشکی، مرکز تحقیقات فناوری اطلاعات در امور سلامت، دانشکده‌ی مدیریت و اطلاع‏رسانی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
4 دانشیار، مرکز تحقیقات فناوری اطلاعات در امور سلامت، دانشکده‌ی مدیریت و اطلاع‏رسانی‌پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
10.48305/jims.v44.i869.1172
چکیده
مقدمه: لکنت، یکی از اختلالات شایع گفتاری در کودکان است که می‌تواند تأثیرات عمیقی بر کیفیت زندگی آنان بگذارد. در میان روش‌های درمانی نوین، کتاب‌درمانی به عنوان یک مداخله غیرمستقیم و جذاب مطرح است؛ با این حال، شواهد تجربی محدودی در مورد اثربخشی آن بر روانی گفتار کودکان دارای لکنت وجود دارد. این مطالعه با هدف بررسی اثربخشی کتاب‌درمانی بر بهبود روانی گفتار در قالب یک طرح مورد منفرد بر روی یک کودک مبتلا به لکنت انجام شد.
روش‌ها: این مطالعه در قالب یک پژوهش مورد منفرد (Single-Subject Design) با مدل A-B-A انجام شد. شرکت‌کننده، یک کودک دارای لکنت از گروه سنی «ج» در شهر اصفهان بود که به‌روش نمونه‌گیری در دسترس انتخاب شد. مداخله کتاب‌درمانی در دانشگاه علوم پزشکی اصفهان برای وی اجرا گردید. در دو مرحله پایه (A) (قبل و پس از مداخله) هیچ مداخله‌ای انجام نشد و مداخله فقط در فاز (B) اعمال گردید. شدت لکنت در تمامی مراحل با استفاده از ابزار SSI-4 اندازه‌گیری و ثبت شد.
یافته‌ها: یافته‌ها نشان داد که قبل از مداخله متغیرهای مورد بررسی یعنی درصد سیلاب‌های لکنت شده (SS درصد) و میزان نمره‌ی لکنت (SR) در دو حالت خواندن از روی متن و گفتار محاوره‌ای در سطح شدید بوده اما با اجرای جلسات کتاب‌درمانی و در مرحله‌ی مداخله روند نزولی یافته و میزان بالای درصد داده‌های ناهمپوش (PND) نیز به منزله مؤثر بودن مداخله بوده است.
نتیجه‌گیری: یافته‏های این مطالعه نشان داد که کتاب‌درمانی، روی بهبود روانی گفتار در نمونه‌ی مورد مطالعه مؤثر واقع شده و منجر به کاهش شدت لکنت در وی گردید. شکی نیست که نتایج این مطالعه با توجه به محدودیت های آن برای تأیید قطعی اثرگذاری مداخله کتاب‌درمانی بر لکنت کودکان کافی نیست و مطالعات بیشتر در این زمینه راهگشا خواهد بود.

تازه های تحقیق

رسول نوری: Google Scholar ,PubMed

کلیدواژه‌ها

عنوان مقاله English

The Effect of Bibliotherapy on Speech Fluency in Children with Stuttering: A Single Subject Study

نویسندگان English

Zahra Mohajeri 1
Bijan Shafiei 2
Alireza Rahimi 3
Rasool Nouri 4
1 MSc Student in Medical Librarianship and Information Science, Isfahan University of Medical Sciences, Isfahan, Iran
2 Assistant Professor, Department of Speech Therapy, Faculty of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
3 Associate Professor, Medical Library and Information Department, Health Information Technology Research Center, Faculty of Medical Information and Management, Isfahan University of Medical Sciences, Isfahan, Iran
4 Associate Professor, Health Information Technology Research Center, Faculty of Medical Information and Management, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده English

Background: Speech is a process that requires coordinated and rapid movements of the tongue, lips, jaw, larynx, vocal cords and teeth. Many factors disrupt this process, one of which is stuttering, which appears as the involuntary repetition or dragging of sounds or syllables. Therefore, the aim of this research is to investigate the effect of bibliotherapy on improving the speech of children with stuttering.
Methods: The type of interventional applied study and the research method was single-subject design and A-B-A model. The statistical population was children with stuttering in Isfahan city, placed in age group C, and only one sample remained due to the drop of samples, and bibliotherapy sessions were held for her at Isfahan University of Medical Science. In this method, there was no intervention or change in the A1 and A2 stages intervention was done only in stage B, and before and after the intervention, the severity of stuttering was measured with the SSI4 tool.
Findings: The findings showed that before the intervention, the studied variables, i.e., the percentage of stuttered syllables (SS%) and the stuttering rate (SR) in two modes of reading from the text and conversational speech, had an upward trend, but with the implementation of bibliotherapy sessions and in the intervention phase, the trend decrease and the high percentage of non-overlapping data (PND) also indicate the effectiveness of the intervention.
Conclusion: The results indicated that bibliotherapy effectively enhanced speech fluency in the studied sample and resulted in a decrease in the severity of stuttering.

کلیدواژه‌ها English

Bibliotherapy
Speech disorders
Child
Stuttering
Speech Fluency
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دوره 44، شماره 869
هفته 1، شهریور
مرداد و شهریور 1405
صفحه 1172-1179

  • تاریخ دریافت 09 مرداد 1404
  • تاریخ پذیرش 03 مرداد 1405