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Cognitive Training Intervention for Heart Failure Patients: A Randomised Controlled Trial
Suman Kumari1, Monika Dutta1, Parminder Singh Otaal2
1Department of Nursing Education, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Indian Journal of Palliative Care
|August 21, 2025
Summary
Cognitive training significantly improved cognitive functions, self-care, and medication adherence in heart failure patients. This intervention enhances patient outcomes and should be integrated into routine healthcare.
Area of Science:
- Cardiology
- Neuroscience
- Health Psychology
Background:
- Heart failure (HF) significantly impacts patients' cognitive functions, self-care abilities, and overall quality of life.
- Optimizing cognitive function and adherence to treatment are crucial for managing HF and improving patient outcomes.
Purpose of the Study:
- To evaluate the effectiveness of cognitive training on cognitive functions, self-care, medication adherence, quality of life (QOL), functional capacity, and patient satisfaction in individuals with heart failure.
Main Methods:
- A randomized controlled trial involving 60 heart failure patients, with 30 in the experimental group receiving cognitive training and 30 in the control group receiving routine care.
- Data collected using validated instruments including the Montreal Cognitive Assessment, self-care indices, medication adherence scales, and quality of life questionnaires.
- Intervention delivered through face-to-face counseling sessions over a 12-week period, with pre- and post-test assessments.
Main Results:
- Significant improvements were observed in memory, executive functions, and attention/concentration in the experimental group (P < 0.001).
- Enhanced self-care maintenance (P < 0.001), self-care management (P = 0.04), and self-care confidence (P < 0.001) were noted.
- Improvements in medication adherence (P < 0.001), quality of life (P < 0.001), functional capacity (P = 0.002), and patient satisfaction were significant.
Conclusions:
- Cognitive training demonstrates significant efficacy in improving cognitive functions and related health outcomes for heart failure patients.
- Integration of cognitive training into routine healthcare interventions is recommended to enhance patient care and outcomes in heart failure management.
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