心不全患者に対する認知訓練介入:ランダム化制御試験
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
まとめ
認知トレーニングは 認知機能,自己ケア,心不全の患者での 薬の服用を大幅に改善しました この介入は患者の成果を向上させ,日常の医療に組み込まれるべきです.
科学分野:
- 心臓病科
- 神経科学
- 健康心理学
背景:
- 心不全 (HF) は患者の認知機能,自己ケア能力,および全般的な生活の質に大きな影響を及ぼします.
- 認知機能の最適化と治療の順守は,HFの管理と患者の結果の改善に不可欠です.
研究 の 目的:
- 心不全患者における認知機能,自己ケア,薬物投与の順守,生活の質 (QOL),機能能力,患者の満足度に関する認知トレーニングの効果を評価する.
主な方法:
- 60人の心不全患者が参加したランダム化制御試験で,実験群の30人は認知訓練を受け,対照群の30人は日常的なケアを受けた.
- モントリオール・コグニティブ・アセスメント,セルフケア・インデックス,薬物使用量表,生活の質に関するアンケートなどで収集したデータです.
- 12週間にわたる対面カウンセリングによる介入で,検査前と検査後の評価が行われました.
主要な成果:
- 記憶,実行機能,注意力/集中力の有意な改善が観察された (P < 0. 001).
- 自己ケア維持の改善 (P < 0. 001),自己ケア管理 (P = 0. 04) と自己ケア自信 (P < 0. 001) が認められた.
- 治療の順守 (P < 0. 001),生活の質 (P < 0. 001),機能能力 (P = 0. 002) および患者の満足度の改善は有意であった.
結論:
- 認知トレーニングは,心不全患者の認知機能と関連する健康状態の改善に有意な効果を示しています.
- 心不全の管理における患者のケアと成果を向上させるために,認知トレーニングを日常的な医療介入に統合することが推奨されています.
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