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复杂先天性心脏病成年人的认知功能和心理社会结果:一个横截面试验研究
Charlotte E Verrall1,2,3,4, Derek L Tran5,6,7,8, Nadine A Kasparian9,10
1The University of Sydney School of Medicine, Sydney, NSW, Australia. charlotte.verrall@sydney.edu.au.
Pediatric cardiology
|January 23, 2024
概括
患有复杂先天性心脏病 (CHD) 的成年人面临显著的认知功能障碍风险,特别是在注意力和记忆力方面. 较低的社会经济地位与较差的认知功能有关,这凸显了正式认知评估的必要性.
科学领域:
- 心脏病学 心脏病学
- 神经心理学 神经心理学
- 公共卫生 公共卫生
背景情况:
- 患有复杂先天性心脏病 (CHD) 的成年人患有认知功能障碍的风险很高.
- 这种人群的认知功能障碍和心理社会结果之间的关系尚未得到充分理解.
研究的目的:
- 调查复杂心血管疾病的成年人认知功能障碍的流行情况.
- 检查认知表现与心理社会因素 (如痛苦,生活质量和弹性) 之间的关联.
主要方法:
- 预计在2022年6月至11月期间招募39名患有复杂心血管疾病的成年人.
- 使用计算机认知评估 (Cogstate) 和经过验证的心理社会尺度.
- 评估心理困扰,与健康相关的生活质量 (HRQOL) 和弹性.
主要成果:
- 认知功能障碍的患病率在注意力 (29%),工作记忆 (25%) 和精神运动速度 (21%) 中最高.
- 较低的全球认知分数与生活在弱势地区和较低的家庭收入 (p <0.05) 有关.
- 64%的人报告了高度的心理痛苦;性与HRQOL正相关,与痛苦负相关.
结论:
- 患有复杂心脏病的成年人表现出高频率的认知功能障碍,患者往往无法识别.
- 社会经济地位可能表明这一群体的认知障碍风险.
- 正式的认知评估和弹性建设干预措施对于管理心理社会福祉至关重要.
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