术后认知功能障碍:一个概念分析
Hesam Aldin Varpaei1, Kousha Farhadi2, Mostafa Mohammadi3
1College of Nursing, Michigan State University, East Lansing, MI, USA. varpaeih@msu.edu.
Aging clinical and experimental research
|June 20, 2024
概括
手术后认知功能障碍 (POCD) 影响了许多手术患者,定义不清楚. 这项分析完善了对POCD的理解,确定了风险因素和对更好的临床护理的影响.
科学领域:
- 医学研究 医学研究
- 神经科学是一个神经科学.
- 麻醉学 麻醉学
背景情况:
- 手术后认知功能障碍 (POCD) 是全身麻醉后的一个重大临床问题,影响36.6%-42.4%的患者.
- 现有的文献缺乏关于POCD的概念明确性,需要进行全面的分析.
研究的目的:
- 批判性地评估和建立POCD的最终概念.
- 综合POCD的属性,风险因素和后果.
主要方法:
- 一个以PRISMA为指导的,六步进化概念分析.
- 通过Medline,CINAHL和Web of Science进行文献搜索,产生了86篇文章.
主要成果:
- 经过重大手术后,POCD涉及过渡性,可逆性认知变化,在一次或多个领域发生,持续数周到数年.
- 其后果包括生活质量受损,劳动力退出,依赖程度增加,认知能力下降,痴呆风险,成本上升和死亡率.
结论:
- 为研究人员和临床医生提供了POCD的精细定义和分析.
- 需要进一步的研究来使POCD定义变得可操作,使其与核心属性保持一致.
相关概念视频
Introduction to Cognitive Psychology
464
Cognitive psychology is the field of psychology dedicated to examining how people think. It attempts to explain how and why we think the way we do by studying the interactions among human thinking, emotion, creativity, language, and problem-solving, as well as other cognitive processes. Cognitive psychology studies how information is processed and manipulated in remembering, thinking, and knowing.
This field emerged in the mid-20th century, following a period dominated by behaviorism, which...
This field emerged in the mid-20th century, following a period dominated by behaviorism, which...
464
Cognitivism
1.4K
Cognitive psychology emerged as a significant field in the mid-20th century. It focused on understanding humans' internal mental processes. This approach emphasizes how people perceive, remember, think, and solve problems—elements critical to human cognition.
Previously dominated by behaviorism, which prioritized observable behaviors and largely ignored mental processes, psychology transformed in the 1950s. Cognitive psychologists argue that understanding how we think and process...
Previously dominated by behaviorism, which prioritized observable behaviors and largely ignored mental processes, psychology transformed in the 1950s. Cognitive psychologists argue that understanding how we think and process...
1.4K
Revisionist Views of Adolescent and Adult Cognition
31
A revisionist approach to Jean Piaget's theory of cognitive development has brought new insights that challenge and reinterpret his established ideas. Piaget proposed that the formal operational stage, emerging in adolescence, represents the culmination of cognitive maturity. During this stage, individuals are said to develop abstract thinking, engage in systematic problem-solving, and show a form of egocentrism, believing others are as preoccupied with their behavior as they are...
31
Subconsciousness and No Awareness
237
The concept of subconscious awareness refers to the processing of information below the level of conscious thought, which significantly influences both behaviors and decisions. It is also known as waking subconscious awareness. This complex level of cognition operates without the direct awareness of the individual, facilitating rapid and simultaneous handling of multiple information streams.
An illustrative example of subconscious processing is its role in problem-solving. Often, individuals...
An illustrative example of subconscious processing is its role in problem-solving. Often, individuals...
237
Cognitive Development During Adulthood
88
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
88
High-Level and Low-Level Awareness
262
Controlled processes in human consciousness represent high-alert mental states where individuals deliberately focus their attention on achieving specific goals. Controlled processes can be seen in situations like mastering new technology, where a person might become so absorbed that they ignore surrounding distractions. Such processes involve selective attention, requiring one to concentrate on particular elements of experience while disregarding others. These are governed by executive...
262


