认知训练对心脏手术后患者认知功能的影响:随机对照试验的系统审查和元分析
Rongxiang Zhang1,2, Chenyang Zhu2, Shiqi Chen2
1Xiamen Cardiovascular Hospital, Xiamen University, Xiamen, China.
Medicine
|November 4, 2024
概括
认知训练显著减少术后认知功能障碍,并改善心脏手术患者的认知功能. 它还对焦虑和抑郁产生积极影响,尽管对妄想和住院的影响需要进一步研究.
科学领域:
- 心脏病学 心脏病学
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
背景情况:
- 手术后的认知缺陷在心脏手术后很常见,影响患者的康复.
- 认知训练是一种潜在的干预措施,但它在这个人群中的有效性是不确定的.
研究的目的:
- 评估心脏手术患者认知训练的有效性和安全性.
- 确定认知训练对认知功能,术后认知功能障碍和心理健康的影响.
主要方法:
- 在主要数据库中进行系统的文献搜索,直到2024年3月.
- 16项涉及1335名使用RevMan 5.4.4的患者的研究的元分析.
- 使用Cochrane和GRADE方法评估的偏见风险和证据质量.
主要成果:
- 认知训练显著降低了手术后认知功能障碍的发生率 (RR 0.35).
- 观察到改善了认知功能 (MD 2.54),减少了焦虑 (MD -6.05) 和抑郁 (MD -3.97).
- 在术后妄想或住院时间方面没有发现显著差异.
结论:
- 认知训练在改善心脏手术患者的认知功能和减少术后认知功能障碍方面似乎是有效的.
- 有证据表明,它对焦虑和抑郁有积极的影响,质量低至中等.
- 需要进一步的研究来澄清对生活质量,妄想和逗留时间的影响.
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