对认知功能障碍患者的认知远程康复进行系统审查
Hyeonwoo Jeon1, Doo Young Kim1, Si-Woon Park1
1Department of Rehabilitation Medicine, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Republic of Korea.
Frontiers in neurology
|January 30, 2025
概括
认知远程康复与面对面治疗对于认知功能障碍一样有效,并且优于通常的护理. 这种方法提供了持续的治疗,克服了传统康复的局限性,以改善认知功能.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 数字健康数字健康
背景情况:
- 认知功能障碍会影响老年人和获得脑损伤的患者.
- 认知远程康复提供了一个潜在的治疗解决方案.
- 之前的评估没有区分远程康复,面对面治疗和常规护理.
研究的目的:
- 系统地审查随机对照试验 (RCT),将认知远程康复与面对面治疗或通常护理进行比较.
- 分析认知远程康复在改善特定患者群体认知功能的有效性.
主要方法:
- 按照PRISMA指南进行系统审查.
- 搜索了7个电子数据库,搜索到2024年12月10日之前发表的研究.
- 通过使用GRADE进行了元分析并评估了证据确定性.
主要成果:
- 在分析中包括了16个RCT.
- 电话康复疗法对立即的全球认知,注意力和视觉空间功能具有与面对面治疗相似的有效性.
- 电话康复对立即和持续的全球认知,注意力,执行功能,工作记忆和视觉空间功能比通常的护理更有效.
结论:
- 认知远程康复是一种可行的和有效的治疗选择.
- 它表明与传统面对面的认知治疗相比,它没有劣势.
- 电话康复提供持续的护理,克服了传统康复的局限性.
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