认知康复改善了长期COVID患者自我报告的认知技能:一项观察性研究
Marie Saxon1, Steven Jackson2, Manasi Seth2
1Shirley Ryan AbilityLab, Chicago, IL; Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL.
Archives of physical medicine and rehabilitation
|February 24, 2025
概括
认知康复改善了长期COVID患者自我报告的认知功能. 然而,焦虑对治疗结果产生了负面影响,突出显示了需要与认知治疗一起进行综合焦虑管理,以获得更好的结果.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 传染性疾病 传染性疾病
背景情况:
- 持续的认知困难,通常被称为"大脑雾",是2019年冠状病毒疾病 (COVID-19) 的常见后果.
- 这些持续的认知障碍显著影响患者的生活质量和日常功能.
- 有效的康复策略对于管理COVID-19后的认知缺陷至关重要.
研究的目的:
- 评估COVID-19后经历认知困难的个人认知康复的有效性.
- 确定影响长期COVID相关认知障碍患者治疗结果的因素.
主要方法:
- 进行了一项回顾性队列研究,涉及70名连续从神经COVID诊所转诊的长期COVID患者.
- 患者接受了门诊认知康复干预.
- 认知功能被评估使用神经障碍认知功能简体形式中的生活质量和Rivermead行为记忆测试故事回忆治疗前后.
主要成果:
- 90%完成护理计划的患者实现了他们的短期目标.
- 在自我报告的认知功能中观察到显著的改善 (神经疾病认知功能得分中的生活质量).
- 较高的治疗前焦虑水平与认知生活质量指标的改善程度较低有关.
结论:
- 认知康复在改善长期COVID患者自我感知功能认知方面表现出有效性.
- 以前存在的焦虑可以阻碍认知康复的好处,这表明需要同时进行焦虑管理.
- 与认知疗法一起解决焦虑可能会优化长期COVID患者的康复结果.
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