在老年人心脏手术后探索认知功能和术后神经认知恢复 (ECPON):观察性研究的协议
Lina Bergman1, Ernad Zecevic2,3, Tor Damén4,5
1Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden lina.bergman@ki.se.
BMJ open
|June 22, 2025
概括
这项研究考察了老年人心脏手术后的认知变化,确定了影响恢复和患者体验的因素. 这些发现旨在改善心脏手术患者及其家属的护理.
科学领域:
- 老年学是一门学科.
- 心脏病学 心脏病学
- 神经科学是一个神经科学.
背景情况:
- 心血管疾病是老年人的主要健康问题,心脏手术的发生率越来越高.
- 术后神经认知障碍是一种常见的,经常被忽视的并发症,影响患者的康复和生活质量.
- 患者可能会报告手术后的主观认知困难,影响日常活动和家庭福祉.
研究的目的:
- 为了研究影响心脏手术后65岁以上患者神经认知功能的因素.
- 探索患者报告的认知症状及其对术后康复的影响.
- 了解亲属对患者康复过程的看法.
主要方法:
- 在瑞典胸部外科部门进行了长度观察研究,采用混合方法方法.
- 在手术前和手术后1,3,6个月评估的220名患者和1名近亲.
- 数字神经认知测试,患者报告的结果 (认知症状,妄想,虚弱,生活质量,抑郁,自我效能,疲劳,功能) 和相对评估 (观察认知,护理人员负担).
- 在6个月后,对一小部分患者和亲属进行定性采访.
主要成果:
- 这个部分是对结果的,这些结果尚未提供,因为试验是预先的结果.
结论:
- 这个部分是关于结论的,这些结论尚未提供,因为试验是预测结果.
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