对心力衰竭患者的认知训练干预:随机对照试验
Suman Kumari1, Monika Dutta1, Parminder Singh Otaal2
1Department of Nursing Education, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Indian journal of palliative care
|August 21, 2025
概括
认知训练显著改善了心力衰竭患者的认知功能,自我护理和药物坚持. 这种干预措施提高了患者的治疗效果,应纳入常规医疗保健.
科学领域:
- 心脏病学
- 神经科学
- 健康心理学
背景情况:
- 心力衰竭显著影响患者的认知功能,自我护理能力和整体生活质量.
- 优化认知功能和坚持治疗对于管理高血压和改善患者的结果至关重要.
研究的目的:
- 评估认知训练对心力衰竭患者认知功能,自我护理,药物坚持,生活质量 (QOL),功能能力和患者满意度的有效性.
主要方法:
- 一项随机对照试验,涉及60名心力衰竭患者,其中30名在实验组接受认知训练,30名在对照组接受常规护理.
- 采用验证仪器收集的数据包括蒙特利尔认知评估,自我护理指数,药物坚持量表和生活质量问卷.
- 通过12周的面对面咨询会议进行干预,并进行测试前和后的评估.
主要成果:
- 在实验组中观察到记忆,执行功能和注意力/ 集中力的显著改善 (P < 0. 001).
- 观察到自我护理维护 (P < 0. 001),自我护理管理 (P = 0. 04) 和自我护理信心 (P < 0. 001).
- 药物坚持 (P < 0. 001),生活质量 (P < 0. 001),功能能力 (P = 0. 002) 和患者满意度的改善显著.
结论:
- 认知训练在改善心力衰竭患者的认知功能和相关健康结果方面表现出显著的有效性.
- 建议将认知训练纳入常规医疗干预措施,以提高患者护理和心力衰竭管理的结果.
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