对心脏手术患者认知训练的两种多任务方法进行比较分析

Q3 Medicine
I. Tarasova, I. Kukhareva, T. Temnikova, D. S. Kupriyanova, I. Syrova, А. S. Sosnina, O. Trubnikova, O. Barbarash
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引用次数: 0

摘要

目的比较接受两种多任务认知训练(包括各种认知和运动任务)的冠状动脉旁路移植术(CABG)术后早期患者和对照组患者术后认知功能障碍的发生率和神经心理学变化。该研究包括 100 名择期接受心血管移植手术的患者。所有患者被随机分为以下三组:认知训练(CT)1 组(姿势平衡与心算、语言流畅性和异常物体使用任务相结合)(30 人)、CT 2 组(简单视觉-运动反应与心算、语言流畅性和异常物体使用任务相结合)(35 人)和无训练组(标准术后治疗)(35 人)。所有患者在接受 CABG 手术前都接受了广泛的神经心理学测试。术后第2-3天、5-7天训练结束后或CABG术后第11-12天进行复查,评估术后认知功能障碍(POCD)。研究组中 100%的患者在第 2-3 天出现认知功能障碍。CABG 术后第 11-12 天,CT 1 组有 17 人(56.7%)、CT 2 组有 24 人(68.6%)和对照组有 28 人(80%)持续出现 POCD。CT 1 组和对照组的 POCD 患病率有显著差异(几率比 =3,06;95% 置信区间:1,02-9,18,P=0,04),但 CT 2 组和对照组的 POCD 患病率无显著差异(几率比 =1,83;95% 置信区间:0,64-5,47,P=0,28)。结论:与标准术后护理相比,结合使用姿势平衡和心算任务、语言流畅性和异常物品使用的多任务训练对降低心血管造影术后患者的 POCD 发生率有更大的作用。这项研究的结果可用于制定心脏内科和心脏外科的认知康复计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparative analysis of two multitask approaches to cognitive training in cardiac surgery patients
Aim. To compare the incidence of postoperative cognitive dysfunction and neuropsychological changes in the early postoperative period of coronary artery bypass grafting (CABG) in patients who underwent two versions of multitask cognitive training, which involved various cognitive and motor tasks, as well as in a control group.Material and methods. The study included 100 patients after elective CABG. All patients were randomly divided into three following groups: cognitive training (CT) 1 (postural balance combined with mental arithmetic, verbal fluency, and unusual object use tasks) (n=30), CT 2 (simple visual-motor response combined with task on mental arithmetic, verbal fluency and unusual object use) (n=35) and without training (standard postoperative therapy) (n=35). All patients underwent extensive neuropsychological testing before CABG. Reexamination with assessment of postoperative cognitive dysfunction (POCD) was carried out on days 2-3 and upon completion of 5-7 days of training or on days 11-12 after CABG.Results. The presence of POCD on days 2-3 was found in 100% of patients in the study groups. On days 11-12 of CABG, POCD persisted in 17 people (56,7%) from the CT 1 group, in 24 (68,6%) from the CT 2 group, and in 28 (80%) patients in the control group. Significant differences were obtained in the POCD prevalence in the CT 1 and control groups (odds ratio =3,06; 95% confidence interval: 1,02-9,18, p=0,04), but not CT 2 and control groups (odds ratio =1,83; 95% confidence interval: 0,64-5,47, p=0,28).Conclusion. Multitask training using a combination of postural balance and mental arithmetic tasks, verbal fluency, and unusual object use had a greater effect in reducing the POCD incidence in patients after CABG compared with standard postoperative care. The results of this study may be used to develop cognitive rehabilitation programs in cardiology and cardiac surgery.
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来源期刊
Russian Journal of Cardiology
Russian Journal of Cardiology Medicine-Cardiology and Cardiovascular Medicine
CiteScore
2.20
自引率
0.00%
发文量
185
审稿时长
1 months
期刊介绍: Russian Journal of Cardiology has been issued since 1996. The language of this publication is Russian, with tables of contents and abstracts of all articles presented in English as well. Editor-in-Chief: Prof. Eugene V.Shlyakhto, President of the Russian Society of Cardiology. The aim of the journal is both scientific and practical, also with referring to organizing matters of the Society. The best of all cardiologic research in Russia is submitted to the Journal. Moreover, it contains useful tips and clinical examples for practicing cardiologists. Journal is peer-reviewed, with multi-stage editing. The editorial board is presented by the leading cardiologists from different cities of Russia.
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