认知训练干预心力衰竭患者:一项随机对照试验。

IF 1.2 Q4 HEALTH CARE SCIENCES & SERVICES
Indian Journal of Palliative Care Pub Date : 2025-04-01 Epub Date: 2025-04-23 DOI:10.25259/IJPC_83_2024
Suman Kumari, Monika Dutta, Parminder Singh Otaal, Karobi Das
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引用次数: 0

摘要

目的:本研究旨在评估“认知训练”对心衰患者认知功能、自我保健、药物依从性、生活质量、功能能力和满意度的影响。材料与方法:本随机对照试验采用全枚举抽样技术,从心内科门诊入组HF患者60例,采用随机数字表法随机分为对照组和实验组各30例。采用社会人口学及临床资料表、蒙特利尔认知评估、心衰自我护理指数、Hill-Bone药物依从性量表、明尼苏达州心衰生活问卷(MLHFQ)、6分钟步行测试和满意度问卷收集数据,并在入组时进行预测试。实验组参与者通过研究者提供的面对面咨询课程以及日常护理接受认知训练。对照组接受常规护理。在第12周结束时进行后测,评估认知训练对认知功能和其他变量的影响。采用描述性统计和推断性统计对数据进行分析。结果:第12周,实验组患者的认知功能包括记忆(P < 0.001)、执行功能(P < 0.001)和注意力集中(P < 0.001)均有显著改善。此外,在自我护理维持(P < 0.001)、自我护理管理(0.04)、自我护理信心(P < 0.001)、药物依从性(P < 0.001)、生活质量(P < 0.001)、功能能力(0.002)和护理满意度方面均有显著改善。结论:认知训练在改善认知功能方面是有效的,它应该成为医疗保健机构常规干预的一部分,以获得更好的患者预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Cognitive Training Intervention for Heart Failure Patients: A Randomised Controlled Trial.

Cognitive Training Intervention for Heart Failure Patients: A Randomised Controlled Trial.

Cognitive Training Intervention for Heart Failure Patients: A Randomised Controlled Trial.

Objectives: The aim of this study was to evaluate the impact of 'Cognitive Training' on cognitive functions, self-care, medication adherence, QOL, functional capacity and satisfaction level among HF patients.

Materials and methods: In the current randomised controlled trial, 60 HF patients were enrolled from the cardiology outpatient department by total enumeration sampling technique and randomised into the 30 control and 30 experimental group participants using a random number table. A socio-demographic cum clinical profile sheet, Montreal cognitive assessment, self-care of HF index, Hill-Bone medication adherence scale, Minnesota living with HF questionnaire (MLHFQ), 6-min walk test and satisfaction questionnaire were used for collecting data and pre-test was done at the time of enrolment. The experimental group participants received cognitive training through face-to-face counselling sessions provided by the researcher along with routine care. Control group participants received routine care. Post-test was done at the end of the 12th week to assess the impact of Cognitive training on cognitive functions and other variables. Descriptive and inferential statistics were used to analyse the data.

Results: Significant improvement was observed in cognitive functions which include memory (P < 0.001), executive functions (P < 0.001) and attention and concentration (P < 0.001) among the experimental group participants in the 12th week. Furthermore, significant improvement was observed in self-care maintenance (P < 0.001), self-care management (0.04), self-care confidence (P < 0.001), medication adherence (P < 0.001), QOL (P < 0.001), functional capacity (0.002) as well as satisfaction with care provided.

Conclusion: Cognitive training was found to be effective in terms of improvement in cognitive functions and it should be part of the routine intervention in healthcare settings for better patient outcomes.

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来源期刊
Indian Journal of Palliative Care
Indian Journal of Palliative Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.30
自引率
0.00%
发文量
57
期刊介绍: Welcome to the website of the Indian Journal of Palliative Care. You have free full text access to recent issues of the journal. The links connect you to •guidelines and systematic reviews in palliative care and oncology •a directory of palliative care programmes in India and IAPC membership •Palliative Care Formulary, book reviews and other educational material •guidance on statistical tests and medical writing.
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