Division of Prevention and Management of Respiratory Public Center, Inha University Hospital, Incheon, South Korea.
Department of Nursing, Inha University, Incheon, South Korea.
Int J Nurs Pract. 2021 Aug;27(4):e12932. doi: 10.1111/ijn.12932. Epub 2021 Apr 8.
The study purpose was to investigate effects of a cognitive rehabilitation programme on cognitive function, self-management and quality of life in patients with chronic obstructive pulmonary disease.
Cognitive impairment is frequently observed in chronic obstructive pulmonary disease patients, and it interferes with many aspects of self-management, which is fundamental to disease management and quality of life.
The design is quasi-experimental.
Data collection was performed between June 2018 and March 2019. Study participants were 60 in- or out-patients with chronic obstructive pulmonary disease. The cognitive rehabilitation programme involved six 30-min sessions administered over a period of 2 weeks and consisted of six areas: attention, memory, language, visuospatial perception, executive function and problem solving. Cognitive function, self-management and quality of life were measured at three times (preintervention and immediately and 4 weeks after intervention).
Cognitive function, self-management and quality of life were found to be significantly improved over time after administration of the cognitive rehabilitation programme. However, no significant improvement was observed in the control group.
Our findings support the potential usefulness of cognitive intervention to promote cognitive function, self-management ability and quality of life in patients with chronic obstructive pulmonary disease.
本研究旨在探讨认知康复方案对慢性阻塞性肺疾病患者认知功能、自我管理和生活质量的影响。
认知障碍在慢性阻塞性肺疾病患者中较为常见，且会干扰自我管理的多个方面，而自我管理是疾病管理和生活质量的基础。
准实验设计。
数据收集于 2018 年 6 月至 2019 年 3 月进行。研究对象为 60 名慢性阻塞性肺疾病的门诊或住院患者。认知康复方案包括 6 个 30 分钟的课程，在 2 周内完成，涵盖注意力、记忆、语言、视空间感知、执行功能和解决问题等 6 个方面。在干预前、干预即刻和干预后 4 周分别测量认知功能、自我管理和生活质量。
认知康复方案实施后，认知功能、自我管理和生活质量随时间推移显著改善，但对照组无明显改善。
我们的研究结果支持认知干预在促进慢性阻塞性肺疾病患者认知功能、自我管理能力和生活质量方面的潜在作用。
