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计算机化认知训练对改善脑卒中患者认知功能的疗效:一项随机对照试验的系统评价和荟萃分析。

Efficacy of computerized cognitive training on improving cognitive functions of stroke patients: A systematic review and meta-analysis of randomized controlled trials.

机构信息

Department of Nursing, School of Medicine, Southeast University, Nanjing, China.

Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China.

出版信息

Int J Nurs Pract. 2022 Jun;28(3):e12966. doi: 10.1111/ijn.12966. Epub 2021 May 25.

Abstract

AIM

To evaluate the effects of computerized cognitive training on the cognitive functions of stroke patients.

BACKGROUND

With increased publications on computerized cognitive training, a meta-analysis is essential to determine the effects of computerized cognitive training among stroke patients.

DESIGN

A systematic review and meta-analysis of randomized controlled studies.

DATA SOURCES

Cochrane Library, Pubmed, EBSCO, Scopus, China National Knowledge Infrastructure, China Biology Medicine disc and Wanfang Database were explored to search for research studies from inception to January 2020.

REVIEW METHODS

Six outcomes indicators were considered to determine the effects of computerized cognitive training. Two reviewers were selected to search and independently appraise the available articles from various databases. Meta-analysis was performed using the RevMan 5.3 software.

RESULTS

A total of 622 patients with 17 studies were included. Computerized cognitive training significantly improves global cognition, working memory, attention and executive function of stroke patients. However, there was inadequate evidence to demonstrate any effects of computerized cognitive training on activities of daily living and depression.

CONCLUSION

Computerized cognitive training improves the cognitive functions of stroke patients. However, further research studies are needed to confirm its efficacy in activities of daily living as well as on alleviating depression.

摘要

目的

评估计算机认知训练对脑卒中患者认知功能的影响。

背景

随着计算机认知训练相关出版物的增加,有必要进行荟萃分析以确定其对脑卒中患者的影响。

设计

系统评价和荟萃分析的随机对照研究。

资料来源

Cochrane 图书馆、PubMed、EBSCO、Scopus、中国国家知识基础设施、中国生物医学文献数据库和万方数据库,从建库至 2020 年 1 月,搜索研究论文。

评价方法

考虑了 6 个结局指标来确定计算机认知训练的效果。选择 2 名评审员从各个数据库中搜索并独立评价可用的文章。使用 RevMan 5.3 软件进行荟萃分析。

结果

共有 622 名患者的 17 项研究纳入。计算机认知训练显著改善了脑卒中患者的整体认知、工作记忆、注意力和执行功能。但是,尚没有足够的证据表明计算机认知训练对日常生活活动和抑郁有任何影响。

结论

计算机认知训练可以改善脑卒中患者的认知功能。然而,需要进一步的研究来证实其在日常生活活动以及缓解抑郁方面的疗效。

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