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注意力的远程认知康复:一项针对中风后患者的病例系列试点研究

Remote cognitive rehabilitation of attention: a case series pilot study with post-stroke patients.

作者信息

Dutra Letícia Silva, Scoralich Larissa, Shigaeff Nadia

机构信息

Universidade Federal de Juiz de Fora, Grupo Interdisciplinar de Pesquisa em Neuropsicologia e Gerontologia, Juiz de Fora MG, Brazil.

出版信息

Dement Neuropsychol. 2023 Dec 15;17:e20230045. doi: 10.1590/1980-5764-DN-2023-0045. eCollection 2023.

Abstract

UNLABELLED

Cognitive deficits are highly prevalent following a stroke, with memory, attention, and psychomotor speed being among the most affected functions. Prior research indicates that cognitive rehabilitation for stroke patients yields substantial improvements in cognitive performance and concurrently exerts a positive influence on reducing depressive symptoms.

OBJECTIVE

The goal of this study was to provide a description and assessment of the influence of cognitive rehabilitation on the attentional performance and depressive symptoms of individuals diagnosed with stroke.

METHODS

Participants underwent a neuropsychological assessment both prior to and following a 15-week remote cognitive rehabilitation intervention. This intervention involved the implementation of various cognitive tasks aimed at rehabilitating attentional skills.

RESULTS

The outcomes of the individualized descriptive assessment revealed a no table inclination towards enhanced attentional performance. The comparative results indicated that the cognitive rehabilitation intervention for stroke patients proved effective in facilitating a substantial reduction in depressive symptoms and enhancing participants' alternating attention. While it is acknowledged that certain individuals may still exhibit deficiencies in various facets of attentional performance, cognitive rehabilitation contributed to the clinical amelioration of these individuals.

CONCLUSION

Clinical improvement holds profound significance in the day-to-day existence of these individuals, bolstering their autonomy and fortifying their sense of self-efficacy, as attested by their personal perceptions and self-reports.

摘要

未标注

中风后认知缺陷非常普遍,记忆、注意力和心理运动速度是受影响最严重的功能之一。先前的研究表明,中风患者的认知康复能显著改善认知表现,同时对减轻抑郁症状产生积极影响。

目的

本研究的目的是描述和评估认知康复对被诊断为中风的个体的注意力表现和抑郁症状的影响。

方法

参与者在为期15周的远程认知康复干预前后均接受了神经心理学评估。该干预包括实施各种旨在恢复注意力技能的认知任务。

结果

个体化描述性评估的结果显示出注意力表现增强的明显倾向。比较结果表明,中风患者的认知康复干预被证明能有效促进抑郁症状的大幅减轻,并提高参与者的交替注意力。虽然承认某些个体在注意力表现的各个方面可能仍存在缺陷,但认知康复有助于这些个体的临床改善。

结论

临床改善在这些个体的日常生活中具有深远意义,增强了他们的自主性并强化了他们的自我效能感,正如他们的个人认知和自我报告所证明的那样。

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