Therapeutic effect of individualized cognitive training on improving cognitive function in aged CHD patients after PCI
10.3969/j.issn.1008-0074.2017.04.04
- VernacularTitle:个体化认知训练改善老年冠心病患者PCI术后认知功能的效果
- Author:
Xurong ZHANG
;
Hui MA
- Keywords:
Cognitive therapy;
Aged;
Coronary disease;
Nursing care
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2017;26(4):368-372
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore therapeutic effect of individualized cognitive training on improving cognitive function in aged patients with coronary heart disease (CHD) after percutaneous coronary intervention (PCI).Methods: A total of 92 aged CHD patients after PCI, who were diagnosed and treated in our hospital, were selected.According to random number table, they were randomly and equally divided into routine nursing group (n=46) and cognitive training group (n=46, received active individualized cognitive training based on routine nursing), both groups were observed for three months.Scores of Montreal cognitive assessment (MoCA), self-rating anxiety scale (SAS) and self-rating depression scale (SDS), and left ventricular ejection fraction (LVEF) were compared between two groups before and after nursing.Results: Compared with before nursing, after nursing, there were significant rise in LVEF and MoCA score, and significant reductions in scores of SAS and SDS in both groups (P<0.01);compared with routine nursing group, there were significant rise in LVEF [(51.87±4.89)% vs.(58.29±5.13)%] and MoCA score [(24.44±4.10) scores vs.(29.34±3.14) scores], and significant reductions in scores of SAS [(38.22±5.64) scores vs.(32.09±4.11) scores] and SDS [(37.22±4.98) scores vs.(30.56±5.68) scores] in cognitive training group, P<0.01.Training compliance of cognitive training group was significantly higher than that of routine nursing group (95.7% vs.82.6%, P=0.044).Conclusion: Individualized cognitive training can significantly improve training compliance after PCI, significantly improve cognitive function, relieve anxiety and depression, and enhance cardiac function in aged CHD patients.
