虚拟认知康复训练在乳腺癌化疗相关认知障碍患者中的应用
|
摘要
目的探索虚拟认知康复训练对改善乳腺癌化疗相关认知障碍患者认知功能和日常生活能力的效果。方法通过虚拟认知康复训练系统,对80例乳腺癌化疗相关认知障碍患者进行认知干预训练,在干预训练前后运用蒙特利尔认知评估量表、日常生活能力量表和半结构式访谈来评价虚拟认知康复训练的临床疗效。结果与干预前比较,干预8周后,患者蒙特利尔认知评估量表得分明显提高,差异具有统计学意义(P<0.05);日常生活能力量表得分低于干预前,差异具有统计学意义(P<0.05)。患者均对虚拟认知康复训练能提高认知功能给予肯定,并表示愿意继续进行虚拟认知康复训练。结论虚拟认知康复训练可以改善乳腺癌化疗相关认知障碍患者的认知功能,提高其日常生活能力。
Objective To explore the effect of virtual cognitive rehabilitation training on cognitive function and activities of daily living among breast cancer patients with cognitive impairment. Methods Eighty breast cancer patients with cognitive impairment after chemotherapy received cognitive intervention training. Before and after intervention,clinical effects of virtual cognitive rehabilitation training were evaluated by Montreal Cognitive Assessment scale,Activity of Daily Living Scale,Mini-Mental State scale,and semi-structured interviews. Results After 8-weekintervention,the scores of the Montreal Cognitive Assessment Scale increased significantly,and the difference was statistically significant(P<0.05). After intervention,the scores of ADL were lower than those before intervention,and the difference was statistically significant(P<0.05). All patients gave recognition of effects of virtual cognitive rehabilitation training on improving cognitive function,while they were willing to continue this training. Conclusion Virtual cognitive rehabilitation training can improve cognitive function and daily life ability of breast cancer patients with cognitive impairment after chemotherapy.
Objective To explore the effect of virtual cognitive rehabilitation training on cognitive function and activities of daily living among breast cancer patients with cognitive impairment. Methods Eighty breast cancer patients with cognitive impairment after chemotherapy received cognitive intervention training. Before and after intervention,clinical effects of virtual cognitive rehabilitation training were evaluated by Montreal Cognitive Assessment scale,Activity of Daily Living Scale,Mini-Mental State scale,and semi-structured interviews. Results After 8-weekintervention,the scores of the Montreal Cognitive Assessment Scale increased significantly,and the difference was statistically significant(P<0.05). After intervention,the scores of ADL were lower than those before intervention,and the difference was statistically significant(P<0.05). All patients gave recognition of effects of virtual cognitive rehabilitation training on improving cognitive function,while they were willing to continue this training. Conclusion Virtual cognitive rehabilitation training can improve cognitive function and daily life ability of breast cancer patients with cognitive impairment after chemotherapy.
引文
[1]柴丽君,陈建中,梁浩杨.化疗对乳腺癌术后患者认知功能的影响[J].中国实用神经病学杂志,2016,19(17):96-97.
[2]王尚虎,程怀东,李烦繁,等.ER、PR的表达与乳腺癌患者化疗相关认知障碍的相关性研究[J].安徽医科大学学报,2015,50(2):206-209.
[3]李向华,孙萍萍,于艳杰.综合护理结合TOMATIS音频训练在乳腺癌化疗后认知障碍患者中应用效果[J].贵州医药,2018,42(6):755-756.
[4]Janelsins MC,Kohli S,Mohile SG,et al.An update on cancerand chemotherapy-related cognitive dysfunction:current status[J].Semin Oncol,2011,38(3):431-434.
[5]郑燕梅,罗斌.乳腺癌化疗相关认知功能障碍研究进展[J/CD].中华临床医师杂志(电子版),2015,9(1):105-110.
[6]Hutchinson AD,Hosking JR,Kichenadasse G,et al.Objective and subjective cognitive impairment following chemotherapy for cancer:a systematic review[J].Cancer Treat Rev,2012,38(7):926-934.
[7]Hodgson KD,Hutchinson AD,Wilson CJ,et al.A meta-analysis of the effects of chemotherapy on cognition in patients with cancer[J].Cancer Treat Rev,2013,39(3):297-304.
[8]任丽华,顼红宇,贺晓生.创伤性脑损伤后认知障碍研究现状[J].中华神经外科疾病研究杂志,2012,11(1):94-96.
[9]李桢,李冬梅.轻度认知障碍及痴呆症患者计算机辅助认知康复研究现状[J].中华护理杂志,2014,49(8):986-990.
[10]Mcdougall GJJ,Oliver JS,Scogin F,et al,Memory and eancer:a review of the literature[J].Arch Psychiatr Nurs,2014,28(3):180-186.
[11]黄忠连,杨震,夏曦,等.乳腺癌术后化疗相关的情景记忆损害的特征分析[J].临床肿瘤学杂志,2014,19(7):613-616.
[12]Nasreddine ZS,Phillips NA,Bedirian V.The Montreal Cognitive Assessment,MoCA:a brief screening toot for mild cognitive impairment[J].J Am Geriatr Soc,2005,53(4):695-699.
[13]郭哲.蒙台梭利感官教育法在老年轻度认知障碍患者中的应!!!!!!!!!!!!!!!!!!!!!!!用研究[D].南宁:广西中医药大学,2018.
[14]石义容,温敏,胡慧,等.中医护理干预对社区老年轻度认知障碍患者的效果研究[J].中华护理杂志,2017,52(11):1299-1303.
[15]BrodyL.Assessment of older people:self-maintaining and instrumental activities of daily living[J].Gerontologist,1969,9(3):179-186.
[16]朱亚珍,朱凌燕,许燕玲.社区卫生站护士对医院-社区-家庭慢性病一体化管理体验的质性研究[J].中华护理杂志,2018,53(5):528-532.
[17]陈新贵,朱春燕,汪凯.乳腺癌患者的化疗所致认知功能障碍研究现状及进展[J].中华行为医学与脑科学杂志,2013,22(11):1054-1056.
[18]Bail J,Meneses K.Computer-based cognitive training for chemotherapy-related cognitive impairment in breast cancer survivors[J].Clin J Oncol Nurs,2016,10:504-509.!!!!!!!!!!!!!!!!!!!!!!!
[2]王尚虎,程怀东,李烦繁,等.ER、PR的表达与乳腺癌患者化疗相关认知障碍的相关性研究[J].安徽医科大学学报,2015,50(2):206-209.
[3]李向华,孙萍萍,于艳杰.综合护理结合TOMATIS音频训练在乳腺癌化疗后认知障碍患者中应用效果[J].贵州医药,2018,42(6):755-756.
[4]Janelsins MC,Kohli S,Mohile SG,et al.An update on cancerand chemotherapy-related cognitive dysfunction:current status[J].Semin Oncol,2011,38(3):431-434.
[5]郑燕梅,罗斌.乳腺癌化疗相关认知功能障碍研究进展[J/CD].中华临床医师杂志(电子版),2015,9(1):105-110.
[6]Hutchinson AD,Hosking JR,Kichenadasse G,et al.Objective and subjective cognitive impairment following chemotherapy for cancer:a systematic review[J].Cancer Treat Rev,2012,38(7):926-934.
[7]Hodgson KD,Hutchinson AD,Wilson CJ,et al.A meta-analysis of the effects of chemotherapy on cognition in patients with cancer[J].Cancer Treat Rev,2013,39(3):297-304.
[8]任丽华,顼红宇,贺晓生.创伤性脑损伤后认知障碍研究现状[J].中华神经外科疾病研究杂志,2012,11(1):94-96.
[9]李桢,李冬梅.轻度认知障碍及痴呆症患者计算机辅助认知康复研究现状[J].中华护理杂志,2014,49(8):986-990.
[10]Mcdougall GJJ,Oliver JS,Scogin F,et al,Memory and eancer:a review of the literature[J].Arch Psychiatr Nurs,2014,28(3):180-186.
[11]黄忠连,杨震,夏曦,等.乳腺癌术后化疗相关的情景记忆损害的特征分析[J].临床肿瘤学杂志,2014,19(7):613-616.
[12]Nasreddine ZS,Phillips NA,Bedirian V.The Montreal Cognitive Assessment,MoCA:a brief screening toot for mild cognitive impairment[J].J Am Geriatr Soc,2005,53(4):695-699.
[13]郭哲.蒙台梭利感官教育法在老年轻度认知障碍患者中的应!!!!!!!!!!!!!!!!!!!!!!!用研究[D].南宁:广西中医药大学,2018.
[14]石义容,温敏,胡慧,等.中医护理干预对社区老年轻度认知障碍患者的效果研究[J].中华护理杂志,2017,52(11):1299-1303.
[15]BrodyL.Assessment of older people:self-maintaining and instrumental activities of daily living[J].Gerontologist,1969,9(3):179-186.
[16]朱亚珍,朱凌燕,许燕玲.社区卫生站护士对医院-社区-家庭慢性病一体化管理体验的质性研究[J].中华护理杂志,2018,53(5):528-532.
[17]陈新贵,朱春燕,汪凯.乳腺癌患者的化疗所致认知功能障碍研究现状及进展[J].中华行为医学与脑科学杂志,2013,22(11):1054-1056.
[18]Bail J,Meneses K.Computer-based cognitive training for chemotherapy-related cognitive impairment in breast cancer survivors[J].Clin J Oncol Nurs,2016,10:504-509.!!!!!!!!!!!!!!!!!!!!!!!