Cognitive rehabilitation in patients with mild cognitive impairment and dementia in conditions of daily out-patient unit – pilot study
Authors:
M. Tomagová 1; M. Miertová 1; I. Ondrejka 2; G. Hollá 2
Authors‘ workplace:
Ústav ošetrovateľstva Jesseniova lekárska fakulta Univerzity Komenského v BratislaveVedúci pracovník: doc. Mgr. Katarína Žiaková, PhD.
1; Psychiatrická klinika Univerzitná nemocnica Martin a Jesseniova lekárska fakulta v Martine Univerzity Komenského v BratislaveVedúci pracovník: doc. MUDr. Igor Ondrejka, PhD.
2
Published in:
Prakt. Lék. 2013; 93(6): 269-275
Category:
Of different specialties
Overview
Cognitive rehabilitation is one from nonpharmacological therapeutic acceess creating component of complex care of patient with mild cognitive impairment and mild and moderate stages of dementia. Its benefits are especially in cognitive and functional status of patient, at the same time it reinforces the self-fulfilment and self-evaluation of patient, satisfaction, social contact, which significantly affects the patient´s quality of life. Aim of pilot interventional study is to monitor the cognitive functions, mood, and self-care before and after realization of cognitive rehabilitation in conditions daily out-patient unit in patient with mild cognitive impairment and mild and moderate stages of dementia. This is quantitative-qualitative pilot interventional study. Cognitive rehabilitation was passed in time from April 2010 to May 2012 in daily out-patient unit Clinic of Psychiatry University hospital Martin and Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava. In cognitive rehabilitation were included 6 patients with MCI and 11 patients with dementia. Empirical data about patients before and after cognitive rehabilitation were obtained the following methods, as are selected measurement tools, interview (with patient and relatives) and analysis of medical records (of patients). 3 patients with MCI and 3 with dementia completed all cycle of cognitive rehabilitation. We registered some factors, as are decompensation of physical healt status, dementia progression, depression, co-operation of relatives that decrease the patient´s compliance. Very important results in patients who completed cognitive rehabilitation to seem satisfaction with process of cognitive rehabilitation and their own performance. Results of our pilot study in areas cognition, mood, self-care are comparable with results several foreign studies. Our study has a few limitations and serious problem is compliance of patients, because of this problem is needed to search go on and results is not possible to generalize.
Keywords:
cognitive rehabilitation – dementia – mild cognitive impairment
Sources
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General Practitioner
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