اثربخشی مداخله توانبخشی شناختی رایانه‌محور بر بهبود حافظه فعال بیماران مبتلا به سکته مغزی در شهر تبریز

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی عمومی، واحد تبریز، دانشگاه آزاد اسلامی، تبریز، ایران

2 استادیار، روانشناسی، واحد تبریز، دانشگاه آزاد اسلامی، تبریز، ایران.

3 استاد نورولوژی، مرکز تحقیقات علوم اعصاب، پژوهشکده سالمندی، دانشگاه علوم پزشکی تبریز، تبریز، ایران

4 دانشیار علوم اعصاب شناختی، دانشگاه تبریز، تبریز، ایران

چکیده

مقدمه:امروزه سکته مغزی از شایع­ترین بیماری­ های نورولوژیک ناتوان کننده در جهان است.بروز عوارض شناختی یکی از مشکلات شایع در افراد مبتلا به سکته مغزی است.از این رو این مطالعه با هدف بررسی تاثیر توانبخشی شناختی رایانه ­محور بر عملکرد حافظه فعال بیماران مبتلا به سکته مغزی انجام گرفت.روش: مطالعه حاضر یک پژوهش نیمه­ تجربی با طرح پیش آزمون – پس­ آزمون با گروه کنترل است. در این پژوهش30 بیمار 30 تا 65 ساله مبتلا به سکته مغزی  که ملاک­ های ورود به پژوهش را داشتند،به صورت تصادفی به گروه­ های آزمایش و کنترل تقسیم شدند.افراد گروه آزمایش، با استفاده از نرم­افزار توانبخشی شناختی Captain’s Log،21 جلسه آموزش دیدند و افراد گروه کنترل در آن دوره هیچ­ گونه مداخله­ ای دریافت نکردند.در این پژوهش آزمون حافظه فعال وکسلر(مقیاس حافظه عددی)و آزمون حافظه کاری فضایی کمبریج در پیش­ آزمون و پس­آزمون به­ کار رفت.یافته­ ها:نتایج تحلیل انکوا حاکی از آن است که تفاوت معناداری بین میانگین نمرات حافظه فعال گروه آزمایش و گروه کنترل در پس­آزمون وجود دارد.نتیجه ­گیری:یافته­ ها نشان داد که توانبخشی شناختی رایانه­ محور،حافظه فعال مبتلایان به سکته مغزی را بهبود می­ بخشد و می­توان از آن به عنوان روش موثر و مفیدی برای بهبود عملکرد حافظه این­ گونه بیماران سود جست.

کلیدواژه‌ها


عنوان مقاله [English]

Effectiveness of Computer- based Cognitive Rehabilitation Intervention on Working Memory of Patients with Stroke in Tabriz

نویسندگان [English]

  • Elham Ghorbanian 1
  • marziye alivandi vafa 2
  • mahdi farhoudi 3
  • mohammad ali nazari 4
1 Ph.D. Student of General Psychology, Tabriz Branch, Islamic Azad University, Tabriz, Iran.
2 Assistant Professor of Psychology, Tabriz Branch, Islamic Azad University, Tabriz, Iran.
3 Professor of Neurosciences, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
4 Associate Professor of Cognitive Neuroscience, University of Tabriz, Tabriz, Iran.
چکیده [English]

Aim: Nowadays stroke is one of the most common disabling neurological diseases in the world. Cognitive complications are common problems in people with stroke. So the aim of this study was to evaluate the effect of computer-based cognitive rehabilitation on working memory function in the patients with stroke. Method: The present study is a quasi- experimental investigation using a pretest- posttest design and a control group. 30 stroke patients aged 30-65 who had the inclusion criteria, were randomly assigned to experimental and control groups. Experimental group trained for 21 sessions with Captain’s Log Cognitive Rehabilitation Software and control group did not receive any intervention. Wechsler working Memory Test (Number Memory Scale) and Cambridge Spatial Working Memory Test was applied at pretest and posttest. Findings: The results of ANCOVA analysis indicated that a significant difference between the means of working memory in experimental and control groups. Conclusion: Our findings indicated that computer-based cognitive rehabilitation improved working memory in people with stroke and it can be used as an effective and helpful method to improve memory performance of these patients.
 

کلیدواژه‌ها [English]

  • stroke
  • cognitive rehabilitation
  • Working memory
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