Nonpharmacological interventions to improve the cognitive function among persons with traumatic brain injury: A systematic review

IF 2.4 3区医学 Q1 NURSING Journal of Nursing Scholarship Pub Date : 2024-05-26 DOI:10.1111/jnu.12992

Uraporn Chuaykarn MSN, RN, Ratsiri Thato PhD, RN, Elizabeth A. Crago PhD, RN

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Abstract

Purpose

The systematic review aimed to evaluate the effectiveness of nonpharmacological interventions (NPIs) for improving cognitive function among persons with traumatic brain injury.

Design

A systematic review.

Methods

This systematic review was registered in PROSPERO and followed the PRISMA guideline. PubMed, ScienceDirect, Scopus, SpringerLink, Wiley Online Library, JSTOR, and Taylor & Francis were systematically searched for relevant articles of peer-reviewed studies published between 2008 and 2022. Two independent researchers conducted study selection, data extraction, and data quality assessment.

Findings

Twenty-one studies met inclusion criteria, numbering a total of 757 participants. Six groups of NPIs were effective in improving cognitive functioning among persons with traumatic brain injury, including multimodal cognitive training, technology innovation, memory training, executive function training, physical activity, and sensory stimulation programs. Pooled evidence revealed that NPIs had a large effect on memory (d = 0.80, p < 0.05 to d = 2.03, p < 0.000), processing speed (d = 1.58, p < 0.05), and cognitive behavior (d = 1.63, p < 0.001 to d = 8.91, p 0.003). There was a medium effect on executive function (d = 0.5, p < 0.01 to d = 0.62, p < 0.05), attention (d = 0.5, p < 0.01), and intelligence (d = 0.57 to d = 0.59, p = 0.000). For visuospatial function and language, there was a significant increase post-intervention.

Conclusion

Evidence from this systematic review indicates that NPIs, specifically the use of multimodal cognitive training and sensory stimulation programs, were effective in improving cognitive function outcomes among persons with traumatic brain injury, with medium to large effect sizes.

Clinical Relevance

Nonpharmacological interventions (NPIs) can enhance cognitive function in individuals with traumatic brain injury. These findings can guide healthcare professionals in clinical settings and support the development of technology applications for cognitive rehabilitation using NPIs.

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改善脑外伤患者认知功能的非药物干预措施：系统综述。

目的：该系统性综述旨在评估非药物干预（NPI）对改善脑外伤患者认知功能的有效性：设计：系统性综述：本系统综述在 PROSPERO 上注册，并遵循 PRISMA 指南。系统检索了 PubMed、ScienceDirect、Scopus、SpringerLink、Wiley Online Library、JSTOR 和 Taylor & Francis 2008 年至 2022 年间发表的同行评审研究的相关文章。两名独立研究人员进行了研究筛选、数据提取和数据质量评估：21项研究符合纳入标准，共有757人参与。六组NPI对改善脑外伤患者的认知功能有效，包括多模式认知训练、技术创新、记忆训练、执行功能训练、体育活动和感官刺激计划。汇总的证据显示，NPIs 对记忆力有很大的影响（d = 0.80，p 结论：NPIs 对记忆力有很大的影响：本系统综述的证据表明，非药物干预措施，特别是使用多模式认知训练和感官刺激计划，可有效改善脑外伤患者的认知功能，并具有中等到较大的效应大小：非药物干预（NPIs）可增强脑外伤患者的认知功能。这些研究结果可为临床环境中的医护人员提供指导，并支持开发使用非药物疗法进行认知康复的技术应用。

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来源期刊

Journal of Nursing Scholarship 医学-护理

CiteScore

6.30

自引率

5.90%

发文量

审稿时长

6-12 weeks

期刊介绍： This widely read and respected journal features peer-reviewed, thought-provoking articles representing research by some of the world’s leading nurse researchers. Reaching health professionals, faculty and students in 103 countries, the Journal of Nursing Scholarship is focused on health of people throughout the world. It is the official journal of Sigma Theta Tau International and it reflects the society’s dedication to providing the tools necessary to improve nursing care around the world.