اثربخشی مداخله توانبخشی شناختی رایانه -محور بر بهبود توجه انتخابی، توجه مداوم و توجه تقسیم شده در بیماران مبتلا به سکته مغزی در شهر تبریز

نوع مقاله: مقاله پژوهشی

نویسندگان

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

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

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

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

چکیده

مقدمه و اهداف
سکته مغزی مهمترین بیماری نورولوژیک در افراد مسن است. آسیب ­های شناختی از قبیل نقص در توجه به­عنوان یکی از مشکلات شایع در افراد مبتلا به سکته مغزی می­ باشد؛ از این رو، مطالعه حاضر با هدف "بررسی تاثیر توانبخشی شناختی رایانه-محور بر عملکرد توجه مداوم، توجه تقسیم ­شده و توجه انتخابی بیماران مبتلا به سکته مغزی" انجام گرفت.
مواد و روش­ ها
مطالعه حاضر یک پژوهش نیمه ­تجربی با طرح پیش ­آزمون-پس ­آزمون با گروه کنترل می­باشد. در این پژوهش 30 بیمار 30 تا 65 ساله مبتلا به سکته مغزی که ملاک­های 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 کاپیتان لاگ 21 جلسه آموزش دیدند و افراد گروه کنترل در آن دوره هیچ­گونه مداخله­ ای دریافت نکردند. در این پژوهش از آزمون عملکرد پیوسته دیداری و شنیداری در پیش ­آزمون و پس­ آزمون استفاده شد.
یافته­ ها
تحلیل داده­ها با استفاده از روش تحلیل کوواریانس تک­متغیره نشان داد که تفاوت معناداری بین نمرات توجه (توجه انتخابی، توجه مداوم و توجه تقسیم­شده) گروه آزمایش و گروه کنترل در پس­آزمون وجود دارد.
نتیجه­ گیری
با عنایت به یافته­ های پژوهش حاضر، این طور استنباط می­شود که می­توان از برنامه­ های توانبخشی شناختی کامپیوتری برای بهبود مولفه ­های توجه افراد دچار سکته مغزی استفاده کرد.

کلیدواژه‌ها


عنوان مقاله [English]

Effect of Computer-based Cognitive Rehabilitation Intervention on Selective Attention, Sustained Attention, and Divided Attention of Patients with Stroke in Tabriz

نویسندگان [English]

  • Elham Ghorbanian 1
  • Marziyeh Alivandi Vafa 2
  • Mahdi Farhoudi 3
  • Mohammad Ali Nazari 4
1 Ph.D. Student, Department of General Psychology, Tabriz Branch, Islamic Azad University, Tabriz, Iran
2 Assistant Professor, Department of Psychology, Tabriz Branch, Islamic Azad University, Tabriz, Iran
3 Professor, Neurosciences Research Center, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
4 Associate Professor, Cognitive Neuroscience Laboratory, University of Tabriz, Tabriz, Iran
چکیده [English]

Background and Aims: Stroke is the most important neurological disease in old people. Cognitive impairment, such as attention deficit, is one of the common problems in stroke patients. So, the aim of the present study was to evaluate the effect of computer-based cognitive rehabilitation on sustained attention, divided attention, and selective attention  function in patients with stroke.
Materials and Methods: A quasi- experimental investigation was carried out using a pretest- posttest design and a control group. A total of 30 stroke patients aged 30-65 meeting the inclusion criteria were randomly assigned to experimental and control groups. The experimental group was trained for 21 sessions using Captain’s Log Cognitive Rehabilitation Software, but the control group did not receive any intervention. Integrated Visual and Auditory Continuous Performance Test was used as pretest and posttest.
Results: Data analysis, using single-variable covariance, showed a significant difference between experimental and control groups in attention scores (selective attention, sustained attention, and divided attention).
Conclusion:According to the findings of the present study, it can be deduced that computer cognitive rehabilitation programs can be used to improve the components of attention in people with stroke.

کلیدواژه‌ها [English]

  • Stroke
  • Cognitive rehabilitation
  • Selective Attention
  • Sustained attention
  • Divided Attention
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دوره 9، شماره 1
بهار 1399
صفحه 137-146
  • تاریخ دریافت: 16 اردیبهشت 1398
  • تاریخ بازنگری: 29 خرداد 1398
  • تاریخ پذیرش: 05 تیر 1398