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1.
Stud Health Technol Inform ; 262: 214-217, 2019 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-31349305

RESUMO

Bedside infotainment technology has been gaining popularity, helping providers to address patient needs and improve hospitalization experience. Such systems have the potential to become valuable tools for medical and nursing personnel, with the integration of patient monitoring features, bolstering efficiency and coordination. Extending their utility beyond conventional monitoring, the incorporation of affective computing capabilities would allow for early detection of potentially dangerous situations, as an individual's emotional state has a direct effect on their health, cognitive status, behaviour and quality of life. Furthermore, the addition of a serious games module would provide additional value for patients with cognitive decline or mobility issues. This work presents a novel bedside infotainment system, equipped with the aforementioned capabilities and designed to address the needs of patients in long-term care facilities, such as recreation and rehabilitation centres.


Assuntos
Inteligência Emocional , Sistemas Automatizados de Assistência Junto ao Leito , Qualidade de Vida , Humanos , Assistência de Longa Duração
2.
Neural Plast ; 2018: 2845176, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30123243

RESUMO

Background and Purpose: There is an increasing interest in the effect of nonpharmacological interventions on the course of patients with Alzheimer's disease (AD). The objective of the present study is to determine the benefits of a structured, multidomain, mostly computer-based, cognitive training (MCT) οn the cognitive performance of patients with early-stage AD. Method: Fifty patients with early-stage AD participated in the study. Patients were randomly allocated either to the training program group (n = 25) or to a wait list control group (n = 25). The training program group received computer-assisted MCT and linguistic exercises utilizing pen and paper supplemented by cognitive-linguistic exercises for homework. The duration of the MCT intervention program was 15 weeks, and it was administered twice a week. Each session lasted for approximately one hour. Objective measures of episodic memory, delayed memory, word recognition, attention, executive function, processing speed, semantic fluency, and naming were assessed at baseline and after the completion of the program in both groups. Results: Analysis showed that in controls, delayed memory and executive function had deteriorated over the observation period of 15 weeks, while the training group improved their performance in word recognition, Boston Naming Test (BNT), semantic fluency (SF), clock-drawing test (CDT), digit span forward (DSF), digit span backward (DSB), trail-making test A (TMT A), and trail-making test B (TMT B). Comparison between the training group and the controls showed that MCT had a significant beneficial effect in delayed memory, naming, semantic fluency, visuospatial ability, executive functions, attention, and processing speed. Conclusions: The study provides evidence of a beneficial effect of MCT with an emphasis on cognitive-language performance of patients with early-stage AD. Considering the limited efficacy of current pharmacological therapies in AD, concurrent computer-based MCT may represent an additional enhancing treatment option in early-stage AD patients.


Assuntos
Doença de Alzheimer/psicologia , Doença de Alzheimer/terapia , Terapia Cognitivo-Comportamental/métodos , Testes Neuropsicológicos , Desempenho Psicomotor/fisiologia , Terapia Assistida por Computador/métodos , Idoso , Idoso de 80 Anos ou mais , Diagnóstico Precoce , Função Executiva/fisiologia , Feminino , Seguimentos , Humanos , Masculino , Resultado do Tratamento
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