The Effect of Executive Training Program on Cognitive Functions in Patients with Minor Stroke

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Hathaichanok Poonlert
Wimolrat Puwarawuttipanit
Kanaungnit Pongthavornkamol
Yongchai Nilanont


          Purpose: To evaluate the effect of executive training program on cognitive functions in patients with minor stroke.

          Design: Experimental design.

          Method: Minor stroke subjects were stratified by age, and then simple random sampling into the experimental and control groups. Twenty-seven patients in the experimental group received standard nursing care and the executive training program with eight tasks while 29 patients in the control group received standard nursing care and diary recording. The duration of study was four weeks. The instruments for data collection included demographics record form, case record form, and Montreal Cognitive Assessment. Data were analyzed using descriptive statistics, chi-square test, Fisher exact test, t-test, and ANCOVA.

          Main findings: Compared to the control group, the experimental group had significantly higher levels of cognitive function (p < .05). Post-intervention, the experimental group had significantly higher levels of cognitive function than pre-intervention (p < .05). Level of cognitive function after receiving intervention in the experimental group was significantly higher than that before the intervention. However, the significant better cognitive function was also found in the control group.

          Conclusion and recommendations: The executive training program developed by the researchers could improve cognitive functions in patients with minor stroke. Nurses should implement the executive training program in their nursing practice for minor stroke patients to improve cognitive functions and reduce the cognitive decline that can occur after minor stroke.

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How to Cite
Poonlert, H. ., Puwarawuttipanit, W., Pongthavornkamol, K. ., & Nilanont, Y. (2020). The Effect of Executive Training Program on Cognitive Functions in Patients with Minor Stroke. Nursing Science Journal of Thailand, 38(3), 50–62. Retrieved from
Research Papers


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