The Effectiveness of Cognitive Flexibility Training Program on Cognitive Functions and Activities of Daily Living in Patients with Ischemic Stroke

Pornkhaun Mungklang; Wimolrat Puwarawuttipanich; Kanaungnit  Pongthavornkamol; Yongchai Nilanont

doi:10.33192/Smj.2021.31

The Effectiveness of Cognitive Flexibility Training Program on Cognitive Functions and Activities of Daily Living in Patients with Ischemic Stroke

Authors

Pornkhaun Mungklang Medical Nursing Department, Faculty of Nursing, Mahidol University, Bangkok, Thailand https://orcid.org/0000-0001-7209-4200
Wimolrat Puwarawuttipanich Medical Nursing Department, Faculty of Nursing, Mahidol University, Bangkok, Thailand https://orcid.org/0000-0001-5274-9943
Kanaungnit Pongthavornkamol Medical Nursing Department, Faculty of Nursing, Mahidol University, Bangkok, Thailand https://orcid.org/0000-0001-9733-6560
Yongchai Nilanont Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand https://orcid.org/0000-0002-5360-1315

DOI:

https://doi.org/10.33192/Smj.2021.31

Keywords:

ischemic stroke, cognitive flexibility training program, cognitive functions, activities of daily living

Abstract

Objective: To evaluate the effectiveness of a cognitive flexibility training program on cognitive functions and activities of daily living (ADLs) in patients with ischemic stroke.
Methods: A single blind randomized controlled trial study was conducted in a stroke unit of a tertiary hospital in a Bangkok setting. The sample size was 80 participants of both genders, aged 18 – 80 years. The sample size was stratified by age. Randomization was generated by a computer program dividing 40 participants into the experiment and 40 into the control group. Eleven participants dropped out during data collection. Therefore, 34 participants in the experimental group received cognitive flexibility training four days a week for 30-40 minutes per day over a period of 4 weeks in addition to usual care. There were 35 participants in the control group who received diary recording and usual care. The study used various instruments for data collection, including a Thai version of the Montreal Cognitive Assessment and Barthel’s Index of Activities of Daily Living. Data were analyzed by multivariate analysis of covariance (MANCOVA).
Results: The experiment group had higher cognitive functions and abilities in performing activities of daily living than the control group with statistical significance (p < .05).
Conclusion: The study suggested that the program can be used to increase both cognitive functions and activities of daily living. Nurses and healthcare staff should apply this program in patients with acute ischemic stroke for nervous system recovery.

Author Biographies

Wimolrat Puwarawuttipanich, Medical Nursing Department, Faculty of Nursing, Mahidol University, Bangkok, Thailand

Kanaungnit Pongthavornkamol, Medical Nursing Department, Faculty of Nursing, Mahidol University, Bangkok, Thailand

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Published

09-03-2021

How to Cite

Mungklang, P., Puwarawuttipanich, W., Pongthavornkamol, K. ., & Nilanont, Y. (2021). The Effectiveness of Cognitive Flexibility Training Program on Cognitive Functions and Activities of Daily Living in Patients with Ischemic Stroke. Siriraj Medical Journal, 73(4), 236–244. https://doi.org/10.33192/Smj.2021.31

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Issue

Vol. 73 No. 4 (2021): April

Section

Original Article

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