Unit:
Faculty of MedicineLibrary of the School of Health Sciences
Author:
Despoti Akyllina Anna
Dissertation committee:
Σεραφείμ Νανάς, Ομότιμος Καθηγητής της Ιατρικής Σχολής, ΕΚΠΑ, Επιβλέπων
Κωνσταντίνος Πόταγας, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Ιωάννης Βασιλειάδης, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Χριστίνα Ρούτση, Αναπληρώτρια Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Ελένη Μάγειρα, Αναπληρώτρια Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Σωκράτης Παπαγεωργίου, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Αργυρώ Βατάκη, Επίκουρη Καθηγήτρια, Τμήμα Ψυχολογίας, Πάντειο Πανεπιστήμιο
Original Title:
Νευροψυχολογική αποκατάσταση σε ασθενείς με σύνδρομο μετά τη μονάδα εντατικής θεραπείας (PICS)
Translated title:
Neuropsychological rehabilitation in patients suffering from post intensive care unit syndrom (PICS)
Summary:
Introduction: It has been observed that after ICU hospitalization, deficits in physical
and cognitive functions and mental disorders arise, which complicate the recovery and
rehabilitation process, known as "Post Intensive Care Unit Syndrome". Virtual reality
is a technology that is increasingly applied in clinical practice and could contribute to
the recovery of cognitive functions in PICS.
Aim: The aim of the clinical trial was to examine whether neuropsychological
rehabilitation can enhance cognitive deficits resulting from ICU hospitalisation and to
examine the effectiveness of virtual reality in comparison to traditional rehabilitation.
The safety and feasibility of VR is also investigated.
Methodology. Participants (N=30) were divided into 2 groups, experimental and
control group. The experimental group performed cognitive training using EP, while
the control group performed cognitive training using traditional methods. A
neuropsychological assessment was performed before and after the intervention. The
intervention lasted a total of 12 sessions (3 times a week, half an hour for 4 weeks).
Results: Results revealed that patients, regardless of the type of intervention
followed, had statistically significant improvements in general cognitive function,
attention, visuospatial and executive functions. The experimental group had greater
improvement in visuospatial function compared to the control group. Similarly, the
control group had greater improvement in speech fluency. Correlations between the
cognitive functions were revealed in both baseline measures and their differences. VR
is a safe, appropriate and enjoyable means of rehabilitation as reflected in SEQ scores.
Discussion: Further research is needed to elucidate the specific mechanisms and
factors contributing to cognitive deficits and to investigate the dynamic interplay
between functions in PICS syndrome. Further research in large-scale longitudinal
clinical trials in different patient groups is needed to investigate the long-term impact
on cognitive functions in interventions using VR.
Main subject category:
Health Sciences
Keywords:
Neuropsychological rehabilitation, PICS syndrome, Virtual reality
Number of references:
242
File:
File access is restricted until 2024-11-24.
PHD_DESPOTI.pdf
2 MB
File access is restricted until 2024-11-24.
