A Comparison of Two Multi-Tasking Approaches to Cognitive Training in Cardiac Surgery Patients

Background: The multi-tasking approach may be promising for cognitive rehabilitation in cardiac surgery patients due to a significant effect on attentional and executive functions. This study aimed to compare the neuropsychological changes in patients who have undergone two variants of multi-tasking...

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Main Authors: Irina Tarasova, Olga Trubnikova, Irina Kukhareva, Irina Syrova, Anastasia Sosnina, Darya Kupriyanova, Olga Barbarash
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/10/2823
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author Irina Tarasova
Olga Trubnikova
Irina Kukhareva
Irina Syrova
Anastasia Sosnina
Darya Kupriyanova
Olga Barbarash
author_facet Irina Tarasova
Olga Trubnikova
Irina Kukhareva
Irina Syrova
Anastasia Sosnina
Darya Kupriyanova
Olga Barbarash
author_sort Irina Tarasova
collection DOAJ
description Background: The multi-tasking approach may be promising for cognitive rehabilitation in cardiac surgery patients due to a significant effect on attentional and executive functions. This study aimed to compare the neuropsychological changes in patients who have undergone two variants of multi-tasking training and a control group in the early postoperative period of coronary artery bypass grafting (CABG). Methods: One hundred and ten CABG patients were divided into three groups: cognitive training (CT) I (a postural balance task with mental arithmetic, verbal fluency, and divergent tasks) (<i>n</i> = 30), CT II (a simple visual–motor reaction with mental arithmetic, verbal fluency, and divergent tasks) (<i>n</i> = 40), and control (<i>n</i> = 40). Results: Two or more cognitive indicators improved in 93.3% of CT I patients, in 72.5% of CT II patients, and in 62.5% of control patients; CT I patients differed from CT II and control (<i>p</i> = 0.04 and <i>p</i> = 0.008, respectively). The improving short-term memory and attention was found more frequently in the CT I group as compared to control (56.7% vs. 15%; <i>p</i> = 0.0005). The cognitive improvement of all domains (psychomotor and executive functions, attention, and short-term memory) was also revealed in CT I patients more frequently than CT II (46.7% vs. 20%; <i>p</i> = 0.02) and control (46.7% vs. 5%; <i>p</i> = 0.0005). Conclusions: The CT I multi-tasking training was more effective at improving the cognitive performance in cardiac surgery patients as compared to CT II training and standard post-surgery management. The findings of this study will be helpful for future studies involving multi-tasking training.
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spelling doaj.art-ec1ebe3c06264f40ac46540d73c015d52023-11-19T15:47:37ZengMDPI AGBiomedicines2227-90592023-10-011110282310.3390/biomedicines11102823A Comparison of Two Multi-Tasking Approaches to Cognitive Training in Cardiac Surgery PatientsIrina Tarasova0Olga Trubnikova1Irina Kukhareva2Irina Syrova3Anastasia Sosnina4Darya Kupriyanova5Olga Barbarash6Department of Clinical Cardiology, Research Institute for Complex Issues of Cardiovascular Diseases, Sosnovy Blvd., 6, 650002 Kemerovo, RussiaDepartment of Clinical Cardiology, Research Institute for Complex Issues of Cardiovascular Diseases, Sosnovy Blvd., 6, 650002 Kemerovo, RussiaDepartment of Clinical Cardiology, Research Institute for Complex Issues of Cardiovascular Diseases, Sosnovy Blvd., 6, 650002 Kemerovo, RussiaDepartment of Clinical Cardiology, Research Institute for Complex Issues of Cardiovascular Diseases, Sosnovy Blvd., 6, 650002 Kemerovo, RussiaDepartment of Clinical Cardiology, Research Institute for Complex Issues of Cardiovascular Diseases, Sosnovy Blvd., 6, 650002 Kemerovo, RussiaDepartment of Clinical Cardiology, Research Institute for Complex Issues of Cardiovascular Diseases, Sosnovy Blvd., 6, 650002 Kemerovo, RussiaDepartment of Clinical Cardiology, Research Institute for Complex Issues of Cardiovascular Diseases, Sosnovy Blvd., 6, 650002 Kemerovo, RussiaBackground: The multi-tasking approach may be promising for cognitive rehabilitation in cardiac surgery patients due to a significant effect on attentional and executive functions. This study aimed to compare the neuropsychological changes in patients who have undergone two variants of multi-tasking training and a control group in the early postoperative period of coronary artery bypass grafting (CABG). Methods: One hundred and ten CABG patients were divided into three groups: cognitive training (CT) I (a postural balance task with mental arithmetic, verbal fluency, and divergent tasks) (<i>n</i> = 30), CT II (a simple visual–motor reaction with mental arithmetic, verbal fluency, and divergent tasks) (<i>n</i> = 40), and control (<i>n</i> = 40). Results: Two or more cognitive indicators improved in 93.3% of CT I patients, in 72.5% of CT II patients, and in 62.5% of control patients; CT I patients differed from CT II and control (<i>p</i> = 0.04 and <i>p</i> = 0.008, respectively). The improving short-term memory and attention was found more frequently in the CT I group as compared to control (56.7% vs. 15%; <i>p</i> = 0.0005). The cognitive improvement of all domains (psychomotor and executive functions, attention, and short-term memory) was also revealed in CT I patients more frequently than CT II (46.7% vs. 20%; <i>p</i> = 0.02) and control (46.7% vs. 5%; <i>p</i> = 0.0005). Conclusions: The CT I multi-tasking training was more effective at improving the cognitive performance in cardiac surgery patients as compared to CT II training and standard post-surgery management. The findings of this study will be helpful for future studies involving multi-tasking training.https://www.mdpi.com/2227-9059/11/10/2823cognitive trainingmulti-taskingpostoperative cognitive dysfunctioncardiac surgery
spellingShingle Irina Tarasova
Olga Trubnikova
Irina Kukhareva
Irina Syrova
Anastasia Sosnina
Darya Kupriyanova
Olga Barbarash
A Comparison of Two Multi-Tasking Approaches to Cognitive Training in Cardiac Surgery Patients
Biomedicines
cognitive training
multi-tasking
postoperative cognitive dysfunction
cardiac surgery
title A Comparison of Two Multi-Tasking Approaches to Cognitive Training in Cardiac Surgery Patients
title_full A Comparison of Two Multi-Tasking Approaches to Cognitive Training in Cardiac Surgery Patients
title_fullStr A Comparison of Two Multi-Tasking Approaches to Cognitive Training in Cardiac Surgery Patients
title_full_unstemmed A Comparison of Two Multi-Tasking Approaches to Cognitive Training in Cardiac Surgery Patients
title_short A Comparison of Two Multi-Tasking Approaches to Cognitive Training in Cardiac Surgery Patients
title_sort comparison of two multi tasking approaches to cognitive training in cardiac surgery patients
topic cognitive training
multi-tasking
postoperative cognitive dysfunction
cardiac surgery
url https://www.mdpi.com/2227-9059/11/10/2823
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