Volume 8, Issue 2, June 2020, Page: 34-36
Evaluating the Effect of Repetitive Transcranial Magnetic Stimulation (rTMS) and Humanistic Care Treatment on Cognitive Impairment Patients
Yingxue Zhong, Department of Renal Rehabilitation, the First Affiliated Hospital, Jinan University, Guangzhou, China
Danfeng Jiang, Psychology Department, the First Affiliated Hospital, Jinan University, Guangzhou, China
Guoqiang Zheng, Department of Renal Rehabilitation, the First Affiliated Hospital, Jinan University, Guangzhou, China
Received: Apr. 29, 2020;       Accepted: May 18, 2020;       Published: Jun. 4, 2020
DOI: 10.11648/j.ajpn.20200802.12      View  307      Downloads  114
Abstract
Objective: To evaluate the effect of repetitive transcranial magnetic stimulation (rTMS) and Humanistic care treatment on Cognitive impairment patients. Methods: We invested 60 patients to join our study who were diagnosed as cerebrovascular disease or alzheimer disease, the diseases are cognitive impairment. Their diagnose time is from January 2019 to December 2019. We randomly assign the participants to two groups, that include control group (n=30) and intervention group (n=30). In control group, participants receive conventional responsibility mode of nursing. Intervention group participants receive humanistic care model in treatment process. Result: In Unplanned extubation rate of rTMS, the control group has more case of Unplanned extubation, it also has higher Unplanned extubation rate than that of intervention group [3 (10.0%) vs 7 (23.3%)]. In incidence of agitation, it shows the cases of intervention group are less than that of control group, and it is statistical significance (8 vs 13, p=0.014). In accurate response research, the intervention group has better performance in accurate response test, its accurate response rate is 86.7% and the case of accurate response is 26, that is better than that of control group in our research result. Conclusion: The effect of repetitive transcranial magnetic stimulation (rTMS) and Humanistic care treatment is good for improve treatment outcome of cognitive impairment.
Keywords
Cognitive Impairment, rTMS, Humanistic Care
To cite this article
Yingxue Zhong, Danfeng Jiang, Guoqiang Zheng, Evaluating the Effect of Repetitive Transcranial Magnetic Stimulation (rTMS) and Humanistic Care Treatment on Cognitive Impairment Patients, American Journal of Psychiatry and Neuroscience. Vol. 8, No. 2, 2020, pp. 34-36. doi: 10.11648/j.ajpn.20200802.12
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Stilling JM, Monchi O, Amoozegar F, Debert CT. Transcranial magnetic and direct current stimulation (TMS/tDCS) for the treatment of headache: a systematic review. Headache J Head Face Pain. 2019; 59 (3): 339-357.
[2]
Yan T, Xie Q, Zheng Z, Zou K, Wang L. Different frequency repetitive transcranial magnetic stimulation (rTMS) for posttraumatic stress disorder (PTSD): a systematic review and meta-analysis. J Psychiatr Res. 2017; 89: 125-135.
[3]
Kennedy NI, Lee WH, Frangou S. Efficacy of non-invasive brain stimulation on the symptom dimensions of schizophrenia: a meta-analysis of randomized controlled trials. Eur Psychiatr. 2018; 49: 69-77.
[4]
Aleman A, Enriquez-Geppert S, Knegtering H, Dlabac-de Lange JJ. Moderate effects of noninvasive brain stimulation of the frontal cortex for improving negative symptoms in schizophrenia: meta-analysis of controlled trials. Neurosci Biobehav Rev. 2018; 89: 111-118.
[5]
He H, Lu J, Yang L, et al. Repetitive transcranial magnetic stimulation for treating the symptoms of schizophrenia: a PRISMA compliant meta-analysis. Clin Neurophysiol. 2017; 128 (5): 716-724.
[6]
Rabany L, Deutsch L, Levkovitz Y. Double-blind, randomized sham controlled study of deep TMS add-on treatment for negative symptoms and cognitive deficits in schizophrenia. J Psychopharmacol. 2016; 28 (7): 686-690.
[7]
Khedr EM, Kotb H, Kamel NF, et al. Long-lasting antalgic effects of daily sessions of repetitive transcranial magnetic stimulation in central and peripheral neuropathic pain. J of Neurol, Neurosurg, and Psychiatry. 2015; 76: 833–838.
[8]
Hallett M. Transcranial magnetic stimulation: Neuron. 2017; 55: 187–99.
[9]
Connell NE, Marston L, Spencer S, et al. Non-invasive brain stimulation techniques for chronic pain. Cochrane Database Syst Rev. 2018; 4: CD008208.
[10]
Lan MJ, Chhetry BT, Liston C, Mann JJ, Dubin M. Transcranial magnetic stimulation of left dorsolateral prefrontal cortex induces brain morphological changes in regions associated with a treatment resistant major depressive episode: an exploratory analysis. Brain Stimul. 2016; 9 (4): 577–583.
[11]
Noda Y, Silverstein WK, Barr MS, Vila-Rodriguez F, Downar J, Rajji TK, et al. Neurobiological mechanisms of repetitive transcranial magnetic stimulation of the dorsolateral prefrontal cortex in depression: a systematic review. Psychol. Med. 2015; 45 (16): 3411–3432.
[12]
He Y, Li K, Chen Q, Yin J, Bai D. Repetitive transcranial magnetic stimulation on motor recovery for patients with stroke: a PRISMA compliant systematic review and meta- analysis. Am. J. Phys. Med. Rehabil. 2019; 99 (2): 99–108.
[13]
Sharma D, Mazta S, Parashar A. Prevalence of cognitive impairment and related factors among elderly: a population-based study. J. Dr. NTR Univ. Heal. Sci. 2016; 2: 171.
[14]
Poddar K, Kant S, Singh A, Singh TB. An epidemiological study of dementia among the habitants of eastern Uttar Pradesh, India. Ann. Indian Acad. Neurol. 2015; 14: 164–168.
[15]
Shimada H, Makizako H, Doi T, Tsutsumimoto K, Lee S, & Suzuki T. Cognitive impairment and disability in older japanese adults. PloS One. 2016; 11 (7): e0158720.
[16]
Jiang CG, Zhang T, Yue FG, et al. Efficacy of repetitive transcranial magnetic stimulation in the treatment of patients with chronic primary insomnia. Cell Biochem Biophys 2013; 67 (1): 169-173.
[17]
Lanza G, Cantone M, Lanuzza B, et al. Distinctive patterns of cortical excitability to transcranial magnetic stimulation in obstructive sleep apnea syn-drome, restless legs syndrome, insomnia, and sleep deprivation. Sleep Med Rev 2015; 19: 39-50.
[18]
Furukawa TA, Cipriani A, Atkinson LZ, et al. Placebo response rates in anti-depressant trials: a systematic review of published and unpublished double-blind randomised controlled studies. Lancet Psychiatry 2016; 3 (11): 1059-1066.
[19]
Brunoni AR, Chaimani A, Moffa AH, Razza LB, Gattaz WF, Daskalakis ZJ, et al. Repetitive transcranial magnetic stimulation for the acute treatment of major depressive episodes: a systematic review with network meta-analysis. JAMA Psychiatry. 2017; 74: 143-152.
Browse journals by subject