TY - CHAP

T1 - The role of cognitive functioning in the success of social rehabilitation of cardiac patients

AU - Eremina, Daria

PY - 2019

Y1 - 2019

N2 - The paper presents the results of an investigation of clinical characteristics and indicators of cognitivefunctioning (indicators of active attention and mental capacity, memory, verbal-logical and spatialthinking, as well as neuropsychological indicators of visual recognition of fragmented images), which arepotentially significant for the resumption of work in the late postoperative period of patients withcoronary heart disease (CHD), undergoing coronary artery bypass grafting (CABG). An attempt has beenmade to extract from the whole mass of the data obtained the most prognostically significant, which willallow to differentiate patients at the stage of preparation for CABG to those who will be able to continueworking after the operation, and those who are more likely not able to return to work.The present study enrolled 118 patients (of average age 59.71 ± 7.32 years) who underwent coronaryartery bypass grafting with standard cardiopulmonary bypass technique. The examination using aneuropsychological test battery (including WAIS, TMT-test, Stroop test, TAS, Benton test, etc.) wasperformed in three stages: two days before CABG, 12-14 days and three months after the surgery.Patients with CHD experience significant postoperative cognitive decline mostly in verbal memory andattention, while positive dynamics was observed in the visual and logical memory, as well as in spatialand verbal-logical thinking. Using factor analysis we identified 4 factors of cognitive functioning, whichwere called verbal memory, thinking, cognitive control and visual recognition. As a result of the study ofindicators of cognitive functioning, which are potentially significant for the resumption of work in the latepostoperative period, we constructed a model, according to which the accuracy of prediction of belongingto the "working" group and to the group of "nonworkers" in the remote postoperative period is 83.9% (thesignificance of the canonical function obtained is p = 0.000066). It was shown that the return to work inthe long-term postoperative period is more typical for younger people who have lower indicators of thefactors "Verbal memory" and "Thinking" before the operation and higher indicators of the factors "Verbalmemory" and "Cognitive control" in the second and third stages of the study.

AB - The paper presents the results of an investigation of clinical characteristics and indicators of cognitivefunctioning (indicators of active attention and mental capacity, memory, verbal-logical and spatialthinking, as well as neuropsychological indicators of visual recognition of fragmented images), which arepotentially significant for the resumption of work in the late postoperative period of patients withcoronary heart disease (CHD), undergoing coronary artery bypass grafting (CABG). An attempt has beenmade to extract from the whole mass of the data obtained the most prognostically significant, which willallow to differentiate patients at the stage of preparation for CABG to those who will be able to continueworking after the operation, and those who are more likely not able to return to work.The present study enrolled 118 patients (of average age 59.71 ± 7.32 years) who underwent coronaryartery bypass grafting with standard cardiopulmonary bypass technique. The examination using aneuropsychological test battery (including WAIS, TMT-test, Stroop test, TAS, Benton test, etc.) wasperformed in three stages: two days before CABG, 12-14 days and three months after the surgery.Patients with CHD experience significant postoperative cognitive decline mostly in verbal memory andattention, while positive dynamics was observed in the visual and logical memory, as well as in spatialand verbal-logical thinking. Using factor analysis we identified 4 factors of cognitive functioning, whichwere called verbal memory, thinking, cognitive control and visual recognition. As a result of the study ofindicators of cognitive functioning, which are potentially significant for the resumption of work in the latepostoperative period, we constructed a model, according to which the accuracy of prediction of belongingto the "working" group and to the group of "nonworkers" in the remote postoperative period is 83.9% (thesignificance of the canonical function obtained is p = 0.000066). It was shown that the return to work inthe long-term postoperative period is more typical for younger people who have lower indicators of thefactors "Verbal memory" and "Thinking" before the operation and higher indicators of the factors "Verbalmemory" and "Cognitive control" in the second and third stages of the study.

KW - cognitive functioning

KW - coronary artery bypass grafting

KW - coronary heart disease

KW - rehabilitation

KW - LABOR FORECAST

UR - http://inpact-psychologyconference.org/wp-content/uploads/2019/08/InPACT-2019_Book-Abstracts.pdf

M3 - Conference abstracts

SN - 9789895431212

SP - 5

BT - International Psychological Applications Conference and Trends (InPACT) 2019

PB - World Institute for Advanced Research and Science

CY - Lisbon

T2 - International Psychological Applications Conference and Trends 2019

Y2 - 4 May 2019 through 6 May 2019

ER -