Volume 29 Issue 10
Oct.  2025
Turn off MathJax
Article Contents
WANG Shiqiang, LIU Wenbing, ZHANG Yuna, YUAN Feng, JIN Xinlai. Effects of transcranial direct current stimulation on therapeutic effect and cognitive function in patients with depression[J]. Chinese Journal of General Practice, 2025, 23(10): 1761-1763. doi: 10.16766/j.cnki.issn.1674-4152.004223
Citation: WANG Shiqiang, LIU Wenbing, ZHANG Yuna, YUAN Feng, JIN Xinlai. Effects of transcranial direct current stimulation on therapeutic effect and cognitive function in patients with depression[J]. Chinese Journal of General Practice, 2025, 23(10): 1761-1763. doi: 10.16766/j.cnki.issn.1674-4152.004223

Effects of transcranial direct current stimulation on therapeutic effect and cognitive function in patients with depression

doi: 10.16766/j.cnki.issn.1674-4152.004223
Funds:

 2024KY1391

  • Received Date: 2025-03-04
  •   Objective  To investigate the effect of a multidisciplinary pulmonary rehabilitation program based on the timing theory on mechanically ventilated patients with severe pneumonia. The ultimate goal is to provide a basis for the pulmonary rehabilitation treatment of patients with severe pneumonia undergoing mechanical ventilation.  Methods  A total of 60 patients diagnosed with severe pneumonia were selected for this study. The patients were admitted to the Respiratory Intensive Care Unit of Hangzhou Hospital of Traditional Chinese Medicine and the Third Affiliated Hospital of Zhejiang Chinese Medical University from March to December 2024. The patients were divided into two groups: the control group and the treatment group. The random number table method was used to assign patients to each group. Each group contained 30 patients. The control group received routine nursing. The treatment group received a multidisciplinary pulmonary rehabilitation program based on timing theory. The efficacy indexes—which include the length of ICU stay, duration of mechanical ventilation, and acute physiology and chronic health (APACHE-Ⅱ) score, as well as the blood gas indexes [arterial partial pressure of carbon dioxide (PaCO2), arterial partial pressure of oxygen (PaO2), blood oxygen saturation (SaO2), oxygenation index], quality of life and adverse events were compared between the two groups.  Results  Following the intervention, the treatment group exhibited a significant reduction in the duration of ICU stay [(7.48±1.37) d vs. (9.65±1.45) d], the duration of mechanical ventilation [(6.26±1.08) d vs. (8.41±1.61) d], and the APACHE-Ⅱ score [(9.14±1.75) points vs. (12.71±2.54) scores] were lower than those in the control group (P < 0.001). The PaCO2 in the treatment group [(29.35±4.53) mmHg vs. (37.18±4.92) mmHg, 1 mmHg=0.133 kPa], PaO2 [(84.69±7.45) mmHg vs. (77.84±7.19) mmHg], oxygenation index [(405.94±40.58) mmHg vs. (319.02±34.72) mmHg] were better than those in the control group (P < 0.05). The scores of quality of life in the treatment group were higher than those in the control group (P < 0.05). No obvious adverse events occurred in the two groups during treatment.  Conclusion  The multidisciplinary pulmonary rehabilitation program based on the timing theory is safe and effective, offering a new strategy for pulmonary rehabilitation in mechanically ventilated patients with severe pneumonia.

     

  • loading
  • [1]
    LI B B, LI Z H, CHENG W, et al. Application of sputum suction by fiberoptic bronchoscope in patients with severe pneumonia and its effect on inflammatory factors[J]. Am J Transl Res, 2021, 13(7): 8409-8414.
    [2]
    PAPAZIAN L, KLOMPAS M, LUYT C E. Ventilator-associated pneumonia in adults: a narrative review[J]. Intensive Care Med, 2020, 46(5): 888-906. doi: 10.1007/s00134-020-05980-0
    [3]
    徐芳芳, 吴霞云, 王亚萍, 等. 多频震荡排痰机在重症肺炎患者的护理研究[J]. 中华全科医学, 2021, 19(2): 324-327. doi: 10.16766/j.cnki.issn.1674-4152.001800

    XU F F, WU X Y, WANG Y P, et al. Study on Nursing Care of Patients with Severe Pneumonia with Multi-frequency Vibrating Sputum Extracto[J]. Chinese Journal of General Practice, 2021, 19(2): 324-327. doi: 10.16766/j.cnki.issn.1674-4152.001800
    [4]
    GROTBERG J C, REYNOLDS D, KRAFF B D. Management of severe acute respiratory distress syndrome: a primer[J]. Crit Care, 2023, 27(1): 289. DOI: 10.1186/s13054-023-04572-w.
    [5]
    HE Y X, LV Y, LAN T T, et al. Timing theory integrated nursing combined behavior change integrated theory of nursing on primiparous influence[J]. World J Clin Cases, 2024, 12(2): 293-301. doi: 10.12998/wjcc.v12.i2.293
    [6]
    陈新霞, 周苏明, 董奇芳, 等. 以时机理论为中心的延续性护理模式在抑郁症患者中的应用效果[J]. 中华全科医学, 2023, 21(11): 1977-1981. doi: 10.16766/j.cnki.issn.1674-4152.003271

    CHEN X X, ZHOU S M, DONG Q F, et al. Application effect of a continuous nursing care centered on timing theory in patients with depression[J]. Chinese Journal of General Practice, 2023, 21(11): 1977-1981. doi: 10.16766/j.cnki.issn.1674-4152.003271
    [7]
    江波, 张军, 曹咪. 国内外老年居家照护的研究进展[J]. 护理学杂志, 2022, 37(4): 95-98.

    JIANG B, ZHANG J, CAO M. Research progress on home care for the elderly at home and abroad[J]. Journal of Nursing Science, 2022, 37(4): 95-98.
    [8]
    中国医师协会急诊医师分会. 中国急诊重症肺炎临床实践专家共识[J]. 中国急救医学, 2016, 36(2): 97-107.

    Chinese College of Emergency Physicians. Chinese expert consensus on clinical practice of severe pneumonia in emergency[J]. Chinese Journal of Critical Care Medicine, 2016, 36(2): 97-107.
    [9]
    ZI W J, QIU Z M, LI F L, et al. Effect of Endovascular treatment alone vs intravenous alteplase plus endovascular treatment on functional independence in patients with acute ischemic stroke: the DEVT randomized clinical trial[J]. JAMA, 2021, 325(3): 234-243. doi: 10.1001/jama.2020.23523
    [10]
    邹姮婧. 中文版CAM-ICU的信度效度检验及与其他量表的比较[D]. 武汉: 华中科技大学, 2012.

    ZHOU H J. Validity and reliability of CAM-ICU Chinese version and acomparison with other instruments[D]. Wuhan: Huazhong University of Science and Technology, 2012.
    [11]
    SMITH M J, HAYWARD S A, INNES S M, et al. Point-of-care lung ultrasound in patients with COVID-19: a narrative review[J]. Anaesthesia, 2020, 75(8): 1096-1104. doi: 10.1111/anae.15082
    [12]
    ZHANG S P, ZHU Q G, ZHAN C, et al. Acupressure therapy and LIU ZI JUE QIGONG for pulmonary function and quality of life in patients with severe novel coronavirus pneumonia (COVID-19): a study protocol for a randomized controlled trial[J]. Trials, 2020, 21(1): 751. DOI: 10.1186/s13063-020-04693-5.
    [13]
    陈惠川, 钟晓芳. 早期康复训练用于ICU重症肺炎机械通气患者的效果观察[J]. 中国现代药物应用, 2022, 16(23): 160-163.

    CHEN H C, ZHONG X F. Effect observation of early rehabilitation training on mechanically ventilated patients with severe pneumonia in ICU[J]. Chinese Journal of Modern Drug Application, 2022, 16(23): 160-163.
    [14]
    吴南平, 黄少武, 周燕妮, 等. 早期康复治疗对老年重症肺炎机械通气患者脱机情况及康复进程的影响[J]. 当代医学, 2022, 28(6): 148-150.

    WU N P, HUANG S W, ZHOU Y N, et al. Effect of early rehabilitation therapy on weaning status and rehabilitation process of elderly patients with severe pneumonia undergoing mechanical ventilation[J]. Contemporary Medicine, 2022, 28(6): 148-150.
    [15]
    陈美玲, 梁宝卿, 卢焕平. 基于"时机理论"的肺康复训练及护理对支气管哮喘的疗效观察[J]. 齐齐哈尔医学院学报, 2020, 41(8): 1038-1040.

    CHEN M L, LIANG B Q, LU H P. Observation on therapeutic effect of pulmonary rehabilitation training and nursing on bronchial asthma based on the"timing theory"[J]. Journal of Qiqihar Medical University, 2020, 41(8): 1038-1040.
    [16]
    梁进丽, 徐二喜, 李冬芬, 等. ICU过渡期多学科协作心肺康复在重症肺炎患者中的应用效果[J]. 广东医科大学学报, 2023, 41(1): 67-70.

    LIANG J L, XU E X, LI D F, et al. Application effect of multidisciplinary collaborative cardiopulmonary rehabilitation in patients with severe pneumonia during the ICU transition[J]. Journal of Guangdong Medical University, 2023, 41(1): 67-70.
    [17]
    CAMERON N, JONES P R, MOODIE A, et al. Timing and magnitude of adolescent growth in height and weight in Cape coloured children after Kwashiorkor[J]. J Pediatr, 1986, 109(3): 548-555. doi: 10.1016/S0022-3476(86)80142-1
    [18]
    孙娟, 李岩, 郑蔚, 等. 基于时机理论的赋能教育在PCI手术患者中的应用[J]. 护理学报, 2022, 29(2): 73-78

    SUN J, LI Y, ZHENG W, et al. Application of Timing Theory-Based Empowerment Education in PCI Surgery Patients[J]. J Nurs Sci, 2022, 29(2): 73-78
    [19]
    郑爱娣, 王咏梅, 徐静, 等. 基于时机理论的延续护理在房颤合并慢性心力衰竭患者中的应用[J]. 中华全科医学, 2022, 20(7): 1259-1262. doi: 10.16766/j.cnki.issn.1674-4152.002572

    ZHENG A D, WANG Y M, XU J, et al. Application of continuous nursing based on timing theory in patients with atrial fibrillation and chronic heart failure[J]. Chinese Journal of General Practice, 2022, 20(7): 1259-1262. doi: 10.16766/j.cnki.issn.1674-4152.002572
    [20]
    柯静, 曹斌, 蒋志锋, 等. 多学科协作诊疗模式在新型冠状病毒肺炎患者诊疗中的价值[J]. 首都医科大学学报, 2020, 41(2): 298-301.

    KE J, CAO B, JIANG Z F, et al. Value of multidisciplinary cooperation model in the treatment of COVID-19[J]. J Capital Med Univ, 2020, 41(2): 298-301.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Article Metrics

    Article views (12) PDF downloads(1) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return