Application of Telemedicine Based on a Digital Rehabilitation Platform in Patients with Cognitive Impairment After Spontaneous Cerebral Hemorrhage.

He, Sen; Xue, Fang; Zhang, Wenyan; Wei, Mingli · World Neurosurg · 2026

prospective_cohort · Level II

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Abstract

To explore the application effect of a telemedicine method supported by a digital rehabilitation platform for patients with cognitive impairment after spontaneous cerebral hemorrhage. Eighty eligible patients were enrolled in the current study from May 2023 to November 2024, with 40 patients each in the experimental and control groups. Both groups received the same routine treatment. In addition, the control group was given mobile intelligent devices and trained by the same nurses on how to perform the rehabilitation exercises. The experimental group was instructed on the precise treatment offered by the digital rehabilitation platform. The Hamilton Anxiety Scale14, Hamilton Depression Scale 24, Montreal Cognitive Assessment, Minimum Mental State Examination, and modified Barthel score between the 2 groups were comparable at the time of enrollment. All indicators at the observation endpoint of the experimental and control groups (Hamilton Anxiety Scale 14, Hamilton Depression Scale 24, Montreal Cognitive Assessment, Minimum Mental State Examination, modified Barthel score, and patient satisfaction) were better than at the time of enrollment (intragroup). These indicators in the experimental group were better at the observation endpoint that the control group. The telemedicine medical care based on a digital rehabilitation platform achieved individualized, convenient, effective, and satisfactory rehabilitation feeling for spontaneous cerebral hemorrhage patients with concurrent cognitive impairment.

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