教師資料查詢 | 類別: 期刊論文 | 教師: 張玉坤 Yue-cune Chang (瀏覽個人網頁)

標題:Persistent cognitive decline in older hospitalized patients in Taiwan
學年
學期
出版(發表)日期2010/09/01
作品名稱Persistent cognitive decline in older hospitalized patients in Taiwan
作品名稱(其他語言)
著者Chen, Cheryl Chia-Hui; Chang, Yue-Cune; Huang, Guan-Hua; Peng, Jui-Hua; Tseng, Chien-Ning
單位淡江大學數學學系
出版者Chichester: Wiley-Blackwell Publishing Ltd.
著錄名稱、卷期、頁數Journal of Advanced Nursing 66(9), pp.1991-2001
摘要Aim. This paper is a report of a study conducted to determine the prevalence and predictors of persistent and transient cognitive decline in older hospitalized patients over 6 months after hospital discharge. Background. Cognitive decline occurs in 16–35·5% of older hospitalized patients, but this decline may be persistent rather than transient. Distinguishing persistent from transient cognitive decline is clinically useful. Methods. For this prospective cohort study, 291 older patients were recruited from five medical and surgical units at a tertiary medical centre in Taiwan between 2004 and 2006. Participants were assessed for cognitive status by scores on the Mini-Mental State Examination at admission, discharge, 3 and 6 months postdischarge. Persistent cognitive decline was defined as continuing score reduction and ≥3-point reduction 6 months postdischarge. Transient decline was defined as ≥3-point reduction at some stage, with a total decline <3 points 6 months postdischarge. Findings. The cognitive status of the majority of participants (57·4%, n = 167) decreased ≥3 points during follow-up. Of these decliners, 59 (35·3%) had persistent cognitive decline, with an average 5·32-point reduction 6 months postdischarge. Forty-six (27·5%) participants experienced transient cognitive decline. After multiple adjustments in logistic regression analysis, persistent decline was predicted by no in-hospital functional decline (OR = 0·16, P = 0·002), more re-admissions after discharge (OR = 2·42, P = 0·020), and older age (OR = 1·09, P = 0·048). Conclusion. A new perspective is needed on discharge planning on patients at risk for persistent cognitive decline. Nurses can oversee the delivery of care, identify cognitive decline, refer patients, and educate families on strategies to enhance cognitive functioning for their aging relatives.
關鍵字acute care; cognitive decline;cognitive impairment; nursing; older hospitalized people
語言英文
ISSN0309-2402
期刊性質國外
收錄於SCI
產學合作
通訊作者
審稿制度
國別英國
公開徵稿
出版型式紙本
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