頁籤選單縮合
題 名 | 南部長期照護機構老年住民之認知功能障礙探討=Cognitive Impairment among Elderly Residents in the Long Term Care Facilities in Southern Taiwan |
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作 者 | 魯英屏; 周明岳; 梁志光; 周上琳; 薛光傑; 林育德; 王棋; 杜明勳; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
卷 期 | 6:1 2011.02[民100.02] |
頁 次 | 頁43-51 |
分類號 | 415.9518 |
關鍵詞 | 長期照護機構; 認知功能障礙; 老人; Long term care facility; Cognitive impairment; Elderly; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:於長期照護機構中,認知功能障礙之老年住民往往會加重照護之壓力與挫折。因此,了解機構住民之智能狀況,可早期發現失智症患者,提供其早期治療的機會,以減緩失能與相關併發症之產生,並提升老年住民之生活品質。 材料及方法:本研究以居住在高雄市長期照護機構未被確定診斷為失智症且年滿 65歲之住民為研究對象,由10位受過訓練之護理人員進行簡易智能狀態測驗 (mini-mental state examination, MMSE)及15題之中文簡式老年憂鬱量表 (15 items geriatric depression scale, GDS-15)問卷收集。認知功能障礙之定義為無受過教育者 MMSE<14,有接受過教育者MMSE<24;GDS-15異常之定義為≧5。收集相關人口學變項包括年齡、性別及入住時間,利用卡方檢定、Student t 檢定及邏輯式回歸分析探討在年齡、性別及入住時間之不同和認知功能障礙的關係。 結果:本研究於2007年11月至12月共納入517名住於高雄市40家之長期照護機構住民,平均年齡為80.4 ± 7.3歲,其中男性住民有223人(43.1%)。評估有認知功能障礙之住民有358位(69.2%),GDS量表結果異常者有311人(62.0%)。在單變項分析中,認知功能障礙與年齡 (78.7 ± 7.0 versus 81.1 ± 7.3, p = 0.001)在統計學上有顯著意義,而與性別、憂鬱情況與入住時間長短無明顯相關。藉由邏輯式回歸分析,年齡仍為獨立相關因子 (校正後的勝算比 1.05, 95%信賴區間: 1.02-1.07, p = 0.002)。再者,入住機構兩年以上住民對 MMSE的地點5分中錯3題以上者明顯變多(p = 0.048)。 結論:本研究顯示機構之老年住民中約有7成有認知功能問題,且認知功能障礙與年齡有明顯相關。而入住機構時間越久之住民,對地點的回答正確性也較差。因此,本研究建議應重視老年機構住民之認知功能障礙問題,並加強機構環境中時間與地點定向感之相關設施,以減少老年住民之認知功能障礙問題。 |
英文摘要 | Objectives: To investigate cognitive impairment among elderly residents in long term care facilities. Methods: Elderly residents in long term care facilities were invited for study. Mini-Mental State Examination (MMSE) and 15 items Geriatric Depression Scale (GDS-15) were implemented by 10 trained nurses. Results: 517 residents among 40 long term care facilities were enrolled in this study during November to December, 2007. The average age was 80.4 ± 7.3 years old, and 223 were male (43.1%). Of the enrolled residents, 358 (69.2%) showed cognitive impairment, and 311 (62.0%) had depressed mood. Age was significantly associated with cognitive impairment (78.7 ± 7.0 versus 81.1 ± 7.3, p = 0.001) after adjusting gender, depressed mood and length of stay. Moreover, residents living in facilities longer than two years had poor orientation to place (p = 0.048). Conclusions: Our study showed that almost 70% of the institutionalized elderly had cognitive impairment, which was related to age. Residents staying in facilities more than two years had poor orientation to place. More and closer attention need to be directed to cognitive impairment among institutionalized elderly, and the environment of long term care facilities should be properly and effectively adjusted so as to improve the cognitive function of their residents. |
本系統中英文摘要資訊取自各篇刊載內容。