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    Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/21587


    Title: Impact of day care services on physical and cognitive functions in old people with dementia in a medical center in central Taiwan
    Authors: Lin, Cheng-Fu
    Wu, Jia-Jyun
    Huang, Yu-Hui
    Ju, Li-Ying
    Lin, Shih-Yi
    Chou, Ying-Chyi
    Lin, Chu-Sheng
    Contributors: 中山醫學大學;護理系
    Keywords: Day care;Dementia;Family caregiver;Geriatric assessment;Quality of life
    Date: 2021-06-24
    Issue Date: 2021-08-11T03:59:16Z (UTC)
    Publisher: BioMed Central Ltd .
    ISSN: 1477-7525
    Abstract: Background Day care service (DCS) provides various activities in a professional environment to meet the old people with functional limitations. However, relatively little is known about the effects of DCS on physical and mental functions. Methods This was a retrospective study that we used a comprehensive geriatric assessment to evaluate the changes before and after DCS among participants in a hospital-affiliated geriatric day care center in Taiwan. The burden of the participants' families was also assessed. Results The 18 participants with a median age of 80.9 (interquartile range (IQR) 75.2-86.6 y/o) were enrolled and followed up for 6 months. Based on the clinical dementia rating (CDR), disease stage was very mild in 3 participants, mild in 10, moderate in 3, and severe in 2. The activities of daily living (ADL) scores of the participants improved significantly from 75 (IQR 60.0-80.0) at baseline to 77.5 (IQR 65.0-90.0) at the 6 month (p < 0.001), and mini-mental state examination (MMSE) scores from 15 (IQR 11.5-20.0) to 18 (IQR 15.8-24.0) (p = 0.026). There was a positive correlation of baseline mini-nutritional assessment-short form score and the 3-level version of the European Quality of Life-5 dimensions utility index with both ADL and MMSE scores at the 6-month follow-up. In addition, the family burden scale was reduced from 22 to 15 (p = 0.002). Conclusions The physical and cognitive functions in old people with dementia who received DCS were maintained or partially improved, and their families' stress burden was alleviated.
    URI: https://ir.csmu.edu.tw:8080/handle/310902500/21587
    Relation: Health and Quality of Life Outcomes volume 19, Article number: 170 (2021)
    Appears in Collections:[護理學系暨碩士班] 期刊論文

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