Cent Eur J Nurs Midw 2012, 3(1):335-339

Influence of cognitive efficiency on self-sufficiency of the elderly with dementia

Radka Kozáková*, Lucie Bártová
Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava

Aim: The aim of the investigation was to determine the influence of cognitive efficiency of the elderly with dementia on their self-sufficiency.

Methods: The sample consisted of 106 elderly (30 men and 76 women, average age 83,25), with confirmed dementia. Statistical analysis was performed by software SPSS version 10.0. Testing of measuring tools Mini Mental State Examination (MMSE) and Self-sufficiency questionnaire (DAD-CZ) took place in the elderly living in three social settings. To test the relationship and dependencies the ANOVA test and Spearman correlation coefficient were used. Statistical tests were evaluated at a significance level α = 0,05.

Results: Our study confirmed the significant relationship between MMSE and DAD (rs = 0,7619, p = 0,001) and also were found statistically significant differences in self-evaluation depending on the age of elderly. Age, education and gender had no impact on the resulting value of the MMSE test.

Conclusion: The incidence of cognitive impairment in the elderly is relatively common. The problematics with self-sufficiency and cognitive functions should not therefore be neglected area in caring for the elderly even in the long-term-care facilities. Late detection of cognitive impairment worsens self-sufficiency of elderly, which very often leads to increased isolation and increased dependency and ultimately can lead to reduced quality of life.

Keywords: elderly, dementia, cognitive functions, self-sufficiency, DAD-CZ, MMSE

Published: March 30, 2012  Show citation

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Kozáková R, Bártová L. Influence of cognitive efficiency on self-sufficiency of the elderly with dementia. Ošetřovatelství a porodní asistence. 2012;3(1):335-339.
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    References

    1. ANDERSEN-RANBERG, K.. et al. Declining physical abilities with age: a cross-sectional study of older twins and centenarians in Denmark. Age and Ageing. 1999, 28(4), 373377. Go to original source... Go to PubMed...
    2. BARTOŠ, A. et al. Dotazník soběstačnosti DAD-CZ-česká verze pro hodnocení každodenních aktivit pacientů s Alzheimerovou nemocí. Neurologie pro praxi. 2009, 10(5), 320-323.
    3. DE VREESE, L. P. et al. Functional disability in early Alzheimer's disease - a validation study of the Italian vision of the disability assessment for dementias cale. Dementia and Geriatric Cognitive Disorders. 2008, 25(2), 186-94. Go to original source... Go to PubMed...
    4. FOLSTEIN, M. F., FOLSTEIN, S. E., MCHUGH, P. R. Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. Journal of psychiatric research. 1975, 12(3), 189-98. Go to original source... Go to PubMed...
    5. GAUTHIER, L., GAUTHIER, S. Assessment of Functional Changes in Alzheimer's Disease. Neuroepidemiology. 1990, 9(4), 183 - 188. Go to original source... Go to PubMed...
    6. GÉLINAS, I. et al. Development of a functional measure for persons with Alzheimer's disease: the disability assessment for dementia. American Journal of Occupational Therapy. 1999, 53(5), 471-481. Go to original source... Go to PubMed...
    7. GUSTAVSSON, A. et al. Predictors of costs of care in Alzheimer's disease: a multinational sample of 1222 patients. Alzheimers Dement. 2011, 7(3), 318-327. Go to original source... Go to PubMed...
    8. CHU, T. K., CHUNG, J. C. Psychometric Evaluation of the Chinese version of the Activities of Daily Living Questionnaire (ADLQ-CV). International Psychogeriatrics. 2008, 20(6), 1251-61. Go to original source... Go to PubMed...
    9. KALVACH Z. a kol. Geriatrie a gerontologie. 1. vyd. Praha: Grada 2004, 861 s.
    10. MCKHANN, D. et al. Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology. 1984, 34(7), 939-944. Go to original source... Go to PubMed...
    11. MCLAUGHLIN, T. et al. Assessment of potential measures in models of progression in Alzheimer disease. Neurology. 2010, 75(14), 1256-1262. Go to original source... Go to PubMed...
    12. MOK, C. C. et al. Functional disabilities profile of Chinese elderly people with Alzheimer's disease - a validation study on the Chinese version of the disability assessment for dementia. Dementia and Geriatric Cognitive Disorders. 2005, 20(2-3), 112-119. Go to original source... Go to PubMed...
    13. PÉRÉS, K. et al. Natural history of decline in instrumental activities of daily living performance over the 10 years preceding the clinical diagnosis of dementia: a prospective population-based study. Journal of the American Geriatrics Society. 2008, 56(1), 37-44. Go to original source... Go to PubMed...
    14. REISBERG, B. Dementia. A Systematic Approach to Identifying Reversible Causes. Geriatrics. 1986, 41(4), 30-46.
    15. RESSNER, P. et al. Doporučené postupy pro diagnostiku Alzheimerovy nemoci a dalších onemocnění spojených s demencí. Česko-slovenská neurologie. 2008, 10(4), 494-501.
    16. STERN, Y. et al. Measurement and Prediction of Functional Capacity in Alzheimer's Disease. Neurology.1990, 40(1), 8-14. Go to original source... Go to PubMed...
    17. TOPINKOVÁ, E. Geriatrie pro praxi. 1. vyd. Praha: Galén, 2005. 270 s.

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