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

魯英屏(Ying-Ping Lu) ； 周明岳(Ming-Yueh Chou) ； 梁志光(Chih-Kuang Liang) ； 周上琳(Shang-Lin Chou) ； 薛光傑(Kuang-Chieh Hsueh) ； 林育德(Yu-Te Lin) ； 王棋(Chi Wang) ； 杜明勳(Ming-Shium Tu)

《台灣老年醫學暨老年學雜誌》 6卷1期 (2011/02) Pp. 43-51

https://doi.org/10.29461/TGG.201102.0004

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.

關鍵字

長期照護機構 ； 認知功能障礙 ； 老人

並列摘要

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.

並列關鍵字

long term care facility ； cognitive impairment ； elderly