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- Title
The Elderly Nursing Core Set and the cognition of Portuguese older adults: a cross-sectional study.
- Authors
Fonseca, César; de Pinho, Lara Guedes; Lopes, Manuel José; Marques, Maria do Céu; Garcia-Alonso, José
- Abstract
Background: The aging population and its associated health needs require specific nursing care. The aim of this study was to draw an epidemiological profile of Portuguese elderly adults attending in residential homes and day centers and to evaluate the association between the functioning and cognition of these older adults and their sociodemographic characteristics and presence of multimorbidity. Methods: This was a cross-sectional study of 613 older adults. Functioning was assessed using the Elderly Nursing Core Set, and cognition was assessed using the Mini Mental State Examination. Descriptive and inferential analyses were performed. Results: The mean age was 85.73 years; the majority of the participants were female (69.3 %), widowed (67.0 %) and over 85 years old (60.4 %). A total of 68.2 % of the sample presented multimorbidity. A total of 54.5 % had cognitive impairment, and the average functional profile was classified as "moderate difficulty". Institutionalized older adults had more diseases than those who attended the day center. Women, those who were illiterate, those who were institutionalized and older adults who had diseases of the nervous system had a worse functional profile and greater cognitive impairment. Those with multimorbidity had a worse functional profile, and those without a spouse had greater cognitive impairment. Conclusions: Given the functional and cognitive profile of older adults, it is necessary to adopt care practices focused on the rehabilitation/maintenance of self-care and affective relationships. This care must be provided by highly qualified professionals. Therefore, it is necessary to increase the ratio of nurses per older adult in these institutions.
- Subjects
PORTUGAL; COGNITION disorder risk factors; INFERENTIAL statistics; MATHEMATICAL statistics; ADULT day care; PARAMETERS (Statistics); NURSING home patients; AGE distribution; GERIATRIC assessment; QUANTITATIVE research; DISABILITY evaluation; SEX distribution; WIDOWHOOD; RISK assessment; NEUROPSYCHOLOGICAL tests; PSYCHOSOCIAL factors; GERIATRIC nursing; DESCRIPTIVE statistics; RESEARCH funding; COGNITIVE testing; STATISTICAL correlation; STATISTICAL sampling; DATA analysis software; COMORBIDITY; OLD age
- Publication
BMC Nursing, 2021, Vol 20, Issue 1, p1
- ISSN
1472-6955
- Publication type
Article
- DOI
10.1186/s12912-021-00623-1