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Zhang J, Xu X, Zhang X, Yin Y, Wang J. Self-perceived care needs and quality of life in people with cognitive impairment during routine care at home: cross-sectional results of the interventional study. BMC Geriatr 2023; 23:185. [PMID: 36991348 PMCID: PMC10061730 DOI: 10.1186/s12877-023-03846-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2022] [Accepted: 02/24/2023] [Indexed: 03/31/2023] Open
Abstract
BACKGROUND Cognitive impairment (CI) is one of the most common disabling symptoms in the elderly, and people with CI face a variety of unmet care needs. There is limited evidence on the relationship between unmet needs and quality of life (QoL) of people with CI. The aim of this study is to analyse the current situation of unmet needs and QoL among people with CI, and to explore the correlation between QoL and unmet needs. METHODS The analyses use baseline data of the intervention trial, which recruited 378 participants to complete the questionnaire including the Camberwell Assessment of Need for the Elderly (CANE), and the Medical Outcomes Study 36-item Short-Form (SF-36). The SF-36 was further gathered into physical component summary (PCS) and mental component summary (MCS). Multiple linear regression analysis was conducted to explore the correlations between unmet care needs and PCS and MCS of SF-36. RESULTS The mean score of each of the eight domains of SF-36 was significantly lower than the Chinese population norm. The incidence of unmet needs ranged from 0 to 65.1%. Multiple linear regression results showed that living in rural areas (Beta=-0.16, P < 0.001), having unmet physical needs (Beta=-0.35, P < 0.001), and unmet psychological needs (Beta=-0.24, P < 0.001) were associated with lower PCS scores, whereas duration of CI > 2 years (Beta=-0.21, P < 0.001), unmet environmental needs (Beta=-0.20, P < 0.001), and unmet psychological needs (Beta=-0.15, P < 0.001) were associated with lower MCS scores. CONCLUSION The main results support the important view that lower QoL scores are associated with unmet needs in people with CI, depending on the domain. Given that the more unmet needs can further worsen QoL, it is recommended that more strategies should be taken, especially for those with unmet care needs, so as to improve their QoL.
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Affiliation(s)
- Juxia Zhang
- Clinical Educational Department, Gansu Provincial Hospital, Lanzhou, Gansu, 730000, China
| | - Xiaoqin Xu
- Neurology Department, Gansu Provincial Hospital, Lanzhou, Gansu, 730000, China
| | - Xiaoli Zhang
- School of Nursing, Gansu University of Chinese Medicine, Lanzhou, Gansu, 730000, China
| | - Yuhuan Yin
- School of Nursing, Gansu University of Chinese Medicine, Lanzhou, Gansu, 730000, China
| | - Jiancheng Wang
- Geriatrics Department, Gansu Provincial Hospital, Lanzhou, Gansu, 730000, China.
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Feter N, Caputo EL, Koth AP, Delpino FM, Tomaz GDS, Doring IR, Leite JS, Cassuriaga J, Treptow JG, Weymar MK, Alt R, Reichert FF, da Silva MC, Rombaldi AJ. Association between specific types of physical activity during the COVID-19 pandemic and the risk of subjective memory decline: findings from the PAMPA Cohort. Public Health 2021; 200:49-55. [PMID: 34673460 PMCID: PMC8450060 DOI: 10.1016/j.puhe.2021.09.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Revised: 08/16/2021] [Accepted: 09/10/2021] [Indexed: 11/24/2022]
Abstract
OBJECTIVES This study aimed to identify the effects of different physical activities practised during the time period when COVID-19 social distancing measures were in place on the risk of subjective memory decline in adults. STUDY DESIGN Retrospective cohort study. METHODS Data from the Prospective Study about Mental and Physical Health (PAMPA), a state-level (Rio Grande do Sul, Brazil), online-based cohort study, were analysed. Respondents were asked to rate their memory before COVID-19 social distancing measures were implemented (retrospectively) and on the day that the survey was completed. Subjective memory decline was defined as a perceived worsening of memory function during COVID-19 social distancing compared with the pre-pandemic period. The types of physical activity practised before and during COVID-19 social distancing measures were assessed. RESULTS Data from 2319 adults were included. Out-of-home endurance, muscle strengthening, combined endurance and muscle strengthening, and stretching activities reduced the risk of subjective memory decline during the pandemic. In terms of physical activities practised at home, only muscle strengthening did not protect against subjective memory decline. Participants who sustained any type of physical activity at home during the COVID-19 pandemic showed a reduced risk for subjective memory decline. CONCLUSIONS Physical activity, regardless of the type of activity and location performed, during the time period when COVID-19 social distancing measures were in place can mitigate the effects of the pandemic on subjective memory decline.
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Affiliation(s)
- N Feter
- Postgraduate Program of Physical Education, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil; Study Group of Physical Activity Epidemiology, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil; Research Group of Neuroscience, Physical Activity, and Exercise, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil.
| | - E L Caputo
- Postgraduate Program of Physical Education, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil; Study Group of Physical Activity Epidemiology, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil
| | - A P Koth
- Research Group of Neuroscience, Physical Activity, and Exercise, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil; Catholic University of Pelotas, Pelotas, RS, 96015-560, Brazil
| | - F M Delpino
- Postgraduate Program in Nursing, Federal University of Pelotas, Rio Grande do Sul, 96010-610, Brazil
| | - G Dos S Tomaz
- Postgraduate Program of Physical Education, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil; Research Group of Neuroscience, Physical Activity, and Exercise, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil
| | - I R Doring
- Study Group of Physical Activity Epidemiology, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil
| | - J S Leite
- Postgraduate Program of Health Sciences, Federal University of Rio Grande do Sul, Porto Alegre, RS, 90035-903, Brazil
| | - J Cassuriaga
- Postgraduate Program of Physical Education, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil; Research Group of Neuroscience, Physical Activity, and Exercise, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil
| | - J G Treptow
- Postgraduate Program of Physical Education, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil; Research Group of Neuroscience, Physical Activity, and Exercise, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil
| | - M K Weymar
- Postgraduate Program of Physical Education, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil; Research Group of Neuroscience, Physical Activity, and Exercise, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil
| | - R Alt
- Research Group of Neuroscience, Physical Activity, and Exercise, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil; Postgraduate Program of Epidemiology, Federal University of Pelotas, Pelotas, RS, 96020-220, Brazil
| | - F F Reichert
- Postgraduate Program of Physical Education, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil; Study Group of Physical Activity Epidemiology, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil
| | - M C da Silva
- Postgraduate Program of Physical Education, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil; Study Group of Physical Activity Epidemiology, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil
| | - A J Rombaldi
- Postgraduate Program of Physical Education, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil; Study Group of Physical Activity Epidemiology, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil; Research Group of Neuroscience, Physical Activity, and Exercise, Federal University of Pelotas, Pelotas, RS, 96055-630, Brazil
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