Relationship between Cognition and Activities of Daily Living in Elderly Women with Mild Cognitive Impairment in Japan
Affiliation(s)
Kyoto Koka Women’s University, Department of Nursing, Kyoto, Japan. Osaka prefecture University, College of Health and Human Science, Osaka, Japan. Osaka university Graduate School of Medicine, Division of Health Sciences, Osaka, Japan.
Kyoto Koka Women’s University, Department of Nursing, Kyoto, Japan. Osaka prefecture University, College of Health and Human Science, Osaka, Japan. Osaka university Graduate School of Medicine, Division of Health Sciences, Osaka, Japan.
ABSTRACT
Purpose: This study aims to examine the relationship between cognition and ADL in elderly women with MIC. Methods: Cognitive function was assessed using a 4-item instrument screening for dementia. Each item was scaled from 1 to 4. The Katz Index was used to Participants (N = 680) were asked to return the completed questionnaire in the sealed envelope provided. The study received approval from the human subject’s ethics committee at Osaka University. Results and Conclusion: Participants’ mean age was 78.2 ± 6.5 years old. The age range of participants was 65 to 97 years old. Associations were not statistically significant between cognitive function and family structure. However, associations were significant for ADL items involving excretory failure (OR = 3.5, p = 0.000 in 2004, OR = 2.9, p = 0.000 in 2005; P < 0.05) using a logistic regression analysis adjusted for age. Therefore, we recommend that nurses work to educate the public about treatment-adjusted dementia in the community, teaching family members or caretakers to observe the ADL of the elderly, being watchful for unusual excretory habits, extra clothes, or the smell of elderly persons’ dirty clothing.
Purpose: This study aims to examine the relationship between cognition and ADL in elderly women with MIC. Methods: Cognitive function was assessed using a 4-item instrument screening for dementia. Each item was scaled from 1 to 4. The Katz Index was used to Participants (N = 680) were asked to return the completed questionnaire in the sealed envelope provided. The study received approval from the human subject’s ethics committee at Osaka University. Results and Conclusion: Participants’ mean age was 78.2 ± 6.5 years old. The age range of participants was 65 to 97 years old. Associations were not statistically significant between cognitive function and family structure. However, associations were significant for ADL items involving excretory failure (OR = 3.5, p = 0.000 in 2004, OR = 2.9, p = 0.000 in 2005; P < 0.05) using a logistic regression analysis adjusted for age. Therefore, we recommend that nurses work to educate the public about treatment-adjusted dementia in the community, teaching family members or caretakers to observe the ADL of the elderly, being watchful for unusual excretory habits, extra clothes, or the smell of elderly persons’ dirty clothing.
Cite this paper
M. Yamamoto, K. Izumi and Y. Aso, "Relationship between Cognition and Activities of Daily Living in Elderly Women with Mild Cognitive Impairment in Japan," International Journal of Clinical Medicine, Vol. 3 No. 4, 2012, pp. 251-253. doi: 10.4236/ijcm.2012.34050.
M. Yamamoto, K. Izumi and Y. Aso, "Relationship between Cognition and Activities of Daily Living in Elderly Women with Mild Cognitive Impairment in Japan," International Journal of Clinical Medicine, Vol. 3 No. 4, 2012, pp. 251-253. doi: 10.4236/ijcm.2012.34050.
References
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[1] B. P. Leifer, “Alzheimer’s Disease: Seeing the Signs Early,” Journal of the American Academy of Nurse Practitioners, Vol. 21, No. 11, 2009, pp. 588-595. doi:10.1111/j.1745-7599.2009.00436.x [2] J. Corey-Bloom and D. Galasko, “Adjunctive Therapy in Patients with Alzheimer’s Disease. A Practical Approach,” Drugs Aging, Vol. 7, No. 2, 1995, pp. 79-87. doi:10.2165/00002512-199507020-00002 [3] G. Sanchez-Benavides, et al., “Spanish Version of the Bayer Activities of Daily Living Scale in Mild Cognitive Impairment and Mild Alzheimer Disease: Discriminant and Concurrent Validity,” Dementia and Geriatric Cognitive Disorders, Vol. 27, No. 6, 2009, pp. 572-578. doi:10.1159/000228259 [4] E. Mariani, R. Monastero and P. Mecocci, “Mild Cognitive Impairment: A Systematic Review,” Journal of Alzheimer’s Disease, Vol. 12, No. 1, 2007, pp. 23-35. [5] S. Alladi, et al., “Mild Cognitive Impairment: Applicability of Research Criteria in a Memory Clinic and Characterization of Cognitive Profile,” Psychological Medicine, Vol. 36, No. 4, 2006, pp. 507-515. doi:10.1017/S0033291705006744 [6] M. P. Lawton and E. M. Brody, “Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living,” Gerontologist, Vol. 9, No. 3, 1969, pp. 179-186. doi:10.1093/geront/9.3_Part_1.179 [7] N. Nakanishi, et al., “Urinary and Fecal Incontinence in a Community-Residing Elderly Population: Prevalence, Correlates and Prognosis,” Nihon Koshu Eisei Zasshi, Vol. 44, No. 3, 1997, pp. 192-200. [8] L. Semere and N. M. Nour, “Obstetric Fistula: Living with Incontinence and Shame,” Reviews in Obstetrics and Gynecology, Vol. 1, No. 4, 2008, pp. 193-197. [9] R. N. Butler, et al., “Urinary Incontinence: Keys to Diagnosis of the Older Woman,” Geriatrics, Vol. 54, No. 10, 1999, pp. 22-26, 29-30. [10] O. Contreras, “Stress Urinary Incontinence in the Gynecological Practice,” International Journal of Gynecology & Obstetrics, Vol. 86, Suppl. 1, 2004, pp. S6-S16. doi:10.1016/j.ijgo.2004.05.004