Exploring the prevalence and variance of cognitive impairment, pain, neuropsychiatric symptoms and ADL dependency among persons living in nursing homes; a cross-sectional study

BMC Geriatrics

Research Article

Anders Wimo¹  Bengt Winblad¹  Christina Juthberg²  Sabine Björk²  Per-Olof Sandman³  David Edvardsson⁴  Marie Lindkvist⁵ 

[1] Department of Neurobiology, Care Sciences and Society, Division of Neurogeriatrics, Karolinska Institutet, Stockholm, Sweden;Department of Nursing, Umeå University, Umeå, Sweden;Department of Nursing, Umeå University, Umeå, Sweden;Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden;Department of Health Sciences, Luleå University of Technology, Luleå, Sweden;Department of Nursing, Umeå University, Umeå, Sweden;School of Nursing and Midwifery, La Trobe University, Melbourne, Australia;Department of Statistics, Umeå School of Business and Economics, Umeå University, Umeå, Sweden;Department of Public Health and Clinical Medicine, Epidemiology and Global Health, Umeå University, Umeå, Sweden;

关键词: Nursing homes;    Frail elderly;    Dementia;    Pain;    Activities of daily living;    Neuropsychiatric symptoms;    Prevalence;    Cross-sectional study;   

DOI  :  10.1186/s12877-016-0328-9

 received in 2016-03-22, accepted in 2016-08-15,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundEarlier studies in nursing homes show a high prevalence of cognitive impairment, dependency in activities of daily living (ADL), pain, and neuropsychiatric symptoms among residents. The aim of this study was to explore the prevalence of the above among residents in a nationally representative sample of Swedish nursing homes, and to investigate whether pain and neuropsychiatric symptoms differ in relation to gender, cognitive function, ADL-capacity, type of nursing-home unit and length of stay.MethodsCross-sectional data from 188 randomly selected nursing homes were collected. A total of 4831 residents were assessed for cognitive and ADL function, pain and neuropsychiatric symptoms. Data were analysed using descriptive statistics and the chi-square test.ResultsThe results show the following: the prevalence of cognitive impairment was 67 %, 56 % of residents were ADL-dependent, 48 % exhibited pain and 92 % exhibited neuropsychiatric symptoms. The prevalence of pain did not differ significantly between male and female residents, but pain was more prevalent among cognitively impaired and ADL-dependent residents. Pain prevalence was not significantly different between residents in special care units for people with dementia (SCU) and general units, or between shorter-and longer-stay residents. Furthermore, the prevalence of neuropsychiatric symptoms did not differ significantly between male and female residents, between ADL capacities or in relation to length of stay. However, residents with cognitive impairment and residents in SCUs had a significantly higher prevalence of neuropsychiatric symptoms than residents without cognitive impairment and residents in general units.ConclusionsThe prevalence rates ascertained in this study could contribute to a greater understanding of the needs of nursing-home residents, and may provide nursing home staff and managers with trustworthy assessment scales and benchmark values for further quality assessment purposes, clinical development work and initiating future nursing assessments.

【 授权许可】

CC BY   
© The Author(s). 2016