Quality of life in cognitively impaired older adults

Bonfiglio, Viviana; Umegaki, Hiroyuki; Kuzuya, Masafumi

doi:10.1111/ggi.13759

Cited by 15 publications

(35 citation statements)

References 26 publications

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“…Although the small number of participants reporting these symptoms precludes any meaningful comparison, it is possible that participants who are experiencing these symptoms do not always disclose to even close family and friends due to fear of a negative reaction. The general finding that informants are more likely to indicate the presence of a symptom is in line with research that compares informant versus self-report for other health outcomes such as quality of life, where informants tend to report worse health than participants (Bonfiglio et al 2019;Zucchella, Bartolo et al 2015).…”

supporting

confidence: 77%

The Mild Behavioral Impairment Checklist: a promising tool for assessing mild behavioral impairment in community samples

Godin

Theou

2020

Int. Psychogeriatr.

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In their article "Profile of mild behavioral impairment and factor structure of the Mild Behavioral Impairment Checklist in cognitively normal older adults," Creese et al. (2019b) sought to describe the prevalence of MBI and each individual symptom in a cognitively normal community sample and explore the latent structure of the MBI-C using exploratory factor analyses (Creese Griffiths et al. 2019b). Further, the authors examined whether the prevalence and latent structure were the same when participants responded directly and when informants responded for the participants. Mild behavioral impairment (MBI) is the sustained emergence of mild or severe neuropsychiatric symptoms that are not the result of other medical or psychiatric disorders and that occur prior to onset of dementia (Cieslak et al. 2018). Presence of MBI could be a risk factor for cognitive decline and dementia or could be the first clinical expression of dementia potentially occurring prior to any cognitive difficulties (Cieslak et al. 2018) and MBI may be an even stronger predictor of future dementia than Mild Cognitive Impairment (MCI) (Taragano et al. 2009). In 2012, a working group was formed to establish diagnostic criteria for MBI, which they define as neuropsychiatric symptoms that emerge in later life (≥ 50 years), with or without MCI, and are sustained for at least six months (Creese et al. 2019a; Ismail et al. 2016). The use of the Neuropsychiatric Inventory (NPI) and similar instruments to measure MBI is common (Andrews et al. 2018; Sheikh et al. 2018; Wise et al. 2019) and far from ideal as these scales were developed for use in populations who were already experiencing dementia and were often tested in institutionalized patients and, as such, were not completely relevant to cognitively normal or mild cognitively impaired community dwelling adults (Ismail et al. 2017). The 34-item mild behavioral impairmentchecklist (MBI-C), which is free to use and in the public domain (www.MBItest.org), addresses many of these limitations and can be completed by patients, informants or clinicians and was designed to measure the five domains of MBI (i.e. apathy, emotional dysregulation, impulse

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supporting

confidence: 77%

The Mild Behavioral Impairment Checklist: a promising tool for assessing mild behavioral impairment in community samples

Godin

Theou

2020

Int. Psychogeriatr.

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“…Promisingly, in this study, it was confirmed that the IgA, IgM, and IgG levels of patients in the research group after intervention were significantly higher than those in the reference group, indicating that the implementation of fast-track surgical nursing reduced the damage and the impact on internal immune cells to improve surgical safety. Conversely, routine perioperative clinical nursing forbidding food and drink affected the intestinal function of patients, which resulted in imbalance of gut flora and an increase in the probability of complications, and also caused electrolyte disorders in the body and affecting the prognosis [ 19 ]. This study confirmed that the concept of fast-track surgery, a reliable clinical nursing measure, reduced the incidence of postoperative complications in patients.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Effect of Fast Recovery Surgery Concept on Perioperative Nursing Care of Patients with Radical Resection of Cervical Cancer and Its Influence on Psychological Status

Lin

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. To explore the applied effect of fast-track surgery concept in the perioperative nursing of patients undergoing radical cervical cancer surgery and its influence on mental state. Methods. The clinical data of 110 patients undergoing radical cervical cancer surgery in our hospital from May 2015 to May 2017 were retrospectively analyzed, and they were randomly divided into a research group (n = 55) and a reference group (n = 55). The reference group received routine clinical nursing, and the research group received fast-track surgical nursing. Then, we compared their nursing effect and influence on the mental state of patients in the two groups. Results. The Karnofsky performance status (KPS) scores of patients in the two groups after intervention were significantly lower than those before the intervention ( P < 0.001), and after intervention, patients in the research group had significantly lower KPS scores as compared to patients in the reference group ( P < 0.001). There was a significant decrease in the self-rating anxiety scale (SAS) scores and self-rating depression scale (SDS) scores of patients in the two groups after intervention in comparison with before intervention ( P < 0.001), and patients in the research group after intervention had significantly lower SAS and SDS scores compared to the reference group ( P < 0.001). Patients in the research group spent short time on expelling gas, eating, and getting out of bed as compared to the reference group ( P < 0.001); after intervention, compared to patients in the reference group, patients in the research group had significantly higher scores in cognitive function, emotional function, social function, and physical function ( P < 0.05). There was no significant difference in IgA, IgM, and IgG levels before intervention ( P > 0.05). After intervention, the IgA, IgM, and IgG levels of patients in the two groups were all lower than before intervention, and patients in the research group had significantly higher IgA, IgM, and IgG levels as compared to the reference group ( P < 0.001); the complication rate of patients in the research group was significantly lower than that in the reference group ( P < 0.05). Conclusion. The fast-track surgery concept effectively helps improve the negative emotion of patients, shorten recovery time, improve quality of life, and reduce the impact on immune function in the radical cervical cancer surgery, and it is worthy of promotion and application, with a high safety.

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“…T A B L E 2 Results of generalized estimating equations on physical functional performance Physical performance is positively associated with the quality of life of individuals with cognitive impairment (Bonfiglio et al, 2019).…”

Section: Resultsmentioning

confidence: 99%

“…The present study verified that Chan‐Chuang qigong improved physical, but not mental, aspects of the participants' quality of life. Physical performance is positively associated with the quality of life of individuals with cognitive impairment (Bonfiglio et al, 2019). However, this is inconsistent with a study that Chan‐Chuang qigong improved both physical and mental aspects of the quality of life of patients with an acute stroke (Chen et al, 2019), and the overall quality of life of patients with heart failure (Cheng et al, 2018) and cancer (Chuang et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Three‐month Chan‐Chuang qigong program improves physical performance and quality of life of patients with cognitive impairment: A randomized controlled trial

Hsu

Yeh

Liu

2022

Research in Nursing & Health

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This randomized controlled trial was conducted to evaluate the effects of a 3-month-long Chan-Chuang qigong program on patients' physical performance and quality of life while excluding the influence caused by the progression of their cognitive impairment. Patients with mild to moderate cognitive impairment were recruited from two dementia daycare centers in Taiwan. The control group (n = 41) received the standardized plan of treatment, and the qigong group (n = 39) received the standardized plan of treatment plus the Chan-Chuang qigong program. The outcomes were muscle strength, muscle endurance, exercise capacity, and quality of life. After controlling for the progression of cognitive impairment, the qigong group showed significant improvements over the control group and baseline in muscle strength and exercise capacity at Months 2 and 3 (p < 0.05) and in muscle endurance at Months 1, 2, and 3 (p < 0.05). The Cognitron test scores were significantly associated with muscle strength (p = 0.03), whereas the Corsi block-tapping test scores were significantly associated with exercise capacity (p = 0.001). Furthermore, a significant between-group difference was detected in the physical (p = 0.01), not mental (p = 0.83), component of quality of life. The 3-month Chan-Chuang qigong program can be applied for patients with mild to moderate cognitive impairment as complementary therapy to improve their muscle strength, muscle endurance, exercise capacity, and physical quality of life. This program should be practiced for at least 2 months to achieve satisfactory results.

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Quality of life in cognitively impaired older adults

Cited by 15 publications

References 26 publications

The Mild Behavioral Impairment Checklist: a promising tool for assessing mild behavioral impairment in community samples

The Mild Behavioral Impairment Checklist: a promising tool for assessing mild behavioral impairment in community samples

Analysis of the Effect of Fast Recovery Surgery Concept on Perioperative Nursing Care of Patients with Radical Resection of Cervical Cancer and Its Influence on Psychological Status

Three‐month Chan‐Chuang qigong program improves physical performance and quality of life of patients with cognitive impairment: A randomized controlled trial

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