Investigating the Prevalence of Dementia and Its Associated Risk Factors in a Chinese Nursing Home

BACKGROUND AND PURPOSE: The objective of this study was to determine the prevalence of and risk factors for dementia in residents aged 65 years and older in a Chinese nursing home. METHODS: A cross-sectional study was carried out in a nursing home located in Hangzhou, Zhejiang Province, China. Cognitive status, including the presence of dementia and mild cognitive impairment (MCI), was measured using a combination of medical history and objective cognitive assessments. Logistic regression analysis was conducted to predict the associated risk factors. RESULTS: In total, 943 residents (334 males and 609 females) aged 84.00±6.67 years (mean±SD) were included. Dementia was diagnosed in 420 (44.5%) residents, and MCI was diagnosed in 195 (20.7%). Mild, moderate, and severe dementia were present in 20.3%, 14.0%, and 65.7% of those in the dementia group, respectively. Logistic regression analysis revealed that dementia was associated with a low education level (p=0.000), an advanced age (p=0.010), and a history of stroke (p=0.023). CONCLUSIONS: Our study found a high prevalence of dementia in a Chinese nursing home, and a high prevalence of patients with severe dementia. Risk factors for dementia included a low educational level, an advanced age, and a history of stroke. Appropriate interventions need to be applied to this population.

Exploration of the rehabilitation education in aged patients with cardiovascular disease / 心血管康复医学杂志

Objective:To study the practical methods and the results of the rehabilitation education.Methods: One hundred cardiovascular patients over 65 years old who are receiving the com prehensive rehabilitation treatment are selected for rehabilitation education,an d comparisons were conducted between pre-and post-education.Results: After receiving the rehabilitation education,the cognition on disease (51%→89%)、rehabilitation therapy(47%→93%),confidence of to win a victory on d i sease(53%→90%)、attendance rate(71%→98%) increase obviously,and irrationality living habit decrease obviously(36%→13%). Conclusion: The rehabilitation education plays an important role in the rehabilitation of t he aged cardiovascular patients,and it is very practical and feasible.