Cross-sectional study on the influencing factors of nursing dependence in patients with moderate to severe dementia / 中国实用护理杂志

ABSTRACT

Objective:To study the influencing factors of nursing dependence in patients with moderate to severe dementia.Methods:Eighty-seven patients with moderate to severe dementia were enrolled in the Department of Neurology, the First Affiliated Hospital of China Medical University. The demographics of each patient were recorded. The Chinese version of the Nursing Dependence Scale (CDS) was evaluated. The simple mental state test (MMSE), severe cognitive impairment series (SIB-S), and 6-minute walk test score (6MWT) for each patient. Mobility Test Score (TUG), US Cornell Depression Table Score (CSDD), Apathy Score (AES-10)were recorded. Demographic variables, MMSE, 6MWT, TUG, CSDD,AES-10, SIB-S as an independent variable, CDS as a dependent variable, multivariate linear logistic regression was analyzed.Results:The median comorbidities were 2, 6MWT, TUG, MMSE, SIB-S, CSDD, AES-10 score was (208.54±74.02) m and (24.56±11.83), (12.67±5.47), (40.85±7.54), (7.92±4.48), (25.28±7.23) points, which were independent factors with statistically significant impact on the care dependency scale ( B value was -0.67-0.67, P < 0.05 or 0.01). Conclusions:Patients with moderate to severe dementia have more comorbidities, lower physical endurance and increased dependence on depression.