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Impact of day care services on physical and cognitive functions in old people with dementia in a medical center in central Taiwan. | LitMetric

AI Article Synopsis

  • - The study examined the effects of day care service (DCS) on the physical and mental functions of 18 elderly participants in Taiwan, revealing significant improvements after 6 months of DCS.
  • - Participants showed increased scores in activities of daily living (ADL) and mini-mental state examination (MMSE), indicating enhancements in their cognitive and functional abilities.
  • - Additionally, the study found a reduction in family stress burden, suggesting that DCS not only benefits the elderly but also their caregivers.

Article Abstract

Background: Day care service (DCS) provides various activities in a professional environment to meet the old people with functional limitations. However, relatively little is known about the effects of DCS on physical and mental functions.

Methods: This was a retrospective study that we used a comprehensive geriatric assessment to evaluate the changes before and after DCS among participants in a hospital-affiliated geriatric day care center in Taiwan. The burden of the participants' families was also assessed.

Results: The 18 participants with a median age of 80.9 (interquartile range (IQR) 75.2-86.6 y/o) were enrolled and followed up for 6 months. Based on the clinical dementia rating (CDR), disease stage was very mild in 3 participants, mild in 10, moderate in 3, and severe in 2. The activities of daily living (ADL) scores of the participants improved significantly from 75 (IQR 60.0-80.0) at baseline to 77.5 (IQR 65.0-90.0) at the 6 month (p < 0.001), and mini-mental state examination (MMSE) scores from 15 (IQR 11.5-20.0) to 18 (IQR 15.8-24.0) (p = 0.026). There was a positive correlation of baseline mini-nutritional assessment-short form score and the 3-level version of the European Quality of Life-5 dimensions utility index with both ADL and MMSE scores at the 6-month follow-up. In addition, the family burden scale was reduced from 22 to 15 (p = 0.002).

Conclusions: The physical and cognitive functions in old people with dementia who received DCS were maintained or partially improved, and their families' stress burden was alleviated.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8223263PMC
http://dx.doi.org/10.1186/s12955-021-01806-9DOI Listing

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