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Cognitive stimulation during hospitalization improves global cognition of older Taiwanese undergoing elective total knee and hip replacement surgery.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Jun2012, Vol. 68 Issue 6, p1322-1329, 8p, 1 Diagram, 2 Charts
- Publication Year :
- 2012
-
Abstract
- cheng c.-m., chiu m.-j., wang j.-h., liu h.-c., shyu y.-i.l., huang g.-h. & chen c.c.-h. (2012) Cognitive stimulation during hospitalization improves global cognition of older Taiwanese undergoing elective total knee and hip replacement surgery. Journal of Advanced Nursing 68(6), 1322-1329. Abstract Aim. This article is a report on a pilot study conducted to determine the effects of cognitively stimulating activities in older patients undergoing elective hip and/or knee replacement. Background. Cognitive decline occurs in 16-35·5% of older hospitalized patients. In-hospital interventions, such as cognitively stimulating activities, might combat cognitive decline. However, evidence supporting such interventions is limited. Methods. For this randomized pilot trial, 50 older patients (90% women with a mean age of 72·8 years) were recruited in 2008 from a tertiary medical centre in Taiwan. While hospitalized, participants in the intervention group received a daily nurse-led, individual-based, cognitive-stimulation intervention. The comparison group received usual care. Cognitive function was assessed using Mini-Mental State Examination at admission, discharge and 1 month after discharge. Results. The incidence of cognitive decline (≥2-point decline in cognitive score) by hospital discharge was significantly lower for the intervention group (12%) than the usual care group (44%). The intervention group also had better cognitive scores following hospitalization. Upon discharge, participants in the intervention group scored 1·28 points higher than at admission, whereas participants in the usual care declined by 0·76 points. Improvement in cognitive status persisted for the intervention group (+1·33 points) vs. usual care (−0·26 points) at 1 month after discharge. Group differences in changes were statistically significant both at discharge and 1 month afterwards. Conclusion. Our cognitive-stimulation intervention benefited global cognitive function among older patients undergoing elective hip and/or knee replacement. The benefit persisted at 1 month after discharge. [ABSTRACT FROM AUTHOR]
- Subjects :
- SURGERY & psychology
COGNITION disorders
HOSPITAL care of older people
ACADEMIC medical centers
GERIATRIC assessment
ANESTHESIA
CHI-squared test
COGNITION in old age
COMPARATIVE studies
MENTAL depression
LENGTH of stay in hospitals
LONGITUDINAL method
MARITAL status
NURSING practice
ORTHOPEDIC nursing
PATIENTS
POSTOPERATIVE care
PSYCHOLOGICAL tests
REMINISCENCE therapy
RESEARCH funding
STATISTICS
TOTAL hip replacement
TOTAL knee replacement
PILOT projects
DATA analysis
PSYCHOSOCIAL factors
EDUCATIONAL attainment
RANDOMIZED controlled trials
BLIND experiment
DATA analysis software
OLD age
PSYCHOLOGY
PREVENTION
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 68
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 74574046
- Full Text :
- https://doi.org/10.1111/j.1365-2648.2011.05842.x