Journal of Nursing Theory and Practice

[Associated factors of independency in older adults with cognitive impairment living in a long term care institute]

KOVÁCS Éva1, JÓNÁSNÉ SZTRUHÁR Izabella2,3, KARÓCZI Csilla Kata4, VASS Zsolt5, FARKAS Lilla6

JUNE 30, 2016

Journal of Nursing Theory and Practice - 2016;29(03)

[Aim of the research: Functional independence determines the elderly’s health and quality of life. In them cross-sectional study the authors analysed the associations between functional abilities (balance, gait, functional mobility, cognitive abilities), age, BMI and comorbidities and independency in older adults with cognitive impairment. Research and sampling methods: 110 elderly people were measured. Self-sufficiency was measured by the Katz-index, balance, and gait by the Tinetti Test and functional mobility by the Timed Up and Go Test. Correlations between variables were analysed with the Spearman’s rank-order correlation. Results: There was strong association between balance (r=0,557), gait (r=0,515), functional mobility (r=-0,647), and independency. It means the better the balance, gait, and functional mobility is, the higher the independency is. There was weak association between age, BMI, cognitive abilities, comorbidities and independency. Conclusion: Results show that preserving of the functional independence in older adults with cognitive impairment is a multidisciplinary task: physiotherapists and nurses should work together to complete doctors’ curative work of chronic diseases.]

AFFILIATIONS

  1. Semmelweis Egyetem Egészségtudományi Kar Alapozó Egészségtudományi Intézet Morfológiai és Fiziológiai Tanszék
  2. Fővárosi Önkormányzat Pesti úti Idősek Otthona és Regionális Módszertani Osztály
  3. Semmelweis Egyetem Egészségtudományi Kar Alkalmazott Egészségtudományi Intézet Fizioterápia Tanszék
  4. Semmelweis Egyetem Egészségtudományi Kar MSc Fizioterápia szak I. évfolyam
  5. Semmelweis Egyetem Egészségtudományi Kar BSc Ápoló szakirány III. évfolyam
  6. Semmelweis Egyetem Egészségtudományi Kar BSc Gyógytornász szakirány IV. évfolyam

COMMENTS

0 comments

Further articles in this publication

Journal of Nursing Theory and Practice

Physical activity as primary prevention of metabolic syndrome

MARTINEK Lukas, TOTHOVA Valérie, KOVAROVA Maria, DUSICKOVA Tereza, KIMMER David

Metabolic syndrome is constantly discussed, together with cancer diseases, as one of the biggest threats to the 21st century. Despite the differing indicators of specific diseases behind the metabolic syndrome, it is to be understood as a very risky aspect of health. Primary prevention through life style modifications, specifically reduction of the sedentary way of life and integration of regular physical activity into daily life of children, adults and seniors is an appropriate tool of prevention of metabolic syndrome. A number of valid studies show that increasing physical motion contributes to improvement of diseases that stand behind the metabolic syndrome. However, healthy adult population of the Czech Republic shows distinctive dislike of physical activity and primary prevention is insufficiently supported both by experts dealing with this issue and at political level while secondary prevention prevails. Therefore we consider it imperative to involve more funding into programs supporting physical activity. It is also necessary to explore forms of education within the physically active life style.

Journal of Nursing Theory and Practice

[Young adults with inflammatory bowel disease of quality of life]

TÓTH Marianna, PAKAI Annamária, VARGA Győrfi Krisztina, SZUNOMÁR Szilvia, VÁRADYNÉ HORVÁTH Ágnes

[Aim of the research: In the recent years the number of individuals with inflammatory bowel disease shows a significant increase. The aim was to highlight those factors that negatively affect the quality of life of young adults with inflammatory bowel disease. Research and sampling methods: The authors made a cross-sectional, quantitative research at PTE KK between July 15, 2014 and December 31, 2014. During the non-random, convenience sampling, patients with Crohn’s disease or Ulcerative Colitis, aged between 18 and 46 years were included in the target audience. The data collection tools were standard questionnaires (Illness Intrusiveness Ratings Scale, IBDQ, Stoma Quality of Life Scale) and also demographic information (N=103). Beside the descriptive statistics we also used two-sample t-test with the help of the Microsoft Excel 2013 program (p<0,05). Results: The Illness Intrusiveness Ratings Scale mean score was 55,34±17,06 and in the context of the basic disease and socio-demographic indicators show no significant difference (p> 0.05). The average score of the IBDQ was 51,92 ±18,54, as regard the residence we found significant difference (p <0.001). Conclusions: The quality of life of young adults with inflammatory bowel disease must be improved and should be pursued to reduce the disease burden. The multidisciplinary treatment of the disease is important.]

Journal of Nursing Theory and Practice

[Participate patients’ education of anticoagulans treatment]

VARGA Miklós Józsefné

[Aim of the research: The exploration of deficiencies arising of patients’ education about the anticoagulans treatment. Research and sampling methods: The research happened at the lying patients on the class, all those who take the anticoagulans medication. Results: The patients’ information is inapposite. This information happened only on the beginning of the treatment, and sometimes they did not receive suitable information about this problem. Conclusions: The information and the ecucation are inapposite of oral anticoagulans treatment. ]

Journal of Nursing Theory and Practice

[The role of nurses in the clinical trials]

NAGY Mónika Anita

[Aim of the research: To assess the occupational duties and responsibilities of nurses in relation to clinical trials in Hungary. Research and sampling methods: Self-administered questionnaire was used among the colleagues working in the field of clinical trial and IBM SPSS 22.0 software using descriptive statistical methods was performed. Results: It was found that the majority of nurses complete the duties of a study coordinator and the task of a study nurse simultaneously. They were involved in everyday activities that characterise the assistance of patients and in the management of paper-based documentation during clinical trials. Lack of knowledge in English language was identified for the reason of reduced-functionality of nurses in 59 cases. Conclusions: nurses have complex responsibilities, although they meet the requirements when it comes to the professional tasks and documentation obligations, but in the case of more complicated professional challenges nurses get fewer opportunities, mainly because of their poor English skills.]

All articles in the issue

Related contents

Clinical Neuroscience

[Diabetes, dementia, depression, distress]

SZATMÁRI Szabolcs, ORBÁN-KIS Károly, MIHÁLY István, LÁZÁR Alpár Sándor

[The number of people living with diabetes continues to rise. Therefore neurologists or other health care practitioners may be increasingly faced with comorbid neuropsychiatric disorders commonly presented by diabetic patients. More recently there has been an increasing research interest not only in the interactions between diabetes and the nervous system, the fine structure and functional changes of the brain, but also in the cognitive aspects of antidiabetic treatments. Patients with both types of diabetes mellitus may show signs of cognitive decline, and depression. Comorbid insomnia, anxiety, and distress may also occur. The bi-directional relationships between all these phenomena as well as their connection with diabetes can lead to further health and quality of life deterioration. Therefore it is important that all practitioners involved in the care of diabetic patients recognize the presence of comorbid neuropsychiatric disturbances early on during the healthcare process. Identifying higher risk patients and early screening could improve the prognosis of diabetes and may prevent complications.]

Clinical Neuroscience

Pulmonary physiotherapy and aerobic exercise programs can improve cognitive functions and functional ability

TUNC Abdulkadir, GÜNGEN Dogan Belma, TEKESIN Aysel, AVCI Nalan, BAKIS Muhammed, PERK Seyma

Objective - The increasing prevalence of dementia over the previous decades has been accompanied by numerous social and economic problems. The importance of exercise in the prevention of dementia coupled with the impact of aspiration pneumonia on the mortality and morbidity of dementia patients cannot be overstated. This study investigates the effects of pulmonary rehabilitation combined with aerobic stretching exercises on the cognitive function, life quality, effort capacity, and level of depression in patients with mild cognitive impairment (MCI) in the early stages of dementia. Methods - Sixty-nine patients with MCI diagnosis were routinely monitored, and six were excluded because they did not attend the follow-up appointments. The remaining 63 patients undertook pulmonary physiotherapy (PPT) and extremity exercises for six months. The mini-mental state examination (MMSE), six-minute walk test (6MWT), Nottingham health profile (NHP), and Beck depression inventory (BDI) scores were evaluated before and after exercise. Results - PPT plus extremity exercises appeared to significantly improve the MMSE scores and increase the 6MWT (p < 0.001) by an average of 25 m. No significant improvement was observed in the BDI and NHP scores. Conclusion - PPT and aerobic exercise positively affected the cognitive ability of MCI patients and improved their walking distance. These results underscore the importance of combining medical treatment with physical rehabilitation at the onset of dementia, a disease which exerts a significantly negative impact on the economy.

Clinical Neuroscience

[Mentalizing deficit in neurological disorders: a review article]

ILLÉS Zsolt, FEKETE Sándor, TÉNYI Tamás, HEROLD Róbert, MIKE Andrea, VARGA Eszter, SIMON Mária, HAJNAL András

[Introduction – Mentalization is the ability to attribute mental states (intentions, desires, thoughts, emotions) to others, and hence to predict their behaviour. This ability fundamentally determines our participation in social relationships and adaptation to society. A significant proportion of the disorders of the central nervous system (CNS) affects those brain structures and neurotransmitter systems that play a role in the mentalizing processes. Accordingly, a number of CNS disorders may be associated with mentalizing deficits, which may affect the outcome of these diseases. Here, we review recent research on mentalizing abilities in neurological diseases. Methods – An internet database search was performed to identify publications on the subject. Results – Sixty-two publications in English corresponded to the search criteria. These publications reported impaired mentalization in several neurological disorders (e.g. epilepsy, Parkinson’s disease, multiple sclerosis, dementias, traumatic brain injury). Discussion – The results indicate that a number of neurological disorders associate with mentalizing deficit. This deficit is often present in the early stages of the diseases and has a prognostic value, which in turn emphasizes the importance of the early detection and adequate rehabilitation.]

Clinical Neuroscience

[The application of RBANS (Repeatable Battery for the Assessment of Neuropsychological Status) in neurocognitive testing of patients suffering from schizophrenia and dementia]

BARTKÓ György, JUHÁSZ Levente Zsolt, KEMÉNY Katalin, LINKA Emese, SÁNTHA Judit

[Introduction - The purpose of our study was to find out whether the Hungarian adaptation of the RBANS (Repeatable Battery for the Assessment of Neuropsychological Status), a brief neurocognitive screening test, is appropriate for the differentation of healthy and non-healthy subject groups, or for the detection of differences between the cognitive performance of patient groups. Patients and method - The test battery was administrated to 38 healthy subjects, 69 schizophrenic patients, and 18 patients suffering from dementia (10 probable Alzheimer-type and eight vascular dementia). Results - There was a significant decrease of performance in all patient groups compared to the healthy group. In the schizophrenic group, the test indicated a deterioration of functioning in all cognitive areas. The patient group with Alzheimer-type dementia performed only slightly better than the schizophrenic group, because the fall of performance was not significant only one of the cognitive areas (in the visuo-spatial tasks) when compared to the healthy group. There was no difference between the performance of patients with vascular dementia and that of healthy subjects in direct memory, verbal and visuo-spatial tasks. The test results indicated an even deterioration of cognitive areas in patients with Alzheimer-type dementia. As for the vascular dementia group, the most vulnerable area proved to be that of attention, while their verbal functions were relatively spared. The deterioration in other cognitive functions shown by schizophrenic subjects was more moderate, but still significant. A comparison of the RBANS scores of the schizophrenic patients in our study and the result of an American study was also carried out. The global indeces showed no difference; only the pattern of the sub-scales was a little different. Conclusion - The Hungarian version of the RBANS seems appropriate for the differentiation of healthy and deteriorated cognitive performance in a Hungarian patient population.]

Lege Artis Medicinae

[The effects of angiotensin receptor blockers on the nervous system in hypertension and dementia]

KOVÁCS Tibor

[The renin-angiotensin system (RAS) is one of the most important mechanisms regarding the pathomechanism and treatment of hyprtension. The most of the elements of the RAS are found in the nervous system too. The effect of angiotensin converting enzyme inhibitors and angiotensin receptor blockers (ARBs) is based on the inhibition of the RAS. ARBs might have a special role in the central nervous system because they do not decrease the production of angiotensin but inhibit its harmful effects mediated through the AT1 receptor while allowing the stimulation of AT2 receptors with resulting pleiotrophic actions. Hypertension is the most important risk factor for stroke and has a negative effect on cognitive functions. Antihypertensive treatment has an effect on the nervous system; in addition to the consequences of the reduced blood pressure, ARBs might provide additional advantages in stroke and dementia prevention.]