Evaluation of Preventive Care Program for Cognitive Function Decline among Community-dwelling Frail Elderly People A Pilot Study

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1 Journal of Japan Academy of Community Health Nursing Vol. 9, No. 2, pp , 2007 Evaluation of Preventive Care Program for Cognitive Function Decline among Community-dwelling Frail Elderly People A Pilot Study Aya Bando Ayumi Kono Yumiko Nakamura Yuko Ueda Takako Otaki GDS MMSE GDSMMSE p 0.002MMSE p MMSE p 0.03p0.03 MMSE Purpose : The purpose of the present study is to examine the effects on preventive care program for cognitive function decline among community-dwelling frail elderly people. Methods : Subjects were 16 frail elderly people, included seven male and nine female, and whose mean age was 79.6 (SD7.5). The care program consisting of activities stimulate their cognitive function for two hours, four times during two months. We measured GDS (Geriatric Depression Scale) as depression, MMSE (Mini- Mental State Examination) and Stroop Color-Word Test as cognitive function at the time of pre-intervention and post-intervention. Results : Scores of GDS have decreased, although the change is not significant. Scores of MMSE significantly improved (p 0.002) at the point of post-intervention. Orientation, subscale of MMSE, significantly improved (p0.03). Regarding Stroop Color-Word Test, three subjects who could not complete the task at the point of pre-intervention could complete it at the point of post-intervention with few mistakes. Scores of MMSE were improved significantly among male subjects (p0.03) and younger subjects (p0.03). Received : August 9, 2006 Accepted : January 29, School of Nursing, Osaka City University 2School of Nursing, Osaka Prefecture University 3Shinwa Medical Co., Ltd, Ai Home-Visit Nursing Care Agency Vol. 9, No. 2 87

2 Discussion and Conclusion : The results suggest that the present preventive care program was effective to improve cognitive functions among community-dwelling frail elderly people. Future research should be conducted, expanding numbers of subjects, examining the effect on gender or age difference. Key words : community, elder, preventive care, cognitive function, evaluation AACD : aging-associated cognitive decline AACD H F O ADLIADL 14 ADLFIMFunctional Independence Measure ADL Lawton LSNSLubben Social Network Scale Vol. 9, No. 2

3 a a a a a SpO GDSGeriatric Depression Scale MMSEMini-Mental State Examination 19 MMSE A3 60 Wilcoxon SAS Ver Vol. 9, No. 2 89

4 n 15 n 15 range SE SE p 1 GDS MMSE FIM LSNS GDS MMSE 2 p0.002 p MMSE p 0.03p GDS 24 GDS Vol. 9, No. 2

5 n 15 n 7 n 8 p SE SE SE SE p GDS MMSE n 8 76 n 7 p SE SE SE SE p GDS MMSE GDS QOL MMSE 8 MMSE 7 AACD Rapp 25 MCImild cognitive impairment 26 MMSE MMSE MMSE MMSE 25.6 MMSE MMSE MMSE Vol. 9, No. 2 91

6 1Ritchie K, Artero S, Touchon J : Classification criteria for mild cognitive impairment. A population-based validation study. Neurology 561: 37 42, Kalmijn S, van Boxtel MP, Ocke M, et al : Dietary intake of fatty acids and fish in relation to cognitive performance at middle age. Neurology 622: , Morris MC, Evans DA, Bienias JL, et al : Dietary intake of antioxidant nutrients and the risk of incident Alzheimer disease in a biracial community study. JAMA 28724: , Yoshitake T, Kiyohara Y, Kato I, et al : Incidence and risk factors of vascular dementia and Alzheimer s disease in a defined elderly Japanese population, the Hisayama study. Neurology 45 6: , Wilson RS, Mendes De Leon CF, Barnes LL, et al. : Participation in cognitively stimulating activities and risk of incident Alzheimer disease. JAMA 2876: , Fratiglioni L, Wang HX, Ericsson K, et al : Influence of social network on occurrence of dementia ; a community-based longitudinal study. Lancet 355 : , Dementia Japan 192: , : , : , FIM Sonoda S, Saitoh E, Nagai S, et al : Stroke outcome prediction using reciprocal number of initial activities of daily living status. J Stroke Cerebrovasc Dis 14 : 8 11, : , : 34 42, Lubben JE : Assessing social networks among elderly populations. Fam Commun Health 11 : 42 52, Niino N, Imaizumi T, Kawakami N : A Japanese translation of the Geriatric Depression Scale. Clin Gerontol 10 : 85 87, Yesavage JA, Brink TL : Development and validation of a geriatric depression screening scale : A preliminary report. J Psychiatr Res 17 : 37 49, Mini-Mental State 12: 82 90, Folstein MF, Folsten SE, McHugh PR : Mini- mental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12 : , Stroop J : Studies of interference in serial verbal reactions. J Exp Psychol 18 : , Burns A, Lawlor B, Craig S : Assessment Scales in Old Age Psychiatry2nd ed. London : Martin Dunitz, p115, Lezak M, Howieson D, Loring DW : Neuropsychological Assessment4th ed. New York : Oxford University Press, pp , : , Rapp S, Brenes G, Marsh AP : Memory enhancement training for older adults with mild cognitive impairment : A preliminary study. Aging Ment Health 61: 5 11, Progress in Medicine 262: , Vol. 9, No. 2