Cross-sectional study on the influencing factors of nursing dependence in patients with moderate to severe dementia

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. Key words: Activities of daily living; Nursing dependence; Dementia; Moderate to severe cognitive impairment