痴呆症友好型综合护理网络在减轻认知能力下降和减轻家庭护理负担方面的疗效:来自甘道健康长寿计划的见解

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-09-28 DOI:10.33879/amh.143.2023.07072

Szu-Ying Lin, Wan-Chi Lee, Hui-Yu Kuo, Hui-Ju Hsieh, Yi-Cheng Lin, Pei-Ru Chen, Po-Shan Wang

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Efficacy of a Dementia-Friendly Integrated Care Network in Mitigating Cognitive Decline and Alleviating Family Care Burden: Insights from the Gan-Dau Healthy Longevity Plan

Background/Purpose: The clinical efficacy of community-based dementia-friendly integrated care services has not been well-established in the literature. Therefore, this study aims to assess the potential clinical benefits of these services in terms of enhancing cognitive performance and reducing family care burden. Methods: Participants seeking medical attention for cognitive-related issues or dementia between 2018 and 2022 were included in the study. The investigation was divided into two phases: Phase 1 evaluated the efficacy of the integrated care network in preventing cognitive declines in individuals with mild cognitive impairment, while Phase 2 assessed the temporal evolution of family care burden for participants engaged in the integrated care network. Results: Phase 1 included 298 participants, and those involved in the integrated care network demonstrated significantly higher improvement in Mini-Mental State Examination (MMSE) scores compared to the usual care group. Phase 2, which comprised 235 participants undergoing integrated care, showed a significant increase in family care burden. In Phase 1, those in the dementia-friendly integrated care network showing significantly higher improvement in MMSE scores compared to the usual care group (0.7 ± 1.5 vs. 0.0 ± 2.4, p = 0.011). In the subgroup analysis, oldest old subjects with mild cognitive impairment experienced reduced burden compared to the dementia group (-6.4 ± 12.4 vs. 4.2 ± 10.9, p = 0.036). Phase 2 demonstrated a significant increase in Zarit Burden Interview scores (3.5 ± 11.1, p < 0.001) among participants undergoing integrated care. Conclusion: The study highlights the notable benefits of a community-based dementia-friendly integrated care network in improving cognitive performance and alleviating family care burden, underscoring the significance of this approach in dementia care, while further prospective intervention studies are needed to confirm its clinical benefits for individuals with cognitive impairment or dementia

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.