Factors associated with eating performance in older adults with dementia in long-term care facilities: a cross-sectional study
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2021-12
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Abstract
Background: The purpose of this study was to investigate factors influencing eating performance in older adults with dementia (OAWDs) in long-term care (LTC) facilities.
Methods: This cross-sectional study examined risk factors for compromised eating performance by comparing both independent and dependent older adults with dementia. The study participants were 117 OAWDs in LTC facilities in South Korea. Measurements included (a) general characteristics, (b) activities of daily living (ADL) including eating performance, (c) cognitive function, (d) physical capability, (e) grip strength, (f) Behavioral Psychological Symptoms of Dementia (BPSD), and (g) depression. Data were analyzed by the percentage, mean and standard deviation, Chi-square test, t-test, and logistic regression.
Results: The eating independent group had more comorbidities than the dependent group (t = 2.793, p < .006); had significantly higher cognition (t = 4.108, p < .001) and physical capability (t = 5.258, p < .001); and had stronger grip strength (t = 2.887, p = .005). Comorbidities and physical capability were determinants for independent eating performance (Odds Ratio [OR] = 1.969, p = .014; OR = 1.324, p < .001).
Conclusions: It is suggested that maintaining physical capability should be encouraged to support independent eating performance by OAWDs in LTC facilities. The results of this study could serve as a basis for developing function-focused care to maintain the residual eating performance of OAWDs in Korean LTC facilities. This is a subject area that has not been fully explored.
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Jung, Dukyoo, Jennie C De Gagne, Hyesoon Lee and Minkyung Lee (2021). Factors associated with eating performance in older adults with dementia in long-term care facilities: a cross-sectional study. BMC Geriatrics, 21(1). p. 365. 10.1186/s12877-021-02315-6 Retrieved from https://hdl.handle.net/10161/26994.
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Jennie De Gagne
Jennie Chang De Gagne, PhD, DNP, RN, NPD-BC, CNE, ANEF, FAAN, is a Clinical Professor and Director of the Nursing Education Specialty at the Duke University School of Nursing (DUSON). A prominent scholar in cybercivility and a recent thought leader in cyberethics, especially in AI integration with nursing education, she advances teaching and learning through instructional technologies that promote meaningful, student-centered experiences. De Gagne has authored over 200 publications, including 125 in peer-reviewed journals, and delivered 150 presentations on topics such as technology integration, faculty development, and digital civility and ethics. Recognized with numerous scholarships and awards, she is a fellow of both the National League for Nursing Academy of Nursing Education (ANEF) and the American Academy of Nursing (FAAN). Her expertise has garnered national and international media attention, leading to interviews in both print and digital media, and she brings significant experience in workforce training through distance and online education.
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