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 the Director of the Nursing Education Major/Certificate at the Duke University School of Nursing (DUSON). She is dedicated to advancing the science of teaching and learning through the application of instructional technologies, creating a student-centered environment that fosters meaningful and constructive learning experiences. Her expertise in cybercivility positions her at the forefront of this crucial field, leading her to develop and spearhead innovative projects that address incivility in cyberspace among health professionals and students. With over 200 publications, including 120 in peer-reviewed journals, and 150 presentations on topics such as technology integration in the classroom, faculty development in online education, and cybercivility, she has demonstrated exceptional productivity in disseminating her scholarly work. Additionally, she has expertise in providing distance/online instruction for workforce training.
De Gagne is board certified in Nursing Professional Development by the American Nurses Credentialing Center and has earned certification as a nurse educator from the National League for Nursing. She is a member of the National League for Nursing Academy of Nursing Education and the American Academy of Nursing. Throughout her professional and academic career, she has received scholarships and awards. Her expertise has garnered national and international media attention, leading to interviews in both print and digital media.
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