文献类型：期刊文献

英文题名：Self-perceived care needs and quality of life in people with cognitive impairment during routine care at home: cross-sectional results of the interventional study

作者：Zhang, Juxia[1];Xu, Xiaoqin[2];Zhang, Xiaoli[3];Yin, Yuhuan[3];Wang, Jiancheng[4]

第一作者：Zhang, Juxia

通信作者：Wang, JC[1]

机构：[1]Gansu Prov Hosp, Clin Educ Dept, Lanzhou 730000, Gansu, Peoples R China;[2]Gansu Prov Hosp, Dept Neurol, Lanzhou 730000, Gansu, Peoples R China;[3]Gansu Univ Chinese Med, Sch Nursing, Lanzhou 730000, Gansu, Peoples R China;[4]Gansu Prov Hosp, Dept Geriatr, Lanzhou 730000, Gansu, Peoples R China

第一机构：Gansu Prov Hosp, Clin Educ Dept, Lanzhou 730000, Gansu, Peoples R China

通信机构：[1]corresponding author), Gansu Prov Hosp, Dept Geriatr, Lanzhou 730000, Gansu, Peoples R China.

年份：2023

卷号：23

期号：1

外文期刊名：BMC GERIATRICS

收录：;Scopus(收录号：2-s2.0-85151217926);WOS:【SSCI(收录号:WOS:001188141100004)，SCI-EXPANDED(收录号:WOS:001188141100004)】；

基金：This work was supported by the Natural Science Foundation of Gansu Province (21JR7RA607 and 21JR7RA613), the National Natural Science Foundation of China (72264002), the China Medical Education Association Project (2022KTZ010) and the Health Industry Research Plan Project of Gansu Province (GSWSKY-2019-50).

语种：英文

外文关键词：Quality of life; Physical component summary; Mental component summary; Cognitive impairment; Unmet needs

摘要：Background Cognitive impairment (CI) is one of the most common disabling symptoms in the elderly, and people with CI face a variety of unmet care needs. There is limited evidence on the relationship between unmet needs and quality of life (QoL) of people with CI. The aim of this study is to analyse the current situation of unmet needs and QoL among people with CI, and to explore the correlation between QoL and unmet needs. Methods The analyses use baseline data of the intervention trial, which recruited 378 participants to complete the questionnaire including the Camberwell Assessment of Need for the Elderly (CANE), and the Medical Outcomes Study 36-item Short-Form (SF-36). The SF-36 was further gathered into physical component summary (PCS) and mental component summary (MCS). Multiple linear regression analysis was conducted to explore the correlations between unmet care needs and PCS and MCS of SF-36. Results The mean score of each of the eight domains of SF-36 was significantly lower than the Chinese population norm. The incidence of unmet needs ranged from 0 to 65.1%. Multiple linear regression results showed that living in rural areas (Beta=-0.16, P < 0.001), having unmet physical needs (Beta=-0.35, P < 0.001), and unmet psychological needs (Beta=-0.24, P < 0.001) were associated with lower PCS scores, whereas duration of CI > 2 years (Beta=-0.21, P < 0.001), unmet environmental needs (Beta=-0.20, P < 0.001), and unmet psychological needs (Beta=-0.15, P < 0.001) were associated with lower MCS scores. Conclusion The main results support the important view that lower QoL scores are associated with unmet needs in people with CI, depending on the domain. Given that the more unmet needs can further worsen QoL, it is recommended that more strategies should be taken, especially for those with unmet care needs, so as to improve their QoL.