Skip to main navigation menu Skip to main content Skip to site footer
Padjadjaran of Nursing Journal

Original

Vol. 8 No. 2 (2020): Jurnal Keperawatan Padjadjaran

Demographic Factors and Disease History Associated with Dementia among Elderly in Nursing Homes

DOI
https://doi.org/10.24198/jkp.v8i2.1361
Submitted
May 10, 2020
Published
2020-08-01

Abstract

Dementia is increasing in the world which is a major cause of disability and dependence in the elderly. This causes the elderly can not do their daily activities so often live in a nursing home. It is important to know the factors associated with dementia to prevent and treat dementia with appropriate interventions. The objective of this study was to identify the demographic factors and disease history associated with dementia among elderly in nursing homes. The research method was cross sectional study. Sample were recruited from three nursing homes located in Bandung and Garut using purposive sampling technique for a-3 month period (n=163). Data were collected using questionnaire consisting of demographic data, disease history, and MMSE (Mini Mental State Examination). The analysis of data was performed using chi-square test, fisher test, and logistic regression analysis. In term of its association with dementia, low education had the higher odd ratio (OR: 5.90, 95% CI: 2.02-17.20, p=0.001) than unmarried status (OR: 4.78, 95% CI: 1.23-18.52, p=0.024) and stroke (OR: 0.23, 95% CI: 0.06-0.88, p=0.032). However, diabetes mellitus was identified as confounding variable (OR: 0.10, 95%CI: 0.01-1.01, p=0.051). In conclusion, low education, unmarried status, stroke, and diabetes mellitus were predictor factors of dementia among elderly in nursing homes. It is recommended to include effective treatment could be in the form of health education about management of stroke and diabetes, physical activity, improvement of nutritional adequate, and social activities to prevent loneliness.

Article Matrics
Abstract views : 561 times PDF Downloads: 358

Downloads

Download data is not yet available.

References

  1. Arevalo-Rodriguez, I., Smailagic, N., Roquéi Figuls, M., Ciapponi, A., Sanchez-Perez, E., Giannakou, A., … Cullum, S. (2015). Mini-Mental State Examination (MMSE) for the detection of Alzheimer’s disease and other dementias in people with mild cognitive impairment (MCI). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010783.pub2
  2. Baumgart, M., Snyder, H. M., Carrillo, M. C., Fazio, S., Kim, H., & Johns, H. (2015). Summary of the evidence on modifiable risk factors for cognitive decline and dementia: A population-based perspective. Alzheimer’s and Dementia. https://doi.org/10.1016/j.jalz.2015.05.016
  3. Brayne, C., Ince, P. G., Keage, H. A. D., McKeith, I. G., Matthews, F. E., Polvikoski, T., & Sulkava, R. (2010). Education, the brain and dementia: Neuroprotection or compensation? Brain. https://doi.org/10.1093/brain/awq185
  4. Chatterjee, S., Peters, S. A. E., Woodward, M., Arango, S. M., Batty, G. D., Beckett, N., … Huxley, R. R. (2016). Type 2diabetes as a risk factor for dementia in women compared with men: A pooled analysis of 2.3 million people comprising more than 100,000 cases of dementia. Diabetes Care. https://doi.org/10.2337/dc15-1588
  5. Chen, J. C., Espeland, M. A., Brunner, R. L., Lovato, L. C., Wallace, R. B., Leng, X., … Mysiw, W. J. (2016). Sleep duration, cognitive decline, and dementia risk in older women. Alzheimer’s and Dementia. https://doi.org/10.1016/j.jalz.2015.03.004
  6. Chen, J. H., Lin, K. P., & Chen, Y. C. (2009). Risk factors for dementia. Journal of the Formosan Medical Association. https://doi.org/10.1016/S0929-6646(09)60402-2
  7. Chêne, G., Beiser, A., Au, R., Preis, S. R., Wolf, P. A., Dufouil, C., & Seshadri, S. (2015). Gender and incidence of dementia in the Framingham Heart Study from mid-adult life. Alzheimer’s and Dementia. https://doi.org/10.1016/j.jalz.2013.10.005
  8. Crane, P. K., Walker, R., Hubbard, R. A., Li, G., Nathan, D. M., Zheng, H., … Larson, E. B. (2013). Glucose levels and risk of dementia. New England Journal of Medicine. https://doi.org/10.1056/NEJMoa1215740
  9. Dramé, M., Lang, P. O., Jolly, D., Narbey, D., Mahmoudi, R., Lanièce, I., … Novella, J. L. (2012). Nursing home admission in elderly subjects with dementia: Predictive factors and future challenges. Journal of the American Medical Directors Association. https://doi.org/10.1016/j.jamda.2011.03.002
  10. Duong, S., Patel, T., & Chang, F. (2017). Dementia: What pharmacists need to know. Canadian Pharmacists Journal. https://doi.org/10.1177/1715163517690745
  11. Fan, L. Y., Sun, Y., Lee, H. J., Yang, S. C., Chen, T. F., Lin, K. N., … Chiu, M. J. (2015). Marital status, lifestyle and dementia: A nationwide survey in Taiwan. PLoS ONE. https://doi.org/10.1371/journal.pone.0139154
  12. Ferreira, R. G., Brandão, M. P., & Cardoso, M. F. (2018). An update of the profile of older adults with dementia in Europe: findings from SHARE. Aging & Mental Health, 1-8. https://doi.org/10.1080/13607863.2018.1531385
  13. Fitriana, L. A., Rohaedi, S., Sumartini, S., Amalia, L., & Komariyah, L. (2019). Risk Factors of Dementia in Elderly at Nursing Home. Advances in Health Sciences Research. https://doi.org/10.2991/icsshpe-18.2019.48
  14. Fitriana, L. A., Ufamy, N., Anggadiredja, K., Setiawan, S., & Adnyana, I. K. (2019). Hubungan Tingkat Kemandirian (Basic dan Instrumental Activities of Daily Living) dengan Pendidikan, Status Marital, dan Demensia pada Lansia di Panti Wredha. (The relationship between the level of independence (basic and instrumental activities of daily living) with education, marital status, and dementia in the elderly in nursing homes). Jurnal Pendidikan Keperawatan Indonesia. https://doi.org/10.17509/jpki.v5i2.21528
  15. Hestiantoro, A., Jasirwan, S. O., Wiwie, M., Shadrina, A., Ibrahim, N., & Astuti, B. P. K. (2019). Low estradiol levels escalate menopausal symptoms leading to mild cognitive impairment in postmenopausal women. Medical Journal of Indonesia. https://doi.org/10.13181/mji.v28i1.2447.
  16. Holwerda, T. J., Deeg, D. J. H., Beekman, A. T. F., van Tilburg, T. G., Stek, M. L., Jonker, C., & Schoevers, R. A. (2014). Feelings of loneliness, but not social isolation, predict dementia onset: results from the Amsterdam Study of the Elderly (AMSTEL). Journal of Neurology, Neurosurgery &Amp; Psychiatry, 85(2), 135 LP - 142. https://doi.org/10.1136/jnnp-2012-302755
  17. Huang, S. W., Wang, W. Te, Chou, L. C., Liao, C. De, Liou, T. H., & Lin, H. W. (2015). Osteoarthritis increases the risk of dementia: A nationwide cohort study in Taiwan. Scientific Reports. https://doi.org/10.1038/srep10145
  18. Kemenkes RI. (2016). Menkes: Lansia yang Sehat, Lansia yang Jauh dari Demensia. (Healthy elderly are those who are far from dementia). Retrieved January 12, 2019, from : https://www.depkes.go.id/
  19. Kurniawan, T., & Yudianto, K. (2016). Diabetes Self-Management and Its related Factors. Jurnal Keperawatan Padjadjaran. https://doi.org/10.24198/jkp.v4n3.6
  20. Kuźma, E., Lourida, I., Moore, S. F., Levine, D. A., Ukoumunne, O. C., & Llewellyn, D. J. (2018). Stroke and dementia risk: A systematic review and meta-analysis. Alzheimer’s and Dementia. https://doi.org/10.1016/j.jalz.2018.06.3061
  21. Lamotte, G., Morello, R., Lebasnier, A., Agostini, D., Bouvard, G., De La Sayette, V., & Defer, G. L. (2016). Influence of education on cognitive performance and dopamine transporter binding in dementia with Lewy bodies. Clinical Neurology and Neurosurgery, 146, 138-143. https://doi.org/https://doi.org/10.1016/j.clineuro.2016.05.009
  22. Li, J., Cesari, M., Liu, F., Dong, B., & Vellas, B. (2017). Effects of diabetes mellitus on cognitive decline in patients with Alzheimer disease: A systematic review. Canadian Journal of Diabetes. https://doi.org/10.1016/j.jcjd.2016.07.003
  23. Livingston, G., Sommerlad, A., Orgeta, V., Costafreda, S. G., Huntley, J., Ames, D., … Mukadam, N. (2017). Dementia prevention, intervention, and care. The Lancet. https://doi.org/10.1016/S0140-6736(17)31363-6
  24. Nuraeni, A., Mirwanti, R., Anna, A., & Nurhidayah, I. (2019). Determinant Factors of Depression in Patients with Coronary Heart Disease. Jurnal Keperawatan Padjadjaran. https://doi.org/10.24198/jkp.v7i3.1194
  25. Pendlebury, S. T., & Rothwell, P. M. (2009). Prevalence, incidence, and factors associated with pre-stroke and post-stroke dementia: a systematic review and meta-analysis. The Lancet Neurology. https://doi.org/10.1016/S1474-4422(09)70236-4
  26. Perhimpunan Dokter Spesialis Saraf Indonesia. (2016). Panduan Praktik Klinis Neurologi. (Neurology clinical practice guide). Retrieved January 4, 2019, from http://snars.web.id/ppkneurologi/ppkneurologi.pdf
  27. Qiu, C., & Fratiglioni, L. (2018). Aging without Dementia is Achievable: Current Evidence from Epidemiological Research. Journal of Alzheimer’s Disease. https://doi.org/10.3233/JAD-171037
  28. Sharp, E. S., & Gatz, M. (2011). Relationship between education and dementia: An updated systematic review. Alzheimer Disease and Associated Disorders. https://doi.org/10.1097/WAD.0b013e318211c83c
  29. Sundström, A., Westerlund, O., Mousavi-Nasab, H., Adolfsson, R., & Nilsson, L. G. (2014). The relationship between marital and parental status and the risk of dementia. International Psychogeriatrics. https://doi.org/10.1017/S1041610213002652
  30. Toot, S., Swinson, T., Devine, M., Challis, D., & Orrell, M. (2017). Causes of nursing home placement for older people with dementia: A systematic review and meta-analysis. International Psychogeriatrics. https://doi.org/10.1017/S1041610216001654
  31. Umegaki, H. (2014). Type 2 diabetes as a risk factor for cognitive impairment: Current insights. Clinical Interventions in Aging. https://doi.org/10.2147/CIA.S48926.
  32. Wright, H., & Jenks, R. A. (2016). Sex on the brain! Associations between sexual activity and cognitive function in older age. Age and Ageing. https://doi.org/10.1093/ageing/afv197
  33. Xu, S., Jin, X., Liu, C., Jin, Y., Xu, Y., Chen, L., … Yan, J. (2017). Investigating the prevalence of dementia and its associated risk factors in a Chinese nursing home. Journal of Clinical Neurology (Korea). https://doi.org/10.3988/jcn.2017.13.1.10