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Observational Study
. 2020 Jan;99(2):e18741.
doi: 10.1097/MD.0000000000018741.

Dementia screening for elderly in-patients and its association with nursing care satisfaction-an observational study

Li-Kai Huang  1   2   3 , Jui-Chen Tsai  4   5 , Hsun-Hua Lee  1   6 , Yi-Chun Kuan  1   7   8 , Yao-Tung Lee  9   10 , Chia-Pei Lin  9 , Shu-Ping Chao  1 , Chaur-Jong Hu  1   7   3
Affiliations
Observational Study

Dementia screening for elderly in-patients and its association with nursing care satisfaction-an observational study

Li-Kai Huang et al. Medicine (Baltimore). 2020 Jan.

Abstract

Inappropriate care for patients with cognitive dysfunction in the hospital could worsen quality of care and medical service satisfaction.All elderly participants were recruited from acute wards of 5 departments in an university hospital. They were administered the Chinese version of Ascertain Dementia 8 (AD8) at admission and the Nursing Service Satisfaction Questionnaire before discharge.A total of 345 participants completed the study. There were 91 (26.4%) participants with AD8 ≥ 2, the cut-off value of high risk of dementia. The prevalence was much higher than prior community-based reports. The Nursing Service Satisfaction Score was significantly lower in AD8 ≥ 2 than in AD8 < 2 (56.99 ± 0.94 vs 60.55 ± 0.48, P < .01).Using AD8 in hospital-based screening might be more efficient than in the community in terms of cost-effectiveness due to higher positive rate and easier approach to diagnostic facilities. AD8 ≥ 2 is also an indicator to identify care dissatisfaction among inpatients. By identifying patients with cognitive dysfunction, such as its related communication barriers, care systems could be tailored for more friendly services.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Scatter plot of AD8 and Nursing Service Satisfaction Score. Pearson correlation coefficient (r) = -0.3413, P < .05.
Figure 2
Figure 2
Scatter plot of Age and Nursing Service Satisfaction Score. Pearson correlation coefficient (r) = -0.0210, P = .77.
See this image and copyright information in PMC

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