Cognitive screening for elderly people in long-term care institutions in the Miranda do Corvo municipality, Portugal

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Miniatura
Data
2018-05
Autores
Daniel, Fernanda
Fernandes, Vanessa
Silva, Alexandre
Espirito-Santo, Helena
Título da revista
ISSN da revista
Título do Volume
Editora
Ciência & Saúde Coletiva
Resumo
This study aimed to screen the cognitive profile elderly people living in long-term care institutions in the municipality of Miranda do Corvo by evaluating 174 participants with the Mini Mental State Examination (MMSE) (n=96) and the clinical dementia diagnosis (n=78). According to the MMSE, 41.7% of respondents had scores suggestive of cognitive impairment. The percentage rose to 67.8% (n=118) by adding the diagnosis of dementia reported in individual medical records to this result. The comparison of our results with those obtained nationwide showed that this proportion was significantly higher (p<0.001). The educational level was a predictive factor for MMSE scores (p=0.001). We can conclude that the high prevalence of suspected cognitive impairment and dementia revealed in our study should lead us to reflect on the quality of care provided and on the lack/scarcity of cognitive stimulation programs in long-term care institutions for seniors. Thus, it is imperative to implement regular cognitive assessment and to apply intervention programs for the preservation and improvement of the cognitive functioning of institutionalized elderly of deprived areas.
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Palavras-chave
Idosos - Elderly, Institucionalização - Institutionalization, Déficit cognitivo - Cognitive deficit, Triagem cognitiva - Cognitive screening
Citação
Daniel, F., Fernandes, V., Silva, A., Espírito Santo, H. (2019). Rastreio cognitivo em estruturas residenciais para pessoas idosas no Concelho de Miranda do Corvo, Portugal [Cognitive screening for older people in long-term care institutions in the Miranda do Corvo municipality, Portugal]. Ciência & Saúde Coletiva, 24(11), 4355-4366. https://doi.org/10.1590/1413- 812320182411.07422018. SJR® fator de impacto (2017): 0.57