Comparing the Cognitive Level and Urinary Incontinence Severity of Individuals Living in Nursing Homes According to Their Functional Levels
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https://doi.org/10.5281/zenodo.18179386Keywords:
Nursing Home, Elderly, Urinary Incontinence, CognitionAbstract
Aim: The aim of this study is to compare the cognitive levels and urinary incontinence severity of elderly individuals living in nursing homes according to their functional levels.
Materials and Methods: The research was conducted with 45 individuals (30 women, 15 men) living in an elderly care center with an average age of 75.11±8.29 years. The functional levels of the individuals were classified by the physiotherapist from independence to full dependence as unassisted mobility (UM), mobility with assistive device (MAD) and wheelchair dependent (WD). Their cognitive levels were evaluated with the Mini Mental Assessment Test (MMT) and their urinary incontinence status was evaluated with the University of Michigan Incontinence Symptom Index (M-ISI).
Results: While the UM and MAD groups were similar in terms of MMT scores, the score of the WD group was found to be lower (p <.050). It was determined that the urinary incontinence status of the UM group was lower than that of the MAD and WD groups (p <.050).
Discussion: The results of the study indicate that as individuals' functional levels increase, their cognitive levels increase and urinary incontinence situations decrease. We think that rehabilitation strategies aimed at maintaining and improving the functional level of elderly individuals can help increase the cognitive status of individuals and reduce urinary incontinence.
References
Coelho, A., Fernandes, H. M., Magalhães, R., Moreira, P. S., Marques, P., Soares, J. M., et al. (2021). Signatures of white-matter microstructure degradation during aging and its association with cognitive status. Scientific Reports, 11(1), 4517.
Cruz-Jimenez, M. (2017). Normal changes in gait and mobility problems in the elderly. Physical Medicine and Rehabilitation Clinics of North America, 28(4), 713–725.
Demir Akça, A. S., Saraçlı, Ö., Emre, U., Atasoy, N., Güdül, S., et al. (2014). Hastanede yatan yaşlılarda bilişsel işlevlerin günlük yaşam aktiviteleri, depresyon, anksiyete ve klinik değişkenlerle ilişkisi. Nöropsikiyatri Arşivi, 51(3), 267–274.
Dhakal, A., & Bobrin, B. D. (2022). Cognitive deficits. In StatPearls [Internet]. StatPearls Publishing, Treasure Island (FL). https://pubmed.ncbi.nlm.nih.gov/32644478/
Do, H. M., Kim, B. S., Marcellus, M. L., Curtis, L., & Marks, M. P. (2005). Prospective analysis of clinical outcomes after percutaneous vertebroplasty for painful osteoporotic vertebral body fractures. American Journal of Neuroradiology, 26(7), 1623–1628.
Fagerström, C., Persson, H., Holst, G., & Hallberg, I. R. (2008). Determinants of feeling hindered by health problems in daily living at 60 years and above. Scandinavian Journal of Caring Sciences, 22(3), 410–421.
Gao, J., Gao, Q., Huo, L., & Yang, J. (2022). Impaired activity of daily living status of the older adults and its influencing factors: A cross-sectional study. International Journal of Environmental Research and Public Health, 19(23), 15607.
Goode, P. S., Burgio, K. L., Redden, D. T., Markland, A., Richter, H. E., Sawyer, P., et al. (2008). Population-based study of incidence and predictors of urinary incontinence in black and white older adults. Journal of Urology, 179(4), 1449–1454.
Güngen, C., Ertan, T., Eker, E., Yaşar, R., & Engin, F. (2002). Standardize mini mental test’in Türk toplumunda hafif demans tanısında geçerlik ve güvenilirliği. Türk Psikiyatri Dergisi, 13(4), 273–281.
Grönstedt, H., Frändin, K., Bergland, A., Helbostad, J. L., Granbo, R., Puggaard, L., et al. (2013). Effects of individually tailored physical and daily activities in nursing home residents on activities of daily living, physical performance and physical activity level: A randomized controlled trial. Gerontology, 59(3), 220–229.
Heo, D. H. (2017). Percutaneous sacroplasty for non-neoplastic osteoporotic sacral insufficiency fractures. Pain Physician, 20(2), 89–94.
Heo, J., Stebbins, R. A., Kim, J., & Lee, I. (2013). Serious leisure, life satisfaction, and health of older adults. Leisure Sciences, 35(1), 16–32.
Huang, A. J., Brown, J. S., Thom, D. H., Fink, H. A., & Yaffe, K. (2007). Urinary incontinence in older community-dwelling women. Obstetrics & Gynecology, 109(4), 909–916.
İlhan, M. N., Maral, I., Kitapçı, M., Aslan, S., Çakır, N., & Bumin, M. A. (2006). Yaşlılarda depresif belirtiler ve bilişsel bozukluğu etkileyebilecek etkenler. Klinik Psikiyatri Dergisi, 9, 177–184.
Kerola, T., Hiltunen, M., Kettunen, R., Hartikainen, S., Sulkava, R., Vuolteenaho, O., et al. (2011). Mini-mental state examination score and B-type natriuretic peptide as predictors of cardiovascular and total mortality in an elderly general population. Annals of Medicine, 43(8), 650–659.
Keskinoğlu, P. (2012). Yaşlılık ve yetiyitimi. In D. Aslan & M. Ertem (Eds.), Yaşlı sağlığı: Sorunlar ve çözümler (ss. 75–80). Ankara: Palme Yayıncılık.
Kök, G., Şenel, N., & Akyüz, A. (2006). GATA jinekoloji polikliniğine başvuran 20 yaş üstü kadınların üriner inkontinans açısından farkındalık durumlarının değerlendirilmesi. Gülhane Tıp Dergisi, 48(3), 132–136.
Lau, D. T., Kasper, J. D., Potter, D. E. B., Lyles, A., & Bennett, R. G. (2005). Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. Archives of Internal Medicine, 165(1), 68–74.
Meunier, D., Stamatakis, E. A., & Tyler, L. K. (2014). Age-related functional reorganization, structural changes, and preserved cognition. Neurobiology of Aging, 35(1), 42–54.
Newman, D. K., Cardozo, L., & Sievert, K. D. (2013). Preventing urinary incontinence in women. Current Opinion in Obstetrics and Gynecology, 25(5), 388–394.
Onder, G., Carpenter, I., Finne-Soveri, H., Gindin, J., Frijters, D., Henrard, J. C., et al. (2012). Assessment of nursing home residents in Europe: The Services and Health for Elderly in Long-Term Care (SHELTER) study. BMC Health Services Research, 12(1), 1–10.
O'Connor, D. W., Pollitt, P. A., Hyde, J. B., Fellows, J. L., Miller, N. D., Brook, C. P., et al. (1989). The reliability and validity of the Mini-Mental State Examination in a British community survey. Journal of Psychiatric Research, 23(1), 87–96.
Parsons, M., & Cardozo, L. (2003). The classification of urinary incontinence. Reviews in Gynaecological Practice, 3(2), 57–64.
Resende-Oliveira, C., Mota-Pinto, A., Rodrigues, V., & Botelho, A. (2013). Global aging issues and policies: Understanding the importance of comprehending and studying the aging process. In L. Yushi (Ed.), Growing old in Portugal. Springfield: Charles Thomas Publishers.
Sargın, M. A., Yassa, M., Taymur, B. D., Ergun, E., Akca, G., & Tug, N. (2016). Adaptation and validation of the Michigan Incontinence Severity Index in a Turkish population. Patient Preference and Adherence, 10, 929–935.
Silay, K., Akinci, S., Ulas, A., Yalcin, A., Silay, Y. S., Akinci, M. B., et al. (2016). Occult urinary incontinence in elderly women and its association with geriatric condition. European Review for Medical and Pharmacological Sciences, 20(3), 447–451.
Suskind, A. M., Dunn, R. L., Morgan, D. M., DeLancey, J. O., McGuire, E. J., & Wei, J. T. (2014). The Michigan Incontinence Symptom Index (M-ISI): A clinical measure for type, severity, and bother related to urinary incontinence. Neurourology and Urodynamics, 33(7), 1128–1134.
Tom, S. E., Adachi, J. D., Anderson Jr, F. A., Boonen, S., Chapurlat, R. D., Compston, J. E., et al. (2013). Frailty and fracture, disability, and falls: A multicountry study from the global longitudinal study of osteoporosis in women. Journal of the American Geriatrics Society, 61(3), 327–334.
Wyman, J. F., Fantl, J. A., McClish, D. K., & Bump, R. C. (1998). Comparative efficacy of behavioral interventions in the management of female urinary incontinence. American Journal of Obstetrics and Gynecology, 179(4), 999–1007.
Xue, H., Huang, C., Zhu, Q., Zhou, S., Ji, Y., Ding, X., et al. (2022). Relationships among cognitive function, frailty, and health outcome in community-dwelling older adults. Frontiers in Aging Neuroscience, 13, 790251.
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