Korean J Adult Nurs.  2015 Dec;27(6):656-664. 10.7475/kjan.2015.27.6.656.

Reversion to Normal Cognition and Its Correlates among the Community-dwelling Elderly with Mild Cognitive Impairment: the Longitudinal Cohort Study

Affiliations
  • 1Division of Nursing, College of Health Sciences, Ewha Womans University, Seoul, Korea. yxk12@ewha.ac.kr
  • 2Graduate School of Clinical Health Sciences, Ewha Womans University, Seoul, Korea.
  • 3Department of Nursing Science, The University of Suwon, Suwon, Korea.

Abstract

PURPOSE
The purposes of this study were to identify the rate of reversion from mild cognitive impairment (MCI) to normal cognition (NC) among the community-dwelling elderly and to determine if there were differences in cognitive function, leisure activities, and exercises between the group with MCI-maintained and the group with reversion to NC.
METHODS
This study utilized a longitudinal descriptive comparative design. A total of 346 subjects over age 65 was recruited from public health center at baseline. Finally 152 elderly were enrolled at 1 year follow-up. Data were collected through MoCA-K, K-MMSE, KDSQ-C5 and questionnaires on leisure activities and exercises. Data were analyzed by IBM SPSS Statistics 21.0 using descriptive statistics, chi2 test, and t-test.
RESULTS
The rate of reversion from MCI to NC among the subjects was 44.1%. At baseline, the group with MCI-maintained had lower cognitive function than the group with reversion to NC. At 1 year follow-up, the group with reversion to NC had higher subjective cognitive function than the group with MCI-maintained. Regarding leisure activities, there were differences between the groups at baseline and 1 year follow-up.
CONCLUSION
It is suggested that age, education year, subjective cognitive function, and leisure activities should be considered at planning a nursing intervention for MCI.


MeSH Terms

Aged*
Cognition*
Cohort Studies*
Education
Exercise
Follow-Up Studies
Humans
Leisure Activities
Mild Cognitive Impairment*
Nursing
Public Health

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