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The Relationship between Clinic Visit Accompanied by Family and Dementia Severity in Taiwan

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  • Chih-Yen Chang

    (Department of Medical Education and Research, Jen-Ai Hospital, Taichung 41256, Taiwan
    Department of Eldercare, Central Taiwan University of Science and Technology, Taichung 40601, Taiwan)

  • Shou-Jen Lan

    (Department of Medical Research, China Medical University Hospital, China Medical University, Taichung 40447, Taiwan
    Department of Healthcare Administration, Asia University, 500, Lioufeng Rd., Wufeng, Taichung 41354, Taiwan)

  • Chiao-Lee Chu

    (Department of Long Term Care, National Quemoy University, 1 University RD, Jinning Township, Kinmen 89250, Taiwan)

  • Ching-Sung Ho

    (Department of Long Term Care, National Quemoy University, 1 University RD, Jinning Township, Kinmen 89250, Taiwan)

Abstract

Introduction: This study analyzes the severity of dementia status with clinical dementia rating (CDR) score distribution among patients according to various family functional and sociodemographic issues. Methods: A cross-sectional study was performed in a regional hospital in Central Taiwan. The sample consisted of 318 patients who came to the clinic from May 2018 to April 2019, and who were diagnosed by the physicians with CDR scores ≧ 0.5. The Chi-Square test and binary logistic regression analyses were performed for inferential statistical analysis. Results: The mean age of the sample was 78.7 ± 8.51 years, and 61.6% of the samples’ CDR scores were equal or less than 1.0. Patients visiting the clinic were accompanied by spouses (21.7%), sons or daughters-in-law (40.6%), daughters (23.6%). Of the sample, 142 (44.3%) patients live with sons. Patients with a lower educational level had higher CDR scores. Compared to the patients who went to the clinic by themselves, the higher OR values of CDR scores ≧ 2 are found in patients who were accompanied by other relatives (OR = 18.871, 95% C.I. = 3.117–114.237, p = 0.001), or spouse (OR = 10.783, 95% C.I. = 1.996–58.245, p = 0.006). Conclusion: The family member who accompanied the patient to a clinic visit and the patient’s educational level are both significant issues relating to the severity of dementia.

Suggested Citation

  • Chih-Yen Chang & Shou-Jen Lan & Chiao-Lee Chu & Ching-Sung Ho, 2021. "The Relationship between Clinic Visit Accompanied by Family and Dementia Severity in Taiwan," IJERPH, MDPI, vol. 18(4), pages 1-9, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:1792-:d:498260
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    References listed on IDEAS

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    1. Chiao, Chi, 2019. "Beyond health care: Volunteer work, social participation, and late-life general cognitive status in Taiwan," Social Science & Medicine, Elsevier, vol. 229(C), pages 154-160.
    2. Chen, Wen-Yi, 2016. "On the relationship between economic conditions around the time of birth and late life cognitive abilities: Evidence from Taiwan," Economics & Human Biology, Elsevier, vol. 22(C), pages 126-139.
    3. Clayman, Marla L. & Roter, Debra & Wissow, Lawrence S. & Bandeen-Roche, Karen, 2005. "Autonomy-related behaviors of patient companions and their effect on decision-making activity in geriatric primary care visits," Social Science & Medicine, Elsevier, vol. 60(7), pages 1583-1591, April.
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