Mental and behavioral symptoms and the influencing factors among elderly adults with mild cognitive impairment in aged care facilities
Bibliographic record
Abstract
Objective To investigate the occurrence of mental and behavioral symptoms in elderly people with mild cognitive impairment (MCI) in aged care facilities and explore the influencing factors. Methods Using convenient sampling method, 166 MCI elderly people and their caregivers from 9 aged care facilities in Nanjing were selected from October 2018 to January 2019 as the research objects in this study. Their general demographic data, cognitive function, activities of daily living (ADL) , mental and behavior symptoms and medical and social support were investigated. Variance analysis, rank sum test, correlation analysis and multiple linear regression were used to explore the influencing factors of their mental behavior symptoms. Results The incidence of mental and behavioral symptoms in elderly MCI population in aged care facilities was 73.5%, among which the incidence of depression, anxiety and irritability ranked the top three, with 44.6%, 35.5% and 34.3% respectively. Univariate analysis showed that there was statistically significant difference in the severity of mental and behavioral symptoms between MCI elderly with different educational background and different frequency of leisure activities (P<0.05) . The results of correlation analysis showed that the total score of mental and behavioral symptoms was negatively correlated with the total score of medical social support and Montreal Cognitive Assessment (MoCA) (r=-0.558, -0.293; P<0.05) , and positively correlated with the score of ADL (r=0.408, P<0.05) . Multivariate linear regression analysis showed that the frequency of leisure activity participation, medical social support and ADL were independent influencing factors of mental and behavioral symptoms (adjusted R2=0.514, F=58.464, P<0.01) . Conclusions Mental and behavioral symptoms are common among the elderly with MCI in aged care facilities. Nurses should strengthen their understanding and early evaluation of mental and behavioral symptoms, pay attention to the related factors, and find effective treatment methods to reduce the occurrence of mental and behavioral symptoms. Key words: Aged; Mild cognitive impairment; Mental and behaviour symptoms; Aged care facilities; Influencing factors
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".