Exploring a Path Model of Cognitive Impairment, Functional Disability, and Incontinence Among Male Veteran Home Residents in Southern Taiwan

Autor: Yung-Yu Su, Chiao-Lee Chu, Ying-Yi Tsai, Chun-Min Chen, Chien-Chih Lin
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Gerontology
Southern taiwan
Population Dynamics
Taiwan
lcsh:Medicine
Comorbidity
Physical function
Article
03 medical and health sciences
0302 clinical medicine
Activities of Daily Living
Homes for the Aged
Humans
Medicine
Cognitive Dysfunction
Disabled Persons
030212 general & internal medicine
Path analysis (statistics)
Cognitive impairment
lcsh:Science
Geriatric Assessment
Aged
Veterans
Disability
030219 obstetrics & reproductive medicine
Multidisciplinary
business.industry
lcsh:R
Institutionalization
Cognition
Middle Aged
Models
Theoretical
Mental Status and Dementia Tests
Drug Utilization
Cognitive training
Causality
Cross-Sectional Studies
Urinary Incontinence
Socioeconomic Factors
Risk factors
Functional disability
Sample size determination
Quality of Life
lcsh:Q
business
Fecal Incontinence
Zdroj: Scientific Reports, Vol 10, Iss 1, Pp 1-7 (2020)
Scientific Reports
ISSN: 2045-2322
DOI: 10.1038/s41598-020-62477-y
Popis: Most studies focusing on only one directional effect among cognitive health, physical function, and incontinence may miss potential paths. This study aimed to determine the pathway by analyzing the bidirectional effects of exposure (X) on outcome (Y) and explore the mediating effect (M) between X and Y. Secondary data analyses were performed in this study. The original data were collected from August to October 2013 in one VH in Tainan, Taiwan, and the final sample size was 144 older male veterans. Path analysis was performed to test the pathway sequence X → M → Y among the three outcome variables. Approximately 80% of the veterans were aged 81 or older, approximately 42% had a functional disability, 26% had cognitive impairment, and 20% had incontinence. The relationships between functional disability and incontinence and between functional disability and cognition impairment were bidirectional, and functional disability played a key mediating role in the relationship between cognitive impairment and incontinence. Physical more than cognitive training in order to improve or at least stabilize functional performance could be a way to prevent or reduce the process of developing incontinence.
Databáze: OpenAIRE
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