TY - JOUR
T1 - Cognitive nursing interventions with long-term care residents
T2 - Effects on neurocognitive dimensions
AU - Abraham, Ivo L.
AU - Reel, Sally J.
N1 - Funding Information:
From the Center on Aging and Health, Rural Mental Health Research Center, School of Nursing, and Department of Behavioral Medicine and Psychiatry,S chool of Medicine, University of Virginia, Charlottesville,V ’ and School of Public Health, Faculty of Medicine, Catholic University of Leuven, Leuven, Belgium. Supported in part by grant lROlNR01566 from the Na- tional Center for Nwsing Research NationalI nstituteso f Health and grant 1T OlMH19362f rom the National Institute of Mental Health. Addressr eprint requestst o Iv0 L. Abraham, PhD, FW, University of Virginia, Center on Aging and Health, 170 Rubgy Rd, Charlottesville,V A 22903. Copyright 0 1992 by W.B. Saunders Company 0883-9417/92i0606-0006$3.00ool0
Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 1992/12
Y1 - 1992/12
N2 - We recently reported that cognitive nursing interventions-such as cognitive-behavioral group therapy and focused visual imagery group therapy-administered over time may produce significant and lasting improvements in overall cognitive status in nursing home residents with slight to moderate cognitive impairment, when compared with subjects participating in educational discussion groups. To further elucidate the cognitive gains made by subjects, we reanalyzed the data focusing on the 15 neurocognitive parameters tested by means of the Modified Mini-Mental State Examination. Main effects for intervention were noted on neurocognitive operations involving abstraction and conceptual thinking, concentration and linguistic manipulation, and execution of auditorily presented language skills. Main effects for time were observed on short and medium term recall, fluency of category retrieval, abstraction and conceptual thinking, concentration and linguistic manipulation, and execution of visually presented commands. Intervention and time were found to produce interaction effects on subjects' ability to visually and linguistically identify objects and their praxic ability to recognize and redraw simple but intersecting geometric figures. From a functional brain perspective, these effects involved brain functions at higher cortical and subcortical/limbic levels, and lower and more basic cortical functions were not affected. These findings underscore the role of psychogeriatric nursing in maintaining or restoring cognitive function in nursing home residents with mild to moderate cognitive impairment, not only for the sake of cognition itself but also for the (corollary) sake of promoting functional independence and self-care in a high-risk population.
AB - We recently reported that cognitive nursing interventions-such as cognitive-behavioral group therapy and focused visual imagery group therapy-administered over time may produce significant and lasting improvements in overall cognitive status in nursing home residents with slight to moderate cognitive impairment, when compared with subjects participating in educational discussion groups. To further elucidate the cognitive gains made by subjects, we reanalyzed the data focusing on the 15 neurocognitive parameters tested by means of the Modified Mini-Mental State Examination. Main effects for intervention were noted on neurocognitive operations involving abstraction and conceptual thinking, concentration and linguistic manipulation, and execution of auditorily presented language skills. Main effects for time were observed on short and medium term recall, fluency of category retrieval, abstraction and conceptual thinking, concentration and linguistic manipulation, and execution of visually presented commands. Intervention and time were found to produce interaction effects on subjects' ability to visually and linguistically identify objects and their praxic ability to recognize and redraw simple but intersecting geometric figures. From a functional brain perspective, these effects involved brain functions at higher cortical and subcortical/limbic levels, and lower and more basic cortical functions were not affected. These findings underscore the role of psychogeriatric nursing in maintaining or restoring cognitive function in nursing home residents with mild to moderate cognitive impairment, not only for the sake of cognition itself but also for the (corollary) sake of promoting functional independence and self-care in a high-risk population.
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U2 - 10.1016/0883-9417(92)90088-Z
DO - 10.1016/0883-9417(92)90088-Z
M3 - Article
C2 - 1476463
AN - SCOPUS:0027025378
VL - 6
SP - 356
EP - 365
JO - Archives of Psychiatric Nursing
JF - Archives of Psychiatric Nursing
SN - 0883-9417
IS - 6
ER -