The utilization of a nurse-led clinic by older people with cognitive complaints: Do they follow our advice?

Patrick Pui kin Kor, Rick Yiu Cho Kwan, Daphne Sze Ki Cheung, Claudia Lai

Research output: Journal article publicationJournal articleAcademic researchpeer-review

Abstract

Aim: Cognitive assessment services were found to be beneficial to older people with cognitive complaints but information is limited on adherence to the recommendations provided. This study aimed to identify predictors of clients' adherence to nursing recommendations after attending a community-based nurse-led cognitive assessment service in Hong Kong. Methods: A cross-sectional design was adopted. We analysed a dataset routinely collected from clients attending the services between January 2012 and January 2018. Multiple regression analyses were conducted to identify predictors (demographics, functional health status and cognitive performance) of the clients' adherence. Their satisfaction with the services was also examined. Results: Two hundred and twenty-three clients attended the clinic. Of the 133 who completed the telephone follow-up at the 6 months postconsultation, 44.1% did not adhere to the recommendations. Clients with a higher Clinical Dementia Rating (OR = 4.17), lower Clock Drawing Test score (OR = 1.13) and lower education level (OR = 0.91) were found to be less likely to adhere to the nursing recommendations. Ninety-six percent (190/198) were satisfied with the overall services. Conclusion: Cognitive assessment services in nurse-led clinics could provide a self-referred service for older people with cognitive complaints. However, low adherence to nursing recommendations was found among clients with poorer cognitive functions and lower education levels.

Original languageEnglish
JournalInternational Journal of Nursing Practice
DOIs
Publication statusAccepted/In press - 2022

Keywords

  • adherence
  • cognitive impairment
  • compliance
  • nurse-led clinics
  • nursing
  • older people

ASJC Scopus subject areas

  • Nursing(all)

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