The Effects of the Cognitive Stimulation Model using Community Participation for Older Persons with Chronic Diseases in Urban Area
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Abstract
Thailand is facing challenges associated with health issues of the elderly as it shifts towards an aging society, especially age-related cognitive decline. Reducing cognitive decline in older adults has the potential to reduce the incidence of dementia. This study was conducted to investigate the effects of a cognitive stimulation model involving community participation on enhancing cognition, alleviating anxiety, and reducing depression among older adults with chronic diseases residing in urban areas. This study employed a two-group quasi-experimental design, in which dependent variables were assessed at post-experiment and at a 1-month follow-up. The participants consisted of 32 older adults in each group of the experimental and control groups. All of them were older adults diagnosed with chronic diseases. The research instrument consisted of the cognitive stimulation model using community participation and assessment forms to collect data related to cognitive performance, anxiety, and depression. Data were analyzed using descriptive statistics and non-parametric inferential statistics to test the research hypotheses, including Friedman test, Wilcoxon signed rank test, and Mann-Whitney U-test. The results showed that after implementation of the cognitive stimulation model with community participation, the experimental group showed significantly better cognitive performance than the control group both immediately after the experiment and at the 1-month follow-up. In addition, the experimental group showed less anxiety and depression compared to the control group at the 1-month follow-up. Moreover, within the experimental group, the participants showed improved cognitive performance, while their anxiety and depression decreased for both immediately post-experiment and at the 1-month follow-up. In conclusion, it is recommended that the cognitive stimulation model be adapted to the specific needs of the elderly in their community context by encouraging the involvement of families, caregivers, and community leaders to develop activities that lead to optimal outcomes for the elderly with chronic diseases.
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บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
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