Level of Knowledge About Alzheimer's Disease Among Nursing Staff in Suzhou and its Influencing Factors

Author(s): Lu Lin, Shujiao Lv, Jinghong Liang, Huiling Li*, Yong Xu*.

Journal Name: Current Alzheimer Research

Volume 16 , Issue 7 , 2019

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Abstract:

Background: With the rapid aging process, an increasing number of individuals will be living with dementia worldwide. A good mastery of knowledge about Alzheimer's Disease (AD) by medical staff has been reported to improve the outcome of patients with AD, making it necessary to assess the level of AD knowledge among nursing staff and address their knowledge deficits in order to upgrade the quality of care and improve quality of life for AD patients.

Objective: To assess the level of AD knowledge among nursing staff in Suzhou, using the Alzheimer's Disease Knowledge Scale (ADKS), and analyze its influencing factors.

Methods: Nursing staff working in healthcare institutes such as hospitals, community centers, nursing homes, etc. in all the six districts of Suzhou City were selected by convenience sampling. A selfdesigned questionnaire was used to collect general information of the participants, including gender, age, education, professional title, workplace, AD-related training, contact with AD patients, experience in caring for AD patients, etc., and the ADKS scale was used to assess their level of AD knowledge.

Results: A total of 1102 in-service nursing staff in Suzhou were included in the study. Univariate analysis showed that age, education, professional titles, bias towards AD patients, AD-related training, contact with AD patients, experience in caring for AD patients were the influencing factors of the total ADKS score; multivariate analysis indicated that age, bias towards AD patients, and contact with AD patients are independent influencing factors of the level of AD knowledge among nursing staff in Suzhou.

Conclusion: Mastery of AD knowledge among the nursing staff in Suzhou is not satisfactory. It is urgent to change the nursing staff’s negative attitude towards AD and put into effect AD-related health education and training courses so that nursing staff can upgrade their level of AD knowledge and provide better care in order to improve the quality of life for AD patients.

Keywords: Alzheimer's disease, nursing staff, level of knowledge, influencing factors, dementia, survey.

[1]
Alzheimer's Disease International, 2018.Alzheimer’s Disease http://www.alz.co.uk/info/alzheimers-disease (viewed 20th October 2017).
[2]
Patterson C, Lynch C, Bliss A, et al. World Alzheimer Report 2018--The state of the art of dementia research: New frontiers. London: Alzheimer’s Disease International: New frontiers 3 (2018)
[3]
Duong S, Patel T, Chang F. Dementia: what pharmacists need to know. Can Pharm J 150(2): 118-29. (2017)
[http://dx.doi.org/10.1177/1715163517690745] [PMID: 28405256]
[4]
Li H, Zhang H, Huang H, Wang Y, Huang H. Caring burden and associated factors of care providers for senile dementia patients in an urban-rural fringe of Fuzhou City, China. Aging Clin Exp Res 24(6): 707-13. (2012)
[PMID: 23147753]
[5]
Li CH, Liu CK, Yang YH, Chou MC, Chen CH, Lai CL. Adjunct effect of music therapy on cognition in Alzheimer’s disease in Taiwan: a pilot study. Neuropsychiatr Dis Treat 11: 291-6. (2015)
[http://dx.doi.org/10.2147/NDT.S73928] [PMID: 25678794]
[6]
Gehres SW, Rocha A, Leuzy A, Loss CM, Viola GG, Zimmer ER. cognitive intervention as an early non-pharmacological strategy in alzheimer’s disease: a translational perspective. Front Aging Neurosci 8(280): 280. (2016)
[http://dx.doi.org/10.3389/fnagi.2016.00280] [PMID: 27965569]
[7]
Bahar-Fuchs A, Clare L, Woods B. Cognitive training and cognitive rehabilitation for persons with mild to moderate dementia of the Alzheimer’s or vascular type: a review. Alzheimers Res Ther 5(4): 35. (2013)
[http://dx.doi.org/10.1186/alzrt189] [PMID: 23924584]
[8]
Woods B, Aguirre E, Spector AE, Orrell M. Cognitive stimulation to improve cognitive functioning in people with dementia. Cochrane Database Syst Rev (2): CD005562 (2012)
[http://dx.doi.org/10.1002/14651858.CD005562.pub2] [PMID: 22336813]
[9]
Gates NJ, Sachdev P. Is cognitive training an effective treatment for preclinical and early Alzheimer’s disease? J Alzheimers Dis 42(4): S551-9. (2014)
[http://dx.doi.org/10.3233/JAD-141302] [PMID: 25171716]
[10]
Chan KY, Wang W, Wu JJ, Liu L, Theodoratou E, Car J, et al. Global Health Epidemiology Reference Group (GHERG). Epidemiology of Alzheimer’s disease and other forms of dementia in China, 1990-2010: a systematic review and analysis. Lancet 381(9882): 2016-23. (2013)
[http://dx.doi.org/10.1016/S0140-6736(13)60221-4] [PMID: 23746902]
[11]
Prince M, Acosta D, Ferri CP, Guerra M, Huang Y, Llibre Rodriguez JJ, et al. Dementia incidence and mortality in middle-income countries, and associations with indicators of cognitive reserve: a 10/66 Dementia Research Group population-based cohort study. Lancet 380(9836): 50-8. (2012)
[http://dx.doi.org/10.1016/S0140-6736(12)60399-7] [PMID: 22626851]
[12]
Smyth W, Fielding E, Beattie E, Gardner A, Moyle W, Franklin S, et al. A survey-based study of knowledge of Alzheimer’s disease among health care staff. BMC Geriatr 13: 2. (2013)
[http://dx.doi.org/10.1186/1471-2318-13-2] [PMID: 23282030]
[13]
Shinan-Altman S, Werner P, Cohen M. Social workers’ and nurses’ illness representations about Alzheimer disease: an exploratory study. Alzheimer Dis Assoc Disord 28(1): 73-8. (2014)
[http://dx.doi.org/10.1097/WAD.0000000000000001] [PMID: 24113562]
[14]
Millard FB, Kennedy RL, Baune BT. Dementia: opportunities for risk reduction and early detection in general practice. Aust J Prim Health 17(1): 89-94. (2011)
[http://dx.doi.org/10.1071/PY10037] [PMID: 21616031]
[15]
Spector A, Orrell M, Schepers A, Shanahan N. A systematic review of ‘knowledge of dementia’ outcome measures. Ageing Res Rev 11(1): 67-77. (2012)
[http://dx.doi.org/10.1016/j.arr.2011.09.002] [PMID: 21983429]
[16]
Scerri A, Scerri C. Nursing students’ knowledge and attitudes towards dementia - a questionnaire survey. Nurse Educ Today 33(9): 962-8. (2013)
[http://dx.doi.org/10.1016/j.nedt.2012.11.001] [PMID: 23182308]
[17]
Poltroniere S, Cecchetto FH, de Souza EN. [Alzheimer’s disease and care needs: what do nurses know?]. Rev Gaúcha Enferm 32(2): 270-8. (2011)
[http://dx.doi.org/10.1590/S1983-14472011000200009] [PMID: 21987987]
[18]
Mullan MA, Sullivan KA. Positive attitudes and person-centred care predict of sense of competence in dementia care staff. Aging Ment Health 20(4): 407-14. (2016)
[http://dx.doi.org/10.1080/13607863.2015.1018865] [PMID: 25760319]
[19]
Li J, Peng Q. Older adults accounted for 26% of the total population, Suzhou to enter super-aging society soon. Suzhou Evening News. (2019)
[20]
Carpenter BD, Balsis S, Otilingam PG, Hanson PK, Gatz M. The Alzheimer’s Disease Knowledge Scale: development and psychometric properties. Gerontologist 49(2): 236-47. (2009)
[http://dx.doi.org/10.1093/geront/gnp023] [PMID: 19363018]
[21]
Dieckmann L, Zarit SH, Zarit JM, Gatz M. The Alzheimer’s disease knowledge test. Gerontologist 28(3): 402-7. (1988)
[http://dx.doi.org/10.1093/geront/28.3.402] [PMID: 3396921]
[22]
He RL, Jing CL, Li BE. Reliability and validity of the Chinese version of the Alzheimer’s disease knowledge scale. Chung Hua Hu Li Tsa Chih 48(9): 835-7. (2013)
[23]
Amano T, Yamanaka K, Carpenter BD. Reliability and validity of the Japanese version of the Alzheimer’s Disease Knowledge Scale. Dementia 18(2): 599-612. (2019)
[http://dx.doi.org/10.1177/1471301216685943] [PMID: 28030962]
[24]
Kimzey M, Mastel-Smith B, Alfred D. The impact of educational experiences on nursing students’ knowledge and attitudes toward people with Alzheimer’s disease: A mixed method study. Nurse Educ Today 46: 57-63. (2016)
[http://dx.doi.org/10.1016/j.nedt.2016.08.031] [PMID: 27598794]
[25]
Guo M, Gao L, Zhang G, Li Y, Xu S, Wang Z, et al. Prevalence of dementia and mild cognitive impairment in the elderly living in nursing and veteran care homes in Xi’an, China. J Neurol Sci 312(1-2): 39-44. (2012)
[http://dx.doi.org/10.1016/j.jns.2011.08.026] [PMID: 21893322]
[26]
Beerens HC, Zwakhalen SM, Verbeek H, Ruwaard D, Ambergen AW, Leino-Kilpi H, et al. RightTimePlaceCare Consortium. Change in quality of life of people with dementia recently admitted to long-term care facilities. J Adv Nurs 71(6): 1435-47. (2015)
[http://dx.doi.org/10.1111/jan.12570] [PMID: 25403506]
[27]
Bruvik FK, Ulstein ID, Ranhoff AH, Engedal K. The effect of coping on the burden in family carers of persons with dementia. Aging Ment Health 17(8): 973-8. (2013)
[http://dx.doi.org/10.1080/13607863.2013.790928] [PMID: 23614391]
[28]
Lin PC, Hsieh MH, Lin LC. Hospital nurse knowledge of and approach to dementia care. J Nurs Res 20(3): 197-207. (2012)
[http://dx.doi.org/10.1097/jnr.0b013e318263d82e] [PMID: 22902979]
[29]
Skaalvik MW, Normann HK, Henriksen N. Student experiences in learning person-centred care of patients with Alzheimer’s disease as perceived by nursing students and supervising nurses. J Clin Nurs 19(17-18): 2639-48. (2010)
[http://dx.doi.org/10.1111/j.1365-2702.2010.03190.x] [PMID: 20920084]
[30]
Saini R, Alagh P, Carpenter B. Nurses and Alzheimer’s disease: a holistic perspective. Indian J Public Health 56(4): 318-9. (2012)
[http://dx.doi.org/10.4103/0019-557X.106424] [PMID: 23354147]
[31]
Cui Y, Fan R, Wang YM, Kaye AJ, Kaye AD, Bueno FR, et al. A changing healthcare system model: the effectiveness of knowledge, attitude, and skill of nursing assistants who attend senile dementia patients in nursing homes in xi’an, china - a questionnaire survey. Ochsner J 14(3): 328-34. (2014)
[PMID: 25249797]
[32]
Kitwood T. Dementia reconsidered: the person comes first Bucking-harm. Open University Press. (1997)
[33]
Hunter PV, Hadjistavropoulos T, Thorpe L, Lix LM, Malloy DC. The influence of individual and organizational factors on person-centred dementia care. Aging Ment Health 20(7): 700-8. (2016)
[http://dx.doi.org/10.1080/13607863.2015.1056771] [PMID: 26094885]
[34]
Garcia LJ, Hébert M, Kozak J, Sénécal I, Slaughter SE, Aminzadeh F, et al. Perceptions of family and staff on the role of the environment in long-term care homes for people with dementia. Int Psychogeriatr 24(5): 753-65. (2012)
[http://dx.doi.org/10.1017/S1041610211002675] [PMID: 22265186]
[35]
Ross H, Tod AM, Clarke A. Understanding and achieving person-centred care: the nurse perspective. J Clin Nurs 24(9-10): 1223-33. (2015)
[http://dx.doi.org/10.1111/jocn.12662] [PMID: 25047737]
[36]
McGreevy J. Dementia and the person-centred care approach. Nurs Older People 27(8): 27-31. (2015)
[http://dx.doi.org/10.7748/nop.27.8.27.e713] [PMID: 26402212]
[37]
Mitchell G, Agnelli J. Person-centred care for people with dementia: Kitwood reconsidered. Nurs Stand 30(7): 46-50. (2015)
[http://dx.doi.org/10.7748/ns.30.7.46.s47] [PMID: 26463810]
[38]
Winblad B, Amouyel P, Andrieu S, Ballard C, Brayne C, Brodaty H, et al. Defeating Alzheimer’s disease and other dementias: a priority for European science and society. Lancet Neurol 15(5): 455-532. (2016)
[http://dx.doi.org/10.1016/S1474-4422(16)00062-4] [PMID: 26987701]
[39]
Liu J, Wang LN, Tan JP. Dementia in China: current status. Neurology 81(12): 1077-8. (2013)
[http://dx.doi.org/10.1212/WNL.0b013e3182a4a3cb] [PMID: 24042573]
[40]
Wimo A, Winblad B, Jönsson L. The worldwide societal costs of dementia: estimates for 2009. Alzheimers Dement 6(2): 98-103. (2010)
[http://dx.doi.org/10.1016/j.jalz.2010.01.010] [PMID: 20298969]


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Article Details

VOLUME: 16
ISSUE: 7
Year: 2019
Page: [650 - 658]
Pages: 9
DOI: 10.2174/1567205016666190726102935
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