Dataset Information

Self-management preferences in patients with mild cognitive impairment: A qualitative study.

ABSTRACT:

Purpose

Patients with mild cognitive impairment (MCI) require self-management, yet current self-management compliance is low. Taking patients' preferences into account can improve the self-management situation. The purpose of this study is to look into MCI patients' preferences for self-management in China.

Methods

A qualitative research was conducted using semi-structured in-depth interviews with 21 patients recently diagnosed with MCI who were chosen by purposive sampling. These interviews were analyzed through thematic analysis and identified emerging themes.

Results

Five themes of self-management preference were identified: (1) Preference for acquiring disease knowledge; (2) Preference for participating in drug therapy; (3) Preference for participating in exercise; (4) Preference for applying memory compensation strategy; (5) Preferences for emotional expression and response.

Conclusion

Our study identified the specific preferences of MCI patients in China for the main self-management items. The findings are valuable insights for knowing MCI patients' self-management content and preferences and provide better guidance for health practitioners to improve self-management compliance.

SUBMITTER: Jiao Y

PROVIDER: S-EPMC9614377 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature

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Publications

Self-management preferences in patients with mild cognitive impairment: A qualitative study.

Jiao Yuchen Y Liu Chang C Chang Jing J Zhou Shiyu S Ji Yan Y

Frontiers in psychology 20221014

<h4>Purpose</h4>Patients with mild cognitive impairment (MCI) require self-management, yet current self-management compliance is low. Taking patients' preferences into account can improve the self-management situation. The purpose of this study is to look into MCI patients' preferences for self-management in China.<h4>Methods</h4>A qualitative research was conducted using semi-structured in-depth interviews with 21 patients recently diagnosed with MCI who were chosen by purposive sampling. These ...[more]

PMID: 36312202

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Project description:In addition to clinical comorbidities, psychological and neuropsychological problems are frequent in COPD and may affect pulmonary rehabilitation delivery and outcome. The aims of the study were to describe a COPD population in a rehabilitative setting as regards the patients depressive symptoms, anxiety, mild cognitive impairment (MCI) and self-reported adherence and to analyze their relationships; to compare the COPD sample MCI scores with normative data; and to investigate which factors might predict adherence to prescribed physical exercise. This was a multicenter observational cross-sectional study. Of the 117 eligible stable COPD inpatients, 84 were enrolled according to Global initiative for chronic Obstructive Lung Disease (GOLD) criteria (mainly in Stage III-IV). The assessment included Mini Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), anxiety, depression and self-reported pharmacological and nonpharmacological adherence. From the MMSE, 3.6% of patients were found to be impaired, whereas from the MoCA 9.5% had a likely MCI. Patients referred had mild-severe depression (46.7%), anxiety (40.5%), good pharmacological adherence (80.3%) and difficulties in following prescribed diet (24.1%) and exercise (51.8%); they struggled with disease acceptance (30.9%) and disease limitations acceptance (28.6%). Most of them received good family (89%) or social (53%) support. Nonpharmacological adherence, depression, anxiety and MCI showed significant relations with 6-minute walking test, body mass index (BMI) and GOLD. Depression was related to autonomous long-term oxygen therapy modifications, disease perception, family support and MCI. In the multivariate logistic regression analysis, higher BMI, higher depression and lower anxiety predicted lower adherence to exercise prescriptions (P=0.0004, odds ratio =0.796, 95% CI =0.701, 0.903; P=0.009, odds ratio =0.356, 95% CI =0.165, 0.770; and P=0.05, odds ratio =2.361, 95% CI =0.995, 5.627 respectively). In COPD patients, focusing on pharmacological and nonpharmacological adherence enhance the possibility of tailored pulmonary rehabilitation programs.

Dataset Information

Self-management preferences in patients with mild cognitive impairment: A qualitative study.

Purpose

Methods

Results

Conclusion

Publications

Self-management preferences in patients with mild cognitive impairment: A qualitative study.

Similar Datasets

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