EFFECT OF COGNITIVE REMEDIATION THERAPY PACKAGE ON COGNITIVE FUNCTIONS AND QUALITY OF LIFE AMONG ELDERLY AT SELECTED OLD AGE HOMES

Abstract

Background: Old age, also called senescence, in human beings, the nal stage of the normal life span. Cognitive function declines with advancing age particularly in elderly people. Mild Cognitive Impairment (MCI) is an intermediate phase between normal cognitive ageing and overt dementia. ·To assess and compare Objectives: pre & post-test level of cognitive functions and quality of life among elderly before cognitive remediation therapy package, both in experimental and control group.·To evaluate the effectiveness of cognitive remediation therapy package on cognitive functions and quality of life among elderly, both in experimental and control group. To correlate the mean differed score of cognitive functions and quality of life among elderly, both in experimental and control group Methodology: A quasi experimental research design was adopted. After screening a total 20 elderly people, 10 for each experimental and control group were selected were selected by using non probability purposive sampling technique in a selected old age homes. The pre test data was collected through the structured interview schedule, cognitive functions were assessed by Montreal Cognitive Assessment scale and quality of life was assessed by WHO bref scale. Cognitive remediation therapy was given for a period of 6 weeks and post test was conducted. Collected data were analysed by using descriptive and inferential statistics. There Results: was a statistically signicant difference in the post test level of cognitive functions and quality of life after administration of cognitive remediation package. Effectiveness of cognitive remediation therapy package of Cognitive functions score was from 60% to 80%, percentage gain score was 20% and QOL score was from 50% to 66%, percentage gain score was 16%.The comparison mean score was statically signicant in post test cognitive functions and QOL score. (p=0.001). There was a signicant positive fair corelation between cognitive functions and QOL in experimental group, there was a signicant positive poor corelation between cognitive functions and QOL in control group. The overall statisticall Conclusion: y signicant difference in the level cognitive functions and quality of life was revealing the effectiveness of the intervention. Nurse directed cognitive remediation therapy was effective in signicantly enhancing the cognitive functions and quality of life thereby reducing the impact of cognitive impairment among elderly