Abstract：
OBJECTIVE: 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.
CONCLUSIONS: 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.
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.
CONCLUSIONS: 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.
摘要：
目的：认知评估服务被发现对有认知投诉的老年人有益，但对所提供建议的依从性的信息有限。这项研究旨在确定在香港参加社区护士主导的认知评估服务后，客户对护理建议的依从性的预测因素。
方法：采用横断面设计。我们分析了2012年1月至2018年1月期间从参加服务的客户那里收集的常规数据集。进行多元回归分析以确定预测因子(人口统计，功能健康状况和认知表现)客户的依从性。还检查了他们对服务的满意度。
结果：两百二十三名客户到诊所就诊。在咨询后6个月完成电话随访的133人中，44.1%的人不遵守建议。具有较高临床痴呆评级的客户（OR=4.17），发现较低的时钟绘制测试评分（OR=1.13）和较低的教育水平（OR=0.91）不太可能遵循护理建议。百分之九十六（190/198）对整体服务感到满意。
结论：护士主导诊所的认知评估服务可以为有认知问题的老年人提供自我转诊服务。然而,认知功能较差,受教育程度较低的患者对护理建议的依从性较低.
方法：采用横断面设计。我们分析了2012年1月至2018年1月期间从参加服务的客户那里收集的常规数据集。进行多元回归分析以确定预测因子(人口统计，功能健康状况和认知表现)客户的依从性。还检查了他们对服务的满意度。
结果：两百二十三名客户到诊所就诊。在咨询后6个月完成电话随访的133人中，44.1%的人不遵守建议。具有较高临床痴呆评级的客户（OR=4.17），发现较低的时钟绘制测试评分（OR=1.13）和较低的教育水平（OR=0.91）不太可能遵循护理建议。百分之九十六（190/198）对整体服务感到满意。
结论：护士主导诊所的认知评估服务可以为有认知问题的老年人提供自我转诊服务。然而,认知功能较差,受教育程度较低的患者对护理建议的依从性较低.
