15:45-16:45 | Orion Hall (5F) Friday Poster Session | AGen2023

68677 | The Effectiveness of Multifaceted Educational Program for Improving the Caregivers’ Competence of Recognizing Delirium and Confusion on Elderly Dementia Patients

Chen Pei Chun, Taiwan Adventist Hospital, Taiwan

Chen Miao-Yen, The National Taipei University of Nursing and Health Sciences, Taiwan

Dementia is an irreversible and common syndrome for the elderly. If delirium occurs on a dementia elderly,it will lead to faster deterioration in cognitive function, higher chance of moving to residential facilities and higher mortality.

This RCT research is to evaluate the effectiveness of improving the caregivers’ competence of recognizing delirium and confusion on dementia patients after carrying out multifaceted educational program based on adult learning theory.

24 people are test group and 28 people in the control group. The test group will receive 40 minutes multifaceted educational program once a week in the first month after enrollment (total 4 times). The interventions include dementia care E-book, delirium online videos, one on one teaching by senior nurses and two-way cognitive feedback of delirium and confusion symptoms on dementia patients with their family caregivers. The stuty results reveral that after receiving 4 weeks multifaceted educational program: 1.The main caregivers of the experimental group showed significant improvement in the knowledge level of distinguishing between delirium and disordered behavior in dementia. And after 12 weeks, there are still continuous results(B:3.470, p= .000).2.The experimental group showed significant improvement in attitude level of distinguishing between delirium and disordered behavior in dementia(B:3.470, p= .000). 3.Through interventional multifaceted educational program, the experimental group's ability to identify delirium and abnormal behavior with dementia, the difference before and after the test has a significantly improved effect than the control group(B:1.345, p= .000).4.After the intervention,the experimental group had positive feedback on learning satisfaction and significant improvement in nursing self-confidence(Mean: 4.63, SD:0.428).

68878

| Muscle Fatigue Detection Using Multi-Channel Digital Electromyography

Eisa Aghchehli, Newcastle University, United Kingdom

Matthew Dyson, Newcastle University, United Kingdom

Kia Nazarpour, The University of Edinburgh, United Kingdom

Electrodes

Identifying the fall risk and detecting it is of utmost importance in presenting adverse short-and long-term health consequences of falls. The occurrence of falls is not only caused by biological ageing but also by the fatigue of the lower leg muscles. Hence the ability to quantify muscle fatigue is critical to identifying falls among older people during their daily activities. Most studies on this topic in the literature use offline data analysis methods. This study proposes a mechanism for fatigue detection in real time. We investigate the assessment of muscle fatigue by using a bespoke multi-channel Body Area Sensor Network (BASN) based on surface electromyogram (EMG). Our proposed network of digital EMG electrodes utilises Inter-Integrated Communication (I2C) protocol to provide a multi-channel measurement system. We describe the hardware and firmware development of the proposed platform. We validate the digital electrode in detecting fatigue in the EMG signal methods appropriate for low-power embedded systems, comparing it with the results of a clinical EMG recording system.

68934 | Exploring the Factors

Associated with the Quality of Life in Family Caregivers: A Cross-sectional Study

Yi-Ya Chang, Chang Gung University of Science and Technology, Taiwan

Chia-Yuan Lin, Chang Gung University of Science and Technology, Taiwan

Background: The aged population in Taiwan accounted for 16.8% of the total population since 2021. Diseases, disabilities, and psychological problems caused by aging will become a long and heavy long-term care process, which will cause a burden on the family.

Purposes: To explore the quality of life in high- burden family caregivers and to find out the predictors of quality of life in family caregivers.

Methods: A cross-sectional study was adopted to collect high-burden family caregivers and general family caregivers in Taiwan by convenience sampling. A structured questionnaire was administered to collect data. SPSS 23.0 statistical software was used for data analysis.

Results: A total of 174 family caregivers participated in this study. There are 87 high-burden family caregivers and 87 general family caregivers. The average age of the family caregivers was 55.89 years old, which belonged to moderate burden. The quality of life in general family caregivers were significantly better than those of high-burden family caregivers (p<.001). " Care burden " (β=-.41, p＜.001) and “Self-efficacy for obtaining respite” (β=.17, p =.024) are the factors related to quality of life, which can explain the variation of 46% (R2=.46, adjusted R2 =.41).

Conclusions: Family caregivers with better economic status have better quality of life, and when the care burden increases and self-efficacy decreases, the quality of life will decrease. The results of this study can provide references to develop services for high- burden family caregivers in the future.

69020 | Relationship Between Lifestyle Behaviors, Health Promotion Behaviors, Depressive Symptoms, and Possible Sarcopenia in Community-Dwelling Older Adults: A Cross-Sectional Study

Shu-Hung Chang, Chang Gung University of Science and Technology, Taiwan

Background: Sarcopenia is defined as an age-related progressive loss of skeletal muscle mass. With the global aging tendency of the world’s population, sarcopenia has become a worldwide issue. Identifying potential peoples of sarcopenia is valuable. The purpose of this study is to examine the relationship between lifestyle behaviors, health promotion behaviors, depressive symptoms, and possible sarcopenia in communitydwelling older adults. Methods: A cross‐sectional study design was used. The subjects were adults 60 years old and older living in northern Taiwan. Data on demographics, lifestyle behaviors, health promotion behaviors, depressive symptoms, and sarcopenia conditions were collected from August 2020 to July 2022. The descriptive statistics, chi-square tests, independent t-tests, and logistic regression analyses were analyzed with SPSS version 27.0. Results: In total, 376 cases were collected. The average age was 70.49 years old. The prevalence of sarcopenia, and possible sarcopenia were 7.4% and 18.9%, respectively. Individuals who were older (Odds ratio [OR] = 1.17, p <.001), lack of resistance exercise training (OR= 1.79, p <.05), less of protein (OR= 0.89, p <.05) or diary intake (OR= 0.83, p <.05), lower scores for community participation (OR= 0.56, p <.05), with depressive symptoms, (OR= 0.46, p <.05), and higher fasting blood sugar (OR= 0.48, p <.05) were more prone to possible sarcopenia.

Conclusions: Community health nurses can use simple sarcopenia screening tools in the community to find possible sarcopenia individuals. We recommend adding resistance exercise training and protein intake dietary intervention to prevent a sarcopenia pandemic for community-dwelling older adults in future.