Original scientific paper
https://doi.org/10.3325/cmj.2025.66.265
Planning care for nursing home residents: cognitive impairment, functional independence, and accommodation services in nursing homes in the city of Zagreb
Nada Tomasović Mrčela
; Department of Public Health Gerontology, Andrija Štampar Teaching Institute of Public Health, Zagreb, Croatia
*
Zrinka Mach
; Croatian Society for Chronic Diseases, Zagreb, Croatia
Marija Kušan Jukić
; Department for Mental Health and Addiction Prevention, Andrija Štampar Teaching Institute of Public Health, Zagreb, Croatia
Marija Penava Šimac
; Ministry of Labor, Pension System, Family and Social Policy, Zagreb, Croatia
Branko Kolarić
; Department of Public Health Gerontology, Andrija Štampar Teaching Institute of Public Health, Zagreb, Croatia
* Corresponding author.
Abstract
Aim To assess whether the Mini-Mental State Examination,
second edition (MMSE-2), scores were associated with the
category of functional independence of nursing-home
residents and the level of accommodation services they
received.
Methods This cross-sectional study enrolled 248 partici
pants older than 65 residing in five county-owned nurs
ing homes in the city of Zagreb from 2017 to 2019. Cogni
tive status was assessed with the standard version of the
MMSE-2, and the level of functional independence with
the modified Barthel scale index. We collected data on
demographic, clinical, and social characteristics, including
the level of accommodation services (I-III).
Results MMSE scores were associated with the category
of functional independence (χ2 = 21.11; P < 0.001) and the
level of accommodation services provided to nursing
home residents (χ2 = 38.87; P < 0.001).
Conclusion Cognitive impairment should be determined
in nursing-home residents to facilitate the planning of
long-term institutional care and the implementation of
the prescribed standards based on the level of accommo
dation services.
Keywords
Hrčak ID:
352535
URI
Publication date:
31.8.2025.
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