Differences by cognitive impairment in detailed processes for basic activities of daily living in older adults with dementia

被引：3

作者：

Shimokihara, Suguru ^{[1
]}

Tabira, Takayuki ^{[2
]}

Hotta, Maki ^{[3
]}

Tanaka, Hiroyuki ^{[4
]}

Yamaguchi, Tomoharu ^{[5
]}

Maruta, Michio ^{[6
]}

Han, Gwanghee ^{[7
]}

Ikeda, Yuriko ^{[2
]}

Ishikawa, Tomohisa ^{[8
,9
,10
]}

Ikeda, Manabu ^{[3
]}

机构：

[1] Kagoshima Univ, Doctoral Program Clin Neuropsychiat, Grad Sch Hlth Sci, 8-35-1,Sakuragaoka, Kagoshima 8908506, Japan

[2] Kagoshima Univ, Dept Occupat Therapy, Sch Hlth Sci, Fac Med, Kagoshima, Japan

[3] Osaka Univ, Grad Sch Med, Dept Psychiat, Osaka, Japan

[4] Osaka Metropolitan Univ, Grad Sch Rehabil Sci, Osaka, Japan

[5] Gunma Univ Hlth & Welf, Dept Rehabil, Maebashi, Gumma, Japan

[6] Nagasaki Univ, Unit Rehabil Sci, Grad Sch Biomed Sci, Nagasaki, Japan

[7] Int Univ Hlth & Welf, Dept Occupat Therapy, Sch Hlth Sci Fukuoka, Fukuoka, Fukuoka, Japan

[8] Arao Kokoronosato Hosp, Dept Psychiat, Kumamoto, Japan

[9] Kumamoto Univ Hosp, Dept Neuro Psychiat, Kumamoto, Japan

[10] Kumamoto Univ, Fac Life Sci, Kumamoto, Japan

来源：

PSYCHOGERIATRICS | 2022年 / 22卷 / 06期

关键词：

activities of daily living; cognitive dysfunction; dementia; home care; outpatients; ALZHEIMERS-DISEASE; PREVALENCE; COMMUNITY; PEOPLE; PREDICTORS; SEVERITY;

D O I：

10.1111/psyg.12894

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Background Impairment of activities of daily living in patients with dementia has a fundamental and lasting impact on their quality of life and requires a detailed assessment. This study investigated to clarify characteristic of basic activities of daily living (BADL) processes with the severity of cognitive impairment in community-dwelling older adults with dementia using the Process Analysis of Daily Activity for Dementia (PADA-D). Methods Participants were recruited from outpatient departments of 24 hospitals, daycare centres, and home rehabilitation services in Japan. The severity of cognitive impairment was determined using the Mini-mental State Examination (mild: score >= 20; moderate: 10 <= score < 20; severe: score < 10). Patient's BADL were assessed according to the PADA-D by observation of the occupational therapist and interviews with family members. Basic information and the scores of BADL items of the PADA-D were compared between the three groups. Subsequently, we compared the percentage of independent or non-independent processes included in the sub-items of BADL in the PADA-D. Results A total of 143 patients were included in the analysis. Performance on BADL was shown to decrease significantly with increasing severity of cognitive impairment. The percentage of all BADL processes performed ranged from 58% to 100% in mild, 38% to 97% in moderate, and 0% to 88% in severe. Some of the processes included in BADL of PADA-D showed no significant differences in independence between the three groups. Discussion/Conclusion Most BADL processes differed with respect to different independence rates depending on the severity of cognitive impairment of the older adults with dementia. However, some BADL processes were not associated with the severity of cognitive impairment. Our findings may suggest that a detailed BADL assessment of patients with dementia is useful in terms of caregiver education to avoid excessive caregiving and in predicting BADL impairment.

引用

页码：859 / 868

页数：10

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