J Korean Geriatr Soc.
2011 Sep;15(3):128-134.
Factors Associated with a Decline in Activities of Daily Living in Patients with Dementia at Geriatric Hospitals: A 6 Month Prospective Study
- Affiliations
-
- 1Institute of Geriatric Medicine, Incheon Eun-Hye Hospital, Incheon, Korea.
- 2Department of Family Medicine, Kyung Hee University School of Medicine, Seoul, Korea. chunwon62@dreamwiz.com
- 3Department of Rehabilitation Medicine, In-Gwang Long-term Care Hospital, Gwangju, Korea.
- 4Department of Neurology, Hyoja Geriatric Hospital, Yongin, Korea.
- 5Department of Internal Medicine, Inje University Seoul Paik Hospital, Seoul, Korea.
- 6Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.
Abstract
- BACKGROUND
Decreased activities of daily living (ADL) in elderly people are related to decreased quality of life and death and are a clinically important issue. However, few studies have investigated the various characteristics and risk factors for a decline in ADL among elderly in-patients in geriatric hospitals in Korea.
METHODS
In total, 163 elderly in-patients with dementia in three geriatric hospitals located in Incheon, Gwangju and Yongin, Korea were surveyed prospectively for associated factors of a decline in ADL after 6 months.
RESULTS
On average, the subjects were 79.4+/-7.6 years old, and 67.5% were female. Approximately 63% had Alzheimer type dementia, 36.8% only attended primary school, 73.0% were widowed, and 38.7% had been admitted to hospitals for less than 1 year. The Korean version of the Mini Mental State Examination (K-MMSE) score was 14.1+/-6.5, and the clinical dementia rating was 1.9+/-0.9. In total, 8.6% were bed-ridden and 59.5% and 64.6% had never experienced fecal and urinary incontinence, respectively. Total ADL scores declined after 6 months follow-up, and significantly associated factors were low K-MMSE score, fecal incontinence, and co-existence of fecal and urinary incontinence.
CONCLUSION
Low K-MMSE scores, fecal incontinence, and the co-existence of fecal and urinary incontinence were associated with ADL declines in elderly in-patients with dementia in long-term care hospitals located in three cities in Korea.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Predictors of Quality of Life in Patients with Dementia of the Alzheimer's Type
- Factors Influencing on Physical Activities of Daily hiving in Elderly People with Cognitive Impairment
- Influencing Factors of Cognitive Function in High-Risk Groups of Dementia in One Area: Focused on Elderly Living Alone
- Activities of Daily Living and Dementia
- Factors Associated with Activities of Daily Living (ADL) in Elderly with Mild Cognitive Impairment (MCI) and Early Dementia
