Dement Neurocogn Disord.  2019 Mar;18(1):1-9. 10.12779/dnd.2019.18.1.1.

Survey of Current Status and Cognition of Activities of Daily Living in Dementia Patients: the 2018 “Il-sang-ye-chan” Campaign

Affiliations
  • 1Department of Neurology, Hanyang University Guri Hospital, Guri, Korea.
  • 2Department of Neurology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.
  • 3Department of Neurology, Konkuk University Medical Center, Seoul, Korea.
  • 4Department of Neurology, Gachon University, Gil Medical Center, Incheon, Korea.
  • 5Department of Neurology, Hanyang University College of Medicine, Seoul, Korea.
  • 6Department of Neurology, Korea University College of Medicine, Seoul, Korea. lcn001@naver.com

Abstract

BACKGROUND AND PURPOSE
Disability associated with activities of daily living (ADL) is the basis of dementia diagnosis and is an important factor in the care of dementia patients. The status of awareness and burden of ADL disability in dementia patients was investigated six years ago and used as an important reference for "Il-sang-ye-chan" campaign. They were re-investigated in six years and compared with previous results.
METHODS
The survey included caregivers of 100 dementia patients listed at the four regional dementia centers. Structured open and closed questions about ADL were asked. Assessments included age, sex, education level, economic status, severity of dementia, caregiving pattern, current statues and cognition of ADL, and caregiver needs.
RESULTS
The cognition of ADL was still very low (43%). Increased stress among caregivers was the biggest burden, and they frequently suffered from outing disability (56%), recent memory loss (48%), and loss of bowel/bladder control (40%). The economic burden has been greatly reduced compared with the burden six years ago and the needs of caregivers were still highly about educational guide lines or programs.
CONCLUSIONS
Continued interest and further investigation into ADL disability of dementia patients are needed. Korean Dementia Association will further expand the "Il-sang-ye-chan" program: via a multi-domain cognitive intervention program under the Care for ADL in dementia and Relieve symptoms in Dementia Project.

Keyword

Activities of daily living; Dementia; Caregivers

MeSH Terms

Activities of Daily Living*
Caregivers
Cognition*
Dementia*
Diagnosis
Education
Humans
Memory Disorders

Figure

  • Fig. 1 Prevalence of patterns of caregiver burden. (A) Prevalence of patterns of caregiver burden in 2018. (B) Prevalence of patterns of caregiver burden in 2012.

  • Fig. 2 Prevalence of activities of daily living disability in dementia patients. (A) Prevalence of symptoms that caregiver experienced in 2018. (B) Prevalence of symptoms that seriously bothered caregiver in 2018. (C) Prevalence of symptoms that caregiver experienced in 2012. (D) Prevalence of symptoms that seriously bothered caregiver in 2012.

  • Fig. 3 The economic burden of caregivers for dementia patients. (A) The economic burden of caregivers for dementia patients in 2018. The average of shortening the working hours: 10.3 hours/week. (B) The economic burden of caregivers for dementia patients in 2012. The average of shortening the working hours: 14.55 hours/week.

  • Fig. 4 Needs of caregivers for dementia patients. (A) Needs of caregivers for dementia patients in 2018. (B) Needs of caregivers for dementia patients in 2012. ADL: activities of daily living.


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