Korean J Rehabil Nurs.  2020 Dec;23(2):140-148. 10.7587/kjrehn.2020.140.

Factors Affecting the Instrumental Activities of Daily Living of Elderly People with Mild Cognitive Impairment and Mild Dementia

• Shin MK

• KMID: 2519101
• DOI: http://doi.org/10.7587/kjrehn.2020.140

Abstract

Purpose
Instrumental activities of daily living (IADL) are activities associated with independent lifestyle. The purpose of this study is to identify factors affecting IADL of the elderly with mild cognitive impairment and mild dementia.
Methods
Thirty-one old adults with mild cognitive impairment and thirty elderly with mild dementia participated in the study. Lawton IADL, digit span test, Korean-Color Word Stroop test, Korean version of Trail Making Test, Controlled Oral Word Association Test (COWAT) for elderly were used to assess functions of IADL, cognitive status, inhibition, visual attention and task switching, and verbal fluency, respectively. Multiple regression test was used to analyze data.
Results
Color reading positive response (β=-.60), COWAT scores (β=-.38), and the scores of Korean version of Trail Making Test for the elderly (β=.34 for part A, and β=.31 for part B) were significantly associated with IADL.
Conclusion
It is important to assess factors associated with IADL and provide intervention to improve or maintain functions. It is recommended to a nursing intervention program that reinforces the influencing factors of instrumental daily living ability identified in this study.

Keyword

Cognitive impairment; Dementia; Elderly; IADL(Instrumental Activity of Daily Life)