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Ann Geriatr Med Res > Volume 15(3); 2011 > Article
Journal of the Korean Geriatrics Society 2011;15(3):128-134.
DOI: https://doi.org/10.4235/jkgs.2011.15.3.128    Published online September 30, 2011.
Factors Associated with a Decline in Activities of Daily Living in Patients with Dementia at Geriatric Hospitals: A 6 Month Prospective Study
Hyuk Ga, Chang Won Won, Roo Ji Lee, Il Woo Han, In Soon Kwon, Byung Joo Park
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.
요양병원에 입원한 치매 환자들의 일상생활기능(ADL) 변화에 영향을 주는 요인 ? 전향적 6개월 관찰 연구
가혁1, 원장원2, 이루지3, 한일우4, 권인순5, 박병주6
1인천은혜병원 노인의학연구소, 2경희대학교 의과대학 가정의학교실, 3광주인광치매요양병원 재활의학과, 4용인효자병원 신경과, 5인제대학교 서울백병원 내과학교실, 6서울대학교 의과대학 예방의학교실
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.
Key Words: Long-term care hospitals, Activities of daily living, K-MMSE, Fecal incontinence, Urinary incontinence


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