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KMID : 0828520110150030128
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Journal of the Korean Geriatrics Society
2011 Volume.15 No. 3 p.128 ~ p.134
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Factors associated with ADL changes in dementia patients in geriatric hospitals - a 6 months prospective study
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Ga Hyuk
Won Chang-Won
Lee Roo-Ji
Han Il-Woo
Kwon In-Soon
Park Byung-Joo
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Abstract
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Background: Declined activities of daily living (ADLs) of elderly people are related to decreased quality of life and death, and are one of the clinically important issues. However, little have been studied about various characteristics and risk factors for ADLs declines among the elderly inpatients in geriatric hospitals in Korea.
Methods: One hundred sixty three demented elderly inpatients in three geriatric hospitals located in Incheon, Gwang-Ju, and Yong-In, Korea were surveyed prospectively for their demographic and other characteristics and associated factors for ADLs declines after six month follow-ups.
Results: On average, the subjects were 79.4 7.6 years old and 67.5% were female. Concerning their characteristics, 63.3% were with Alzheimer type dementia, 36.8% went to only primary school, 73.0% were widowed, and 38.7% had been admitted in the hospitals less than one year. K-MMSE score was 14.1 6.5 and clinical dementia rating(CDR) was 1.9 0.9. 8.6% were bed-ridden, 59.5% and 64.6% had ever experienced fecal and urinary incontinence, respectively. Total ADLs scores declined after 6 month follow ups and significantly associated factors were low K-MMSE scores, fecal incontinence and co-existence of fecal and urinary incontinence.
Conclusion: Low K-MMSE scores, fecal incontinence and co-existence of fecal and urinary incontinence were associated with ADLs declines for 6 months in demented elderly inpatients in long-term care hospitals located in three cities in Korea."
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KEYWORD
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long-term care, hospitals, activities of daily living, fecal incontinence, urinary incontinence
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