pISSN 1738-1495   eISSN 2384-0757
Open Access, Peer-reviewed
    Dement Neurocogn Disord. 2014 Dec;13(4):101-106. Korean.
    Published online Dec 31, 2014.
    https://doi.org/10.12779/dnd.2014.13.4.101
    © 2014 Korean Dementia Association
    Original Article

    The Survey for the Effect of Guideline about Activities of Daily Living in Dementia Patients "Il-sang-ye-chan" Campaign

    Hojin Choi, M.D.,* Yeon-Sil Moon, M.D.,† Chan-Nyoung Lee, M.D.,‡ YoungSoon Yang, M.D.,§ Eun-Hyang Song, M.D.,∥ Hee-Jin Kim, M.D.,* Hae Ri Na, M.D., Yong S. Shim, M.D.,** Kyung Won Park, M.D.,†† Jee Hyang Jeong, M.D.,‡‡ Dong Won Yang, M.D.,** SangYun Kim, M.D.,§§ and Kee Hyung Park, M.D.∥∥
      • *Department of Neurology, Hanyang University College of Medicine, Seoul, Korea.
      • †Department of Neurology, Konkuk University College of Medicine, Seoul, Korea.
      • ‡Department of Neurology, Korea University College of Medicine, Seoul, Korea.
      • §Department of Neurology, Veterans Hospital, Seoul, Korea.
      • ∥Department of Neurology, Seoul metropolitan Seobuk Hospital, Seoul, Korea.
      • Department of Neurology, Bobath Memorial Hospital, Seongnam, Korea.
      • **Department of Neurology, The Catholic University of Korea College of Medicine, Seoul, Korea.
      • ††Department of Neurology, Dong-A University College of Medicine, Busan, Korea.
      • ‡‡Department of Neurology, School of Medicine, Ewha Womans University, Seoul, Korea.
      • §§Department of Neurology, Seoul National University College of Medicine & Clinical Neuroscience Center, Seoul National University Bundang Hospital, Seongnam, Korea.
      • ∥∥Department of Neurology, Gachon University, Gil Medical Center, Incheon, Korea.
    • Address for correspondence: Kee Hyung Park, M.D. Department of Neurology, Gachon University, Gil Medical Center, 21 Namdong-daero 774beon-gil, Namdong-gu, Incheon 405-760, Korea. Tel: +82-32-460-8683, Fax: +82-32-460-3344, Email: khpark0813@gmail.com
    Received November 15, 2014; Revised December 03, 2014; Accepted December 03, 2014.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Background

    Activities daily living (ADL) disability has a direct influence on the patients' quality of life and on the amount of care needed. It is major factor of care in dementia patients. So Korean Dementia Association suggested guideline about activities of daily living in dementia patients in 2013. The purpose of this article is to investigate the effect of this.

    Methods

    A total of 110 subjects were enrolled. Assessments included age, sex, education level of patients and caregiver, the duration of disease, pattern of family, economic status. We divided "active practice" group and "passive practice" group by recognition of guideline contents after study. We compared two groups before and after by Korean Mini-Mental State Examination (K-MMSE), Short form of Geriatric Depression Scale-Korean version (S-GDS), Korean version of Zarit's Burden Interview (ZBI-K), Alzheimer's Disease Cooperative Study-Activities of Daily Living scale (ADCS-ADL). Finally, we investigate the level of satisfaction about our guideline.

    Results

    Age of patients, the duration of disease was lower and education level of caregiver and economic status was higher in "active practice group". The pattern of family also differed from two groups. It was observed distinct difference between the variations of two groups in S-GDS, ZBI-K, and ADCS-ADL. The level of satisfaction about our guideline was very high.

    Conclusion

    Considering these results, our guideline about activities of daily living is effective to manage dementia patient. Active application of it is needed in clinic or center for dementia.

    Keywords
    Dementia; Activities daily living; Guideline for dementia

    Figures

    Fig. 1
    The level of satisfaction about our guideline for dementia patients' ADL.

    Tables

    Table 1
    The characteristics of patients and care-givers

    Table 2
    Compared the state of patients and caregiver before and after using guideline

    Table 3
    Most positive changeable items in ADCS-ADL (in "active practice" group of guideline)

    Appendix 1

    References

      1. Yang Y, Yang HD, Hong YJ, Kim JE, Park MH, Na HR, et al. Activities of Daily Living and Dementia. Dement Neurocogn Disord 2012;11:29–37.
      1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR (Text Revision). 4th ed. Washington DC: American Psychiatric Association; 2000.
      1. Rubin EH, Morris JC, Grant EA, Vendegna T. Very mild senile dementia of the Alzheimer type. I. Clinical assessment. Arch Neurol 1989;46:379–382.
      1. Juva K, Makela M, Erkinjuntti T, Sulkava R. Functional assessment scales in detecting dementia. Age Ageing 1997;26:393–400.
      1. Desai AK, Grossberg GT, Sheth DN. Activities of daily living in patients with dementia: clinical relevance, methods of assessment and effects of treatment. CNS Drugs 2004;18:853–875.
      1. Thal LJ, Grundman M, Klauber MR. Dementia: characteristics of a referral population and factors associated with progression. Neurology 1988;38:1083–1090.
      1. Galasko D, et al. An inventory to assess activities of daily living for clinical trials in Alzheimer's disease. The Alzheimer's Disease Cooperative Study. Alzheimer Dis Assoc Disord 1997;11 Suppl 2:S33–S39.
      1. Gauthier S, Rockwood k, Gelinas I, Sykes L, Teunisse S, Orgogozo JM, et al. Outcome measures for the study of activities of daily living in vascular dementia. Alzheimer Dis Assoc Disord 1999;13 Suppl 3:S143–S147.
      1. Mohr E, Feldman H, Gauthier S. Canadian guidelines for the development of antidementia therapies: a conceptual summary. Can J Neurol Sci 1995;22:62–71.
      1. Choi H, Yang YS, Kim H, Na HR, Shim YS, Park KW, et al. The Survey for Current State and Dognition of Activities of Daily Living in Dementia Patients- "Il-sang-ye-chan" Campaign. Dement Neurocogn Disord 2013;12:47–51.
      1. Choi SH, Na DL, Lee BH, Hahm DS, Jeong JH, Yoon SJ, et al. Estimating the Validity of the Korean Version of Expanded Clinical Dementia Rating (CDR) Scale. J Korean Neurol Assoc 2001;19:585–591.
      1. Kang Y, Kim D, Na DL. A normative study of the Korean Mini-Mental State Examination. J Korean Neurol Assoc 2003;22 Suppl 3:235.
      1. Bae JN, Cho MJ. Development of the Korean version of the Geriatric Depression Scale and its short form among elderly psychiatric patients. J Psychosom Res 2004;57:297–305.
      1. Zarit SH, Todd PA, Zarit JM. Subjective burden of husband and wives as caregivers: a longitudinal study. Gerontologist 1986;26:260–266.
      1. Galasko D, Bennett D, Sano M, et al. An inventory to assess activities of daily living for clinical trials in Alzheimer's disease: the Alzheimer's Disease Cooperative Study. Alzheimer Dis Assoc Disord 1997;11 Suppl 2:S33–S39.
      1. Lee Y, Na DL, Cheong H, Hong CH, Back JH, Kim J, et al. Lifestyle Recommendations for Dementia Prevention: PASCAL. J Korean Geriatr Soc 2009;13(2):61–68.
      1. Saczynski JS, Pfeifer LA, Masaki K, Korf ES, Laurin D, White L, et al. The effect of social engagement on incident dementia: the Honolulu-Asia Aging Study. Am J Epidemiol 2006;163:433–440.
      1. Hultsch DF, Hertzog C, Small BJ, Dixon RA. Use it or lose it: engaged lifestyle as a buffer of cognitive decline in aging? Psychol Aging 1999;14:245–263.
      1. Scarmeas N, Levy G, Tang MX, Manly J, Stern Y. Influence of leisure activity on the incidence of Alzheimer's disease. Neurology 2001;57:2236–2242.
      1. Wilson RS, Scherr PA, Schneider JA, Tang Y, Bennett DA. Relation of cognitive activity to risk of developing Alzheimer disease. Neurology 2007;69:1911–1920.
    Cited by
    Crossref 2
    Google Scholar 
    MeSH Terms
    Activities of Daily Living*
    Alzheimer Disease
    Caregivers
    Dementia*
    Depression
    Education
    Humans
    Quality of Life
    Metrics
    Share
    Figures
    slide

    1 / 1

    Tables
    slide
    slide
    slide

    1 / 3

    PERMALINK