Characteristic of Process Analysis on Instrumental Activity of Daily Living According to Severity of Cognitive Impairment in Community-Dwelling Older Adults with Alzheimer Disease
Characteristic of Process Analysis on Instrumental Activity of Daily Living According to Severity of Cognitive Impairment in Community-Dwelling Older Adults with Alzheimer Disease
复制标题
社区老年阿尔茨海默病认知障碍严重程度日常生活工具性活动的过程分析特征
DOI：
10.1017/s1041610222000552
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发表时间：
2022
影响因子：
7
通讯作者：
Ikeda M
中科院分区：
文献类型：
--
作者：
Tabira T;Hotta M;Maruta M;Ikeda Y;Shimokihara S;Han G;Yamaguchi T;Tanaka H;Ishikawa T;Ikeda M
目的采用认知功能障碍的日常活动过程分析（PADA-D），探讨社区老年阿尔茨海默病（AD）患者日常生活活动（IADL）过程受损和未受损与认知功能障碍严重程度的关系。方法采用简易精神状态检查量表（Mini-Mental State Examination，MMSE）对老年AD患者的认知功能进行分级（20 ≥轻度组，20 <中度组≥ 10，10 <重度组），调整协变量后比较三组间的IADL评分和PADA-D中的8个IADL项目。率五个可行的过程包括在每个IADL的PADA-D compared.ResultsIADL评分显示，除了使用交通方式和管理财务，这是特别明显的，在购物（F = 25.58），能够使用电话（F = 16.75），和管理药物（F = 13.1）与AD的严重程度的独立性下降。但当PADA-D被按加工检查时，随着认知功能损害的严重程度，受损和未受损的加工是清晰的。例如，计划一顿饭受损（ES = 0.29）的严重程度，但准备食物是不是在Cookingperformance.ConclusionsWe建议，详细的过程分析在IADL可以澄清的特点，受损和未受损的过程中的严重程度的认知功能障碍的老年人AD生活在社区。我们的研究结果可能有助于IADL的康复和护理，以继续在家生活。
ObjectivesTo clarify the characteristic of impaired and unimpaired Instrumental Activities of daily living (IADL) processes with the severity of cognitive impairment in community-dwelling older adults with Alzheimer’s disease (AD) using the Process Analysis of Daily Activity for Dementia (PADA-D).DesignCross-sectional study.Setting13 medical and care centers in Japan.Participants115 community-dwelling older adults with AD.MethodsThe severity of cognitive impairment was classified by Mini-Mental State Examination (20 ≥ mild group, 20 < moderate group ≥ 10, 10 < severe group), and IADL scores and eight IADL items in PADA-D were compared among three groups after adjusting for covariates. Rate of five feasible processes included in each IADL of PADA-D was compared.ResultsIADL score showed a decrease in independence with the severity of AD except for Use modes of transportation and Managing finances, which was especially pronounced in Shopping (F = 25.58), Ability to use the telephone (F = 16.75), and Managing medication (F = 13.1). However, when the PADA-D was examined by process, some processes that were impaired and unimpaired with the severity of cognitive impairment were clear. For example, Plan a meal was impaired (ES = 0.29) with the severity, but Prepare the food was not in Cooking performance.ConclusionsWe suggested that detailed process analysis in IADLs can clarify the characteristic of processes that are impaired and unimpaired with the severity of cognitive impairment in older adults with AD living in the community. Our findings may be useful for rehabilitation and care in IADL to continue living at home.