Care for demented patients in different living conditions. Effects on cognitive function, ADL-capacity and behaviour.
Care for demented patients in different living conditions. Effects on cognitive function, ADL-capacity and behaviour.
复制标题
照顾不同生活条件下的痴呆症患者。
DOI：
10.3109/02813439508996762
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发表时间：
1995
影响因子：
2.1
通讯作者：
Sandman Po
中科院分区：
文献类型：
--
作者：
Anders Wimo;Rolf Adolfsson;Sandman Po
目的
评估痴呆症患者的生活条件是否以及如何影响他们的功能水平。
设计
前瞻性同期对照研究。
设置
松兹瓦尔，瑞典中部的一个工业社区。
参与者
46例痴呆患者在集体生活（GL组）和62名对照（C组）。
主要观察指标
在一年的时间里，每三个月测量一次认知功能、ADL能力和行为。
结果
两组均出现恶化，但GL组在某些ADL功能（例如穿衣和运动功能）方面的下降明显较慢，而GL组的某些行为障碍明显更常见。在认知功能水平方面没有观察到差异。
结论
生活条件对认知功能和ADL能力的影响较小。GL中观察到的行为障碍应是未来研究的重点。
OBJECTIVE
To assess if and how demented patients' living conditions affect their level of functioning.
DESIGN
A prospective concurrent control-study.
SETTING
Sundsvall, an industrial community in the middle of Sweden.
PARTICIPANTS
Forty-six demented patients in group-living (GL-group) and 62 controls (C-group).
MAIN OUTCOME MEASURE
Cognitive function, ADL-capacity and behaviour were measured every third month during one year.
RESULTS
Both groups deteriorated, but the decline was significantly slower in the GL-group regarding some ADL-functions, e.g. dressing and motor functions, whereas some behavioural disturbances were significantly more frequent in the GL-group. No differences were observed regarding the level of cognitive function.
CONCLUSION
The living condition has small effects on cognitive function and ADL-capacity. The behavioural disturbances observed in GL should be the focus of future research.