The Survey for the Effect of Guideline about Activities of Daily Living in Dementia Patients

Hojin Choi; Yeon-Sil Moon; Chan-Nyoung Lee; YoungSoon Yang; Eun-Hyang Song; Hee-Jin Kim; Hae Ri Na; Yong S. Shim; Kyung Won Park; Jee Hyang Jeong; Dong Won Yang; SangYun Kim; Kee Hyung Park

doi:10.12779/dnd.2014.13.4.101

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Choi, Moon, Lee, Yang, Song, Kim, Na, Shim, Park, Jeong, Yang, Kim, and Park: The Survey for the Effect of Guideline about Activities of Daily Living in Dementia Patients "Il-sang-ye-chan" Campaign

Original Article

Dementia and Neurocognitive Disorders 2014; 13(4): 101-106.

Published online: 31 December 2014

DOI: https://doi.org/10.12779/dnd.2014.13.4.101

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.^§§, 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, khpark0813@gmail.com

Received 15 November 2014 Revised 3 December 2014 Accepted 3 December 2014

(open-access):

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 and Tables

Fig. 1

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

Table 1

The characteristics of patients and care-givers

^*Active = "active practice" group of guideline; ^†Passive = "passive practice" group of guideline.

Table 2

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

^*Active="active practice" group of guideline; ^†Passive="passive practice" group of guideline.

K-MMSE, Korean Mini-Mental State Examination; S-GDS, Short form of Geriatric Depression Scale, Korean version; ZBI-K, Korean version of Zarit's Burden Interview; ADCS-ADL, Alzheimer's Disease Cooperative Study-Activities of Daily Living scale.

Table 3

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

Appendix

Appendix 1

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