Survey of Current Status and Cognition of Activities of Daily Living in Dementia Patients: the 2018 “Il-sang-ye-chan” Campaign

다국어 초록 (Multilingual Abstract)

Background and Purpose: Disability associated with activities of daily living (ADL) is thebasis of dementia diagnosis and is an important factor in the care of dementia patients. Thestatus of awareness and burden of ADL disability in dementia patients was investigated sixyears ago and used as an important reference for “Il-sang-ye-chan” campaign. They were reinvestigatedin six years and compared with previous results.
Methods: The survey included caregivers of 100 dementia patients listed at the four regionaldementia centers. Structured open and closed questions about ADL were asked. Assessmentsincluded age, sex, education level, economic status, severity of dementia, caregiving pattern,current statues and cognition of ADL, and caregiver needs.
Results: The cognition of ADL was still very low (43%). Increased stress among caregiverswas the biggest burden, and they frequently suffered from outing disability (56%), recentmemory loss (48%), and loss of bowel/bladder control (40%). The economic burden hasbeen greatly reduced compared with the burden six years ago and the needs of caregivers werestill highly about educational guide lines or programs.
Conclusions: Continued interest and further investigation into ADL disability of dementiapatients are needed. Korean Dementia Association will further expand the “Il-sang-ye-chan”program: via a multi-domain cognitive intervention program under the Care for ADL indementia and Relieve symptoms in Dementia Project.

참고문헌 (Reference)

1 강수진, "한국판 Instrumental Activities of Dalily Living의 타당도와 신뢰도" 대한신경과학회 20 (20): 8-14, 2002

2 구형모, "일상활동평가-복합(Seoul-Instrumental Activities of Daily Living ; S-IADL)의 신뢰도 및 타당도 연구" 대한신경정신의학회 43 (43): 189-199, 2004

3 양영순, "일상생활능력과 치매" 대한치매학회 11 (11): 29-37, 2012

4 McKhann GM, "The diagnosis of dementia due to Alzheimer's disease: recommendations from the National Institute on Aging-Alzheimer's Association workgroups on diagnostic guidelines for Alzheimer's disease" 7 : 263-269, 2011

5 Gustavsson A, "Predictors of costs of care in Alzheimer's disease: a multinational sample of 1222 patients" 7 : 318-327, 2011

6 Razani J, "Predicting caregiver burden from daily functional abilities of patients with mild dementia" 55 : 1415-1420, 2007

7 Vossius C, "Mortality in nursing home residents: a longitudinal study over three years" 13 : e0203480-, 2018

8 Bremer P, "Informal dementia care: consequences for caregivers' health and health care use in 8 European countries" 119 : 1459-1471, 2015

9 Norton MC, "Greater risk of dementia when spouse has dementia? The Cache County study" 58 : 895-900, 2010

10 Mahoney FI, "Functional evaluation: the barthel index" 14 : 61-65, 1965

11 Suh GH, "Development of the Korean version of disability assessment for dementia scale(DAD-K) to assess function in dementia" 7 : 278-287, 2003

12 Keshavan MS, "Cognitive training in mental disorders: update and future directions" 171 : 510-522, 2014

13 Kim MD, "Caregiver burden among caregivers of Koreans with dementia" 55 : 106-113, 2009

14 Lawton MP, "Assessment of older people: self-maintaining and instrumental activities of daily living" 9 : 179-186, 1969

15 Gold DA, "An examination of instrumental activities of daily living assessment in older adults and mild cognitive impairment" 34 : 11-34, 2012

16 Ngandu T, "A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): a randomised controlled trial" 385 : 2255-2263, 2015

17 최호진, "2014년 일상예찬 캠페인 “일상생활지침서” 사용 효과 연구" 대한치매학회 13 (13): 101-106, 2014

18 최호진, "2012년 일상예찬 캠페인 일상 수행능력 현황 및 인식 조사" 대한치매학회 12 (12): 47-51, 2013