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| 題 名 | Functional Performance of Alzheimer's Disease and Vascular Dementia in Southern Taiwan=南臺灣社區阿滋海默氏症與血管性失智症患者生活功能之表現 |
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| 作 者 | 蕭美玉; 余麗樺; 阮慧沁; 林昭宏; 劉景寬; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
| 卷 期 | 22:9 民95.09 |
| 頁 次 | 頁437-446 |
| 分類號 | 415.8471 |
| 關鍵詞 | 阿滋海默氏症; 生活功能獨立程度量表; 血管性失智症; Alzheimer's disease; Functional independence measure; Vascular dementia; |
| 語 文 | 英文(English) |
| 中文摘要 | 本研究之目的係以生活功能獨立程度量表來評估阿滋海默氏症與血管性失智症患者生活功能之表現,以探討病人執行生活活動時應給與之協助。本研究以 64 位阿滋海默氏症及 21 位血管性失智症患者為對象,樣本來自兩個在南台灣社區之失智症流行病學研究,共訪視 3,931 位 65 歲以上老人。研究結果發現阿滋海默氏症病患與血管性失智症兩組病患之失智嚴重度在統計上無顯著之差異 (p > 0.05),但血管性失智症病患在所有生活功能獨立程度之表現上,均比阿滋海默氏症病患較差需要較多之協助,比較兩組之生活功能獨立,程度量表之總分,阿滋海默氏症得 82.7 分,血管性失智症得 56.5 分 (p < 0.05);在動作功能領域上,阿滋海默氏症得 61.6 分,VaD 得 41.7 分 (p < 0.05);認知功能領域上,阿滋海默氏症得 21.2 分,血管性失智症得 15.7 分 (p < 0.05)。而在十八項生活功能活動上,有 6 項有統計學上顯著差異 (p < 0.01),但多數項目仍有相當差異 (p < 0.05)。阿滋海默氏症患者在動作功能領域上,在上下樓梯、下半身穿褲裙、洗澡與移位到浴盆或浴室是最困難的項目,而血管性失智症患者是穿衣,穿褲、裙、洗澡與盥洗。在認知功能領域上,記憶力對阿滋海默氏症患者而解決問題的能力對血管性失智症患者是最困難的項目。研究結果也顯示,失智症病患於生活功能程度之表現與失智症嚴重度及失智症類型有明顯之相關,上列兩項變項,可解釋在生活功能獨立程度活動總分的回歸預測模式變異量 40%。總之失智症病患在執行生活功能獨立活動,因個別認知功能或動作功能之障礙程度有其個別差異性,應依個別性需要,給予適當之協助。 |
| 英文摘要 | This study investigated the functional performance of two major subtypes of dementia, Alzheimer’s disease (AD) and vascular dementia (VaD), by the Functional Independence Measure (FIM), and to understand the need for assistance in performing activities of daily living. The subjects comprised 64 AD and 21 VaD patients who were recruited from two epidemiologic studies of dementia with a total of 3,931 community residents aged 65 years and above in southern Taiwan. The results showed that the severity of dementia was similar between the two groups. The mean score for AD was 82.7 and for VaD was 56.5 for total FIM (p < 0.05), 61.6 and 41.7 for the motor dimension (p < 0.05), and 21.1 and 15.7 for the cognitive dimension (p < 0.05). There were significant differences (p < 0.01) between AD and VaD in six FIM items and borderline or marginal significance (p < 0.05) in most of the FIM items. For AD patients, stairs, lower dressing, bathing, and tub/shower transfer were the most difficult items in the motor dimension, and it was memory in the cognitive dimension. For VaD patients, bathing, upper and lower dressing, and grooming were the most difficult items in the motor dimension, and it was problem solving in the cognitive dimension. VaD patients were more dependent on all FIM items and required more assistance than AD patients. The functional performances of dementia patients were significantly associated with dementia severity and subtypes, together accounting for 40% of the variability in total FIM. In conclusion, most dementia patients are dependent in daily activities and different types and severity of dementia lead to different disability profiles; individualized care is, therefore, most appropriate. |
本系統中英文摘要資訊取自各篇刊載內容。