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A 52 month follow-up of functional decline in nursing home residents – degree of dementia contributes
BACKGROUND: Few have studied how personal activities of daily living (P-ADL) develop over time in nursing home residents with dementia. Thus, the aim was to study variables associated with the development of P-ADL functioning over a 52-month follow-up period, with a particular focus on the importanc...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3985541/ https://www.ncbi.nlm.nih.gov/pubmed/24720782 http://dx.doi.org/10.1186/1471-2318-14-45 |
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author | Helvik, Anne-Sofie Engedal, Knut Benth, Jūratė Šaltytė Selbæk, Geir |
author_facet | Helvik, Anne-Sofie Engedal, Knut Benth, Jūratė Šaltytė Selbæk, Geir |
author_sort | Helvik, Anne-Sofie |
collection | PubMed |
description | BACKGROUND: Few have studied how personal activities of daily living (P-ADL) develop over time in nursing home residents with dementia. Thus, the aim was to study variables associated with the development of P-ADL functioning over a 52-month follow-up period, with a particular focus on the importance of the degree of dementia. METHOD: In all, 932 nursing home residents with dementia (Clinical Dementia Rating–CDR- Scale ≥1) were included in a longitudinal study with four assessments of P-ADL functioning during 52 months. P-ADL was measured using the Lawton and Brody’s Physical Self-Maintenance Scale. Degree of dementia (CDR), neuropsychiatric symptoms and use of psychotropic medication were assessed at the same four time points. Demographic information and information about physical health was included at baseline. Linear regression models for longitudinal data were estimated. RESULTS: Follow-up time was positively associated with a decline in P-ADL functioning. Degree of dementia at baseline was associated with a decline in P-ADL functioning over time. The association between degree of dementia and P-ADL functioning was strongest at baseline, and then flattened over time. A higher level of neuropsychiatric symptoms such as agitation and apathy and no use of anxiolytics and antidementia medication were associated with a decline in P-ADL functioning at four time points. Higher physical co-morbidity at baseline was associated with a decline in P-ADL functioning. CONCLUSION: P-ADL functioning in nursing home patients with dementia worsened over time. The worsening was associated with more severe dementia, higher physical comorbidity, agitation, apathy and no use of anxiolytics and antidementia medication. Clinicians should pay attention to these variables (associates) in order to help the nursing home residents with dementia to maintain their level of functioning for as long as possible. |
format | Online Article Text |
id | pubmed-3985541 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-39855412014-04-15 A 52 month follow-up of functional decline in nursing home residents – degree of dementia contributes Helvik, Anne-Sofie Engedal, Knut Benth, Jūratė Šaltytė Selbæk, Geir BMC Geriatr Research Article BACKGROUND: Few have studied how personal activities of daily living (P-ADL) develop over time in nursing home residents with dementia. Thus, the aim was to study variables associated with the development of P-ADL functioning over a 52-month follow-up period, with a particular focus on the importance of the degree of dementia. METHOD: In all, 932 nursing home residents with dementia (Clinical Dementia Rating–CDR- Scale ≥1) were included in a longitudinal study with four assessments of P-ADL functioning during 52 months. P-ADL was measured using the Lawton and Brody’s Physical Self-Maintenance Scale. Degree of dementia (CDR), neuropsychiatric symptoms and use of psychotropic medication were assessed at the same four time points. Demographic information and information about physical health was included at baseline. Linear regression models for longitudinal data were estimated. RESULTS: Follow-up time was positively associated with a decline in P-ADL functioning. Degree of dementia at baseline was associated with a decline in P-ADL functioning over time. The association between degree of dementia and P-ADL functioning was strongest at baseline, and then flattened over time. A higher level of neuropsychiatric symptoms such as agitation and apathy and no use of anxiolytics and antidementia medication were associated with a decline in P-ADL functioning at four time points. Higher physical co-morbidity at baseline was associated with a decline in P-ADL functioning. CONCLUSION: P-ADL functioning in nursing home patients with dementia worsened over time. The worsening was associated with more severe dementia, higher physical comorbidity, agitation, apathy and no use of anxiolytics and antidementia medication. Clinicians should pay attention to these variables (associates) in order to help the nursing home residents with dementia to maintain their level of functioning for as long as possible. BioMed Central 2014-04-10 /pmc/articles/PMC3985541/ /pubmed/24720782 http://dx.doi.org/10.1186/1471-2318-14-45 Text en Copyright © 2014 Helvik et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Helvik, Anne-Sofie Engedal, Knut Benth, Jūratė Šaltytė Selbæk, Geir A 52 month follow-up of functional decline in nursing home residents – degree of dementia contributes |
title | A 52 month follow-up of functional decline in nursing home residents – degree of dementia contributes |
title_full | A 52 month follow-up of functional decline in nursing home residents – degree of dementia contributes |
title_fullStr | A 52 month follow-up of functional decline in nursing home residents – degree of dementia contributes |
title_full_unstemmed | A 52 month follow-up of functional decline in nursing home residents – degree of dementia contributes |
title_short | A 52 month follow-up of functional decline in nursing home residents – degree of dementia contributes |
title_sort | 52 month follow-up of functional decline in nursing home residents – degree of dementia contributes |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3985541/ https://www.ncbi.nlm.nih.gov/pubmed/24720782 http://dx.doi.org/10.1186/1471-2318-14-45 |
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