Cristin-resultat-ID: 1239251
Sist endret: 27. oktober 2016, 14:05
NVI-rapporteringsår: 2015
Resultat
Vitenskapelig artikkel
2015

A 36-month follow-up of decline in activities of daily living in individuals receiving domiciliary care

Bidragsytere:
  • Anne-Sofie Helvik
  • Lisbeth Dyrendal Høgset
  • Sverre Bergh
  • Jurate Saltyte Benth
  • Øyvind Kirkevold og
  • Geir Selbæk

Tidsskrift

BMC Geriatrics
ISSN 1471-2318
e-ISSN 1471-2318
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2015
Publisert online: 2015
Volum: 15
Artikkelnummer: 47
Open Access

Importkilder

Scopus-ID: 2-s2.0-84928486637

Beskrivelse Beskrivelse

Tittel

A 36-month follow-up of decline in activities of daily living in individuals receiving domiciliary care

Sammendrag

Background There have been few studies of how personal and instrumental activities of daily living (P-ADL and I-ADL) develop over time in older people receiving domiciliary care. This study aimed at assessing variables associated with the development of P-ADL and I-ADL functioning over a 36-month follow-up period, with a particular focus on cognitive functioning. Method In all, 1001 older people (≥70 years) receiving domiciliary care were included in a longitudinal study with three assessments of P-ADL and I-ADL functioning during 36 months. P-ADL and I-ADL were assessed using the Lawton and Brody’s Physical Self-Maintenance Scale and Instrumental Activities of Daily Living Scale, respectively. Mini Mental State Examination (MMSE), diagnosis of dementia and MCI, neuropsychiatric symptoms and use of psychotropic medication were also evaluated during the three assessments. Baseline demographic and general medical health information and information of being a nursing home resident at follow-up were recorded. Linear mixed models were estimated. Results There was a significant decline in P-ADL and I-ADL functioning throughout the follow-up. A lower MMSE sum-score, diagnosed MCI and dementia, a higher level of neuropsychiatric symptoms and the use of antipsychotics and antidepressants recorded at each assessment were associated with a decline in both P-ADL and I-ADL functioning. Furthermore, a decline in P-ADL and I-ADL functioning at follow-ups was associated with being male, a higher baseline age and in poorer medical health as well as residing in a nursing home. Conclusion P-ADL and I-ADL functioning in older people worsened over time. The worsening was associated with lower MMSE sum-score, diagnosed MCI and dementia, poorer medical health, neuropsychiatric symptoms, use of psychotropic medication and being transferred to nursing home care. Clinicians should pay close attention to the assessment and treatment of these factors to help older people maintain their level of functioning for as long as possible.

Bidragsytere

Anne-Sofie Helvik

  • Tilknyttet:
    Forfatter
    ved Nasjonalt senter for aldring og helse ved Sykehuset i Vestfold HF
  • Tilknyttet:
    Forfatter
    ved Institutt for samfunnsmedisin og sykepleie ved Norges teknisk-naturvitenskapelige universitet
  • Tilknyttet:
    Forfatter
    ved Klinikk for ØNH, kjeve- og øyesykdommer ved St. Olavs Hospital HF

Lisbeth Dyrendal Høgset

  • Tilknyttet:
    Forfatter
    ved Avd Alderspsykiatri ved Sykehuset Innlandet HF

Sverre Bergh

  • Tilknyttet:
    Forfatter
    ved Avd Alderspsykiatri ved Sykehuset Innlandet HF
Aktiv cristin-person

Jurate Saltyte Benth

  • Tilknyttet:
    Forfatter
    ved Div Psykisk helsevern ved Sykehuset Innlandet HF
  • Tilknyttet:
    Forfatter
    ved Helsetjenesteforskning (HØKH) ved Akershus universitetssykehus HF
  • Tilknyttet:
    Forfatter
    ved Klinikk for helsetjenesteforskning og psykiatri ved Universitetet i Oslo
Aktiv cristin-person

Øyvind Kirkevold

  • Tilknyttet:
    Forfatter
    ved Avd Alderspsykiatri ved Sykehuset Innlandet HF
  • Tilknyttet:
    Forfatter
    ved Nasjonalt senter for aldring og helse ved Sykehuset i Vestfold HF
  • Tilknyttet:
    Forfatter
    ved Institutt for helsevitenskap Gjøvik ved Norges teknisk-naturvitenskapelige universitet
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