Clinical outcomes in elderly demented patients and caregiver's stress: a 2-year follow-up study
Autor: | Rossella Obialero, M.F. Stasi, C. Costamagna, N. Aimonino, C. Ruatta, Mario Molaschi, Vittoria Tibaldi |
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Rok vydání: | 2007 |
Předmět: |
Gerontology
Male Aging medicine.medical_specialty Health (social science) Activities of daily living Clinical Dementia Rating Disease Neuropsychological Tests Severity of Illness Index Social support Severity of illness Medicine Dementia Humans Aged Aged 80 and over business.industry Social Support medicine.disease Comorbidity Caregivers Physical therapy Caregiver stress Female Geriatrics and Gerontology business Cognition Disorders Stress Psychological Follow-Up Studies |
Zdroj: | Archives of gerontology and geriatrics. 44 |
ISSN: | 0167-4943 |
Popis: | We have conducted a study on 82 elderly patients with advanced dementia admitted to the Geriatric Department of S. Giovanni Battista Hospital of Torino in order to evaluate mortality, functional and cognitive impairment and caregiver's stress at 2-year follow-up. Patients were examined using a standardized protocol which included demographic characteristics, comorbidity, duration and type of dementia, severity of disease (clinical dementia rating scale: CDR), behavioral disturbances (neuro-psychiatric inventory: NPI), functional status (activities of daily living: ADL, and instrumental activities of daily living: IADL), cognitive status (short portable mental status questionnaire: SPMSQ). Characteristics of primary caregivers were evaluated and their level of stress was assessed by the relatives' stress scale (RSS). After two years, mortality in the total sample was 61%; the mean age of survivors was 81.3+/-5.3 years; 88% of the sample was still living at home with a relative (76%) or with paid personnel (24%). A statistically significant worsening of the cognitive status was detected (baseline SPMSQ=7.5+/-1.7; follow-up SPMSQ=8.4+/-1.8; p |
Databáze: | OpenAIRE |
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