Telenius Elisabeth Wiken, Engedal Knut, Bergland Astrid
Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences; Oslo 0130, Norway.
Int J Environ Res Public Health. 2013 Dec 2;10(12):6672-86. doi: 10.3390/ijerph10126672.
The aims of this study were to describe the quality of life (QoL) of nursing-home residents with dementia and their balance, mobility, muscle strength and daily life activity, as well as to examine the associations between QoL and levels of balance, mobility, muscle strength and daily life activity.
The study is cross sectional, and 170 nursing-home residents with dementia were included.
"The quality of life in late-stage dementia scale" (QUALID), Berg Balance Scale, comfortable walking speed, maximum walking speed, 30-s sit-to-stand, Barthel Index, Clinical Dementia Rating Scale, the Clock Drawing Test and the Mini-Mental State Examination (MMSE) were used.
Our study showed that nursing-home residents with dementia are a heterogeneous group regarding registrations of QUALID and physical function measures. The scores on the QUALID ranged from 11 to 41 points. Higher scores on the 30-s sit-to-stand and Berg Balance Scale were associated with a better QUALID. For comfortable, as well as maximum, walking speed there was a trend towards better QUALID results for those participants with higher walking speed.
Good muscle strength and balance were the most important physical performance variables significantly associated with a good QUALID score.
本研究旨在描述患有痴呆症的养老院居民的生活质量（QoL）及其平衡能力、活动能力、肌肉力量和日常生活活动，同时研究生活质量与平衡能力、活动能力、肌肉力量和日常生活活动水平之间的关联。
本研究为横断面研究，纳入了170名患有痴呆症的养老院居民。
使用了“晚期痴呆症生活质量量表”（QUALID）、伯格平衡量表、舒适步行速度、最大步行速度、30秒坐立试验、巴氏指数、临床痴呆评定量表、画钟试验和简易精神状态检查表（MMSE）。
我们的研究表明，在QUALID登记和身体功能测量方面，患有痴呆症的养老院居民是一个异质性群体。QUALID得分在11至41分之间。30秒坐立试验和伯格平衡量表得分越高，QUALID越好。对于舒适步行速度和最大步行速度，步行速度较高的参与者的QUALID结果有更好的趋势。
良好的肌肉力量和平衡能力是与良好的QUALID得分显著相关的最重要的身体表现变量。
