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老年人额叶评估量表得分与日常生活活动能力/工具性日常生活活动能力之间的关系。

Relationship between frontal assessment battery scores and activities of daily living/instrumental activities of daily living ability in older adults.

作者信息

Hisano Shinya

机构信息

Department of Occupational Therapy, Faculty of Health and Welfare, Prefectural University of Hiroshima: 1-1 Gakuen-cho, Mihara-shi, Hiroshima 723-0053, Japan.

出版信息

J Phys Ther Sci. 2018 Oct;30(10):1237-1240. doi: 10.1589/jpts.30.1237. Epub 2018 Oct 12.

Abstract

[Purpose] The present study aimed to investigate the relationship between Frontal Assessment Battery scores and the ability to perform activities of daily living/instrumental activities of daily living based on child development, as well as the ability of Frontal Assessment Battery score to predict functional age. [Participants and Methods] The present cross-sectional study included 85 older adults (mean age: 83.5 years, standard deviation: 7.3; men: 23, women: 62; facility-dwelling: 43, home-based: 42) recruited from nursing homes and day centers in Hiroshima and Hyogo, Japan. All the participants were assessed using the Frontal Assessment Battery and perform activities of daily living/instrumental activities of daily living Cognitive Level Version 2.0 scale (ADL/IADL-COG ver.2.0). Spearman rank correlation coefficients and single regression analyses were performed to determine the relationship between the Frontal Assessment Battery score and functional age. The regression equation was then used to predict functional age based on the Frontal Assessment Battery score. [Results] We observed a strong correlation between the Frontal Assessment Battery score and functional age (rs=0.80). Furthermore, the linear regression equation for functional age exhibited a high predictive accuracy ( =0.64). Our results thus indicated that Frontal Assessment Battery scores could be used to predict functional age according to the following equation: functional age (years)=0.56 × Frontal Assessment Battery score + 1.19 and Frontal Assessment Battery score=1.15 × functional age (years) + 1.86. [Conclusion] The present results indicate a significant relationship between Frontal Assessment Battery and perform activities of daily living/instrumental activities of daily living ability based on child development. Functional age, as predicted based on the Frontal Assessment Battery score, may aid rehabilitation practitioners in analyzing the relationship between cognitive function and perform activities of daily living/instrumental activities of daily living ability, setting goals regarding perform activities of daily living/instrumental activities of daily living, and selecting intervention targets in older adults.

摘要

[目的] 本研究旨在基于儿童发育情况,探讨额叶评估量表得分与日常生活活动能力/工具性日常生活活动能力之间的关系,以及额叶评估量表得分预测功能年龄的能力。[参与者与方法] 本横断面研究纳入了85名老年人(平均年龄:83.5岁,标准差:7.3;男性:23名,女性:62名;居住在养老机构:43名,居家:42名),这些老年人来自日本广岛和兵库的养老院和日间护理中心。所有参与者均接受了额叶评估量表评估,并使用日常生活活动/工具性日常生活活动认知水平2.0版量表(ADL/IADL-COG ver.2.0)进行日常生活活动能力评估。进行Spearman等级相关系数分析和单因素回归分析,以确定额叶评估量表得分与功能年龄之间的关系。然后使用回归方程根据额叶评估量表得分预测功能年龄。[结果] 我们观察到额叶评估量表得分与功能年龄之间存在强相关性(rs = 0.80)。此外,功能年龄的线性回归方程显示出较高的预测准确性(= 0.64)。因此,我们的结果表明,额叶评估量表得分可用于根据以下方程预测功能年龄:功能年龄(岁)= 0.56×额叶评估量表得分 + 1.19,以及额叶评估量表得分 = 1.15×功能年龄(岁)+ 1.86。[结论] 目前的结果表明,额叶评估量表与基于儿童发育的日常生活活动/工具性日常生活活动能力之间存在显著关系。根据额叶评估量表得分预测的功能年龄,可能有助于康复治疗师分析认知功能与日常生活活动/工具性日常生活活动能力之间的关系,设定关于日常生活活动/工具性日常生活活动的目标,并为老年人选择干预靶点。

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本文引用的文献

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The FAB: a Frontal Assessment Battery at bedside.
Neurology. 2000 Dec 12;55(11):1621-6. doi: 10.1212/wnl.55.11.1621.
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