Graduate School of Health Science, Kagoshima University, Kagoshima 890-8544, Japan.
Department of Neuropsychiatry, Kumamoto University Hospital, Kumamoto 860-8556, Japan.
Int J Environ Res Public Health. 2020 Sep 18;17(18):6831. doi: 10.3390/ijerph17186831.
It is important and useful to consider information provided by family members about individuals with memory complaints' instrumental activities of daily living (IADL). The purpose of this study was to clarify the characteristics and relevance of individuals with memory complaints' IADL and behavioral and psychological symptoms of dementia (BPSD) assessed from the perspective of the family members using the Process Analysis of Daily Activity for Dementia and short version Dementia Behavior Disturbance scale. A self-administered questionnaire was sent to 2000 randomly selected members of Consumer's Co-operative Kagoshima, and 621 responded. Of the returned responses, there were 159 participants who answered about individuals with memory complaints. The stepwise multiple regression analysis was used to examine the association between IADL and BPSD. The result showed that many IADL of the individuals with memory complaints were associated with BPSD of apathy, nocturnal wakefulness, and unwarranted accusations, adjusted for age, gender, and the observation list for early signs of dementia. In addition, each IADL was associated with BPSD of apathy, nocturnal wakefulness, and dresses inappropriately. Modifying lifestyle early on when families recognize these changes may help maintain and improve the long-term quality of life of the individuals with memory complaints and their family.
考虑家庭成员提供的有关有记忆抱怨的个体的日常生活活动（IADL）的信息非常重要且有用。本研究的目的是使用痴呆症日常生活活动分析过程和简短版痴呆行为障碍量表，从家庭成员的角度阐明有记忆抱怨的个体的 IADL 和行为及心理症状的特征和相关性。向鹿儿岛消费者合作协会的 2000 名随机成员发送了一份自我管理问卷，有 621 人做出了回应。在返回的答复中，有 159 名参与者回答了有关有记忆抱怨的个体的问题。采用逐步多元回归分析来检验 IADL 与 BPSD 之间的关联。结果表明，许多有记忆抱怨的个体的 IADL 与冷漠、夜间觉醒和无端指责的 BPSD 相关，调整了年龄、性别和早期痴呆观察表。此外，每个 IADL 都与冷漠、夜间觉醒和着装不当的 BPSD 相关。当家庭认识到这些变化时，尽早调整生活方式可能有助于维持和提高有记忆抱怨的个体及其家庭的长期生活质量。
