2001 Fiscal Year Final Research Report Summary
Development and clinical application of new assessment tool to measure QOL of elderly wit severe functional disability
| Project/Area Number |
12672184
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Medical sociology
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| Research Institution | Kyorin University |
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Principal Investigator |
TOBA Kenji Kyorin Univ., Geriatric Medicine, M.D., Ph. D., 医学部, 教授 (60155546)
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| Co-Investigator(Kenkyū-buntansha) |
AKO Junya Kyorin Univ., Geriatric Medicine, Assistant Ph., 医学部・附属病院・老年病科, 助手 (60292744)
AKISHITA Masahiro Kyorin Univ., Geriatric Medicine, M.D. Associate Ph., 医学部, 講師 (00261975)
IIJIMA Setsu Tsukuba Univ., Master's Program in Education, M.D. Ph. D., 大学院・教育研究科・リハビリテーションコース, 教授 (80193126)
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| Project Period (FY) |
2000 – 2001
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| Keywords | Quality of care / QOL of dementia / Vitality index / ADL / Care rank / Rehabilitation for dementia / Evaluation of intervention / Vitality and survival |
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| Research Abstract |
One of the most essential theme in long- term care for elderly is how to keep high quality care. However, assessment tool to measure QOL of elderly subjects with dementia is not available. Therefore, the purpose of the present study is to evaluate the practical validity of Vitality Index developed by our group, whether the index will be a new scale to assess QOL of elderly subjects with dementia. We performed several projects to complete the purpose.
First, ADL and Vitality index were simultaneously measured in several wards with different function. In medical therapeutic ward, average score of Vitality index was decreased. In dementia unit, Vitality index was distributed from full score to zero. On the other hand, Vitality was well reserved in nursing unit.
Second, we measured the chancy in several scales including Barthel Index, N- ADL, NM, SDS, HDSR and Vitality index before and after group rehabilitation. Only SDS and Vitality index were significantly changed.
Third, relationship between Vitality Index and care rank of long-term care insurance was examined. Vitality index was negatively correlated with care rank.
Forth, natural consequence of score of Vitality index was measured in long-term care facility. Vitality index was not significantly changed for 6 month in long-term care facility.
Finally, we evaluated which factors are involved in survival in long-term care facility. Only sex (female) and high score of Vitality Index were significant factors for survival by the multi- validate analysis.
In conclusion, Vitality Index is a new useful practical tool to assess elderly with dementia.
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