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dc.contributor.authorHelvik, Anne-Sofie
dc.contributor.authorEngedal, Knut
dc.contributor.authorSaltyte Benth, Jurate
dc.contributor.authorSelbæk, Geir
dc.date.accessioned2019-11-06T07:30:59Z
dc.date.available2019-11-06T07:30:59Z
dc.date.created2014-08-21T10:56:52Z
dc.date.issued2014
dc.identifier.citationBMC Geriatrics. 2014, 14 (45), .nb_NO
dc.identifier.issn1471-2318
dc.identifier.urihttp://hdl.handle.net/11250/2626768
dc.description.abstractBackground: Few have studied how personal activities of daily living (P-ADL) develop over time in nursing home residents with dementia. Thus, the aim was to study variables associated with the development of P-ADL functioning over a 52-month follow-up period, with a particular focus on the importance of the degree of dementia. Method: In all, 932 nursing home residents with dementia (Clinical Dementia Rating–CDR- Scale ≥1) were included in a longitudinal study with four assessments of P-ADL functioning during 52 months. P-ADL was measured using the Lawton and Brody’s Physical Self-Maintenance Scale. Degree of dementia (CDR), neuropsychiatric symptoms and use of psychotropic medication were assessed at the same four time points. Demographic information and information about physical health was included at baseline. Linear regression models for longitudinal data were estimated. Results: Follow-up time was positively associated with a decline in P-ADL functioning. Degree of dementia at baseline was associated with a decline in P-ADL functioning over time. The association between degree of dementia and P-ADL functioning was strongest at baseline, and then flattened over time. A higher level of neuropsychiatric symptoms such as agitation and apathy and no use of anxiolytics and antidementia medication were associated with a decline in P-ADL functioning at four time points. Higher physical co-morbidity at baseline was associated with a decline in P-ADL functioning. Conclusion: P-ADL functioning in nursing home patients with dementia worsened over time. The worsening was associated with more severe dementia, higher physical comorbidity, agitation, apathy and no use of anxiolytics and antidementia medication. Clinicians should pay attention to these variables (associates) in order to help the nursing home residents with dementia to maintain their level of functioning for as long as possible.nb_NO
dc.description.abstractA 52 month follow-up of functional decline in nursing home residents - Degree of dementia contributesnb_NO
dc.language.isoengnb_NO
dc.publisherBioMed Centralnb_NO
dc.relation.urihttp://www.biomedcentral.com/content/pdf/1471-2318-14-45.pdf
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleA 52 month follow-up of functional decline in nursing home residents - Degree of dementia contributesnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.source.pagenumber10nb_NO
dc.source.volume14nb_NO
dc.source.journalBMC Geriatricsnb_NO
dc.source.issue45nb_NO
dc.identifier.doi10.1186/1471-2318-14-45
dc.identifier.cristin1148251
dc.description.localcodeThis article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.nb_NO
cristin.unitcode1920,11,0,0
cristin.unitcode194,65,20,0
cristin.unitnameKlinikk for ØNH, kjeve- og øyesykdommer
cristin.unitnameInstitutt for samfunnsmedisin og sykepleie
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal