碩士 / 高雄醫學大學 / 高齡長期照護碩士學位學程 / 105 / This study was aimed to estimate the relationships of physical activity, functional fitness, depression and primary caregiver’s burden with patients among mild to moderate Alzheimer''s dementia, comparing with healthy elderly, to understand the degree of degradation of these variables. We recruited 20 elderly patients who suffered from Alzheimer''s disease (AD) and 20 healthy community elders (CE) in this study. The Short Portable Mental Status Questionnaire (SPMSQ) was used for the CE group to rule out any cognitive problem. Both groups had to complete the Physical Activity Scale for the Elderly (PASE) and Short-form Geriatric Depression Scale (GDS-SF), and tested for their functional fitness, including the handgrip, upper and lower limb strength. The main caregiver of Alzheimer’s disease also needed to complete the Caregiver Burden Scale (CBS). The statistical methods used for data analysis included descriptive statistics, Mann-Whitney U test, Pearson chi-square test, Pearson product correlation analysis and Spearman rank correlation coefficient.
The results showed that there were significant differences in physical activity, agility and dynamic balance between AD and CE. When AD group with different stage of dementia (classified by the Clinical Dementia Rating Scale) were compared, we also found that when AD subjects’ cognitive declined, the amount of physical activity, agility and dynamic balance, handgrip strength, upper limb muscle strength were significantly decreased, and caregiver’s burden significantly increased. In the AD group, physical activity was found correlated with handgrip and upper strength, their depression was correlated negatively with upper limb muscle endurance, cardiopulmonary endurance, handgrip and upper limb muscle strength, but positively with the main caregiver’s burden.
In this study, we revealed that in the early stage, AD subjects could perform as good as the CE group in most of the functional fitness testing except the agility and dynamic balance. However, with further cognitive declination, the physical activity, agility and dynamic balance, handgrip and upper limb muscle strength, and the main caregiver burden were significantly decreased. And with increase the level of depression in advanced AD subjects, the upper arm endurance, cardiopulmonary endurance, handgrip and upper limb muscle strength were decreased, and the caregiver burden increased. Therefore it is important to measure and to continuely monitor the physical fitness of the AD population, and provide training to maintain the physical capacity as well as psychological balance basing on these measurement results.
| Identifer | oai:union.ndltd.org:TW/105KMC05712007 |
| Date | January 2017 |
| Creators | Yi-Pei Lin, 林宜霈 |
| Contributors | Shih-Fen Hsiao, 蕭世芬 |
| Source Sets | National Digital Library of Theses and Dissertations in Taiwan |
| Language | zh-TW |
| Detected Language | English |
| Type | 學位論文 ; thesis |
| Format | 108 |
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