title: [A follow-up study on effects of ADL deterioration on QOL in patients with neurological intractable diseases].
abstract: OBJECTIVE
  This follow-up study examined correlating factors, including change of activity of daily living (ADL), which are associated with subjective quality of life (QOL) in patients with neurological intractable diseases such as amyotrophic lateral sclerosis, spinocerebellar degeneration and Parkinson disease.
  
  
  METHODS
  Baseline information of 159 patients with above mentioned three intractable diseases registered by two public health centers in Niigata and Fukuoka Prefectures was obtained in 1993-1994, and they were followed to 1995. At the end of follow-up, 124 subjects were interviewed by public health nurses using the 27 item-subjective QOL scale for patients with neurological intractable diseases, previously confirmed for reliability and validity.
  
  
  RESULTS
  Low level of ADL at the time of registry and deterioration of ADL after the registry were independently related to low level of subjective QOL.
  
  
  CONCLUSIONS
  It may be necessary to minimize the ADL deterioration, in order to maintain a high subjective QOL of patients with neurological intractable diseases.
authors.affiliation: Jo-etsu Health Center, Niigata Prefecture.
authors.forename: T
authors.initials: T
authors.lastname: Iizuka
authors.forename: Y
authors.initials: Y
authors.lastname: Ogata
authors.forename: M
authors.initials: M
authors.lastname: Minowa
authors.forename: T
authors.initials: T
authors.lastname: Fujita
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000690:Amyotrophic Lateral Sclerosis / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009422:Nervous System Diseases / Q000503:physiopathology*; D010300:Parkinson Disease / Q000503:physiopathology; D011788:Quality of Life; D013132:Spinocerebellar Degenerations / Q000503:physiopathology