[Relation between comprehensive-geriatric assessment and the ability of self-administration in elderly diabetic patients].
Intellectual ability of self-administration plays a crucial role in a diabetes regimen. However, in many cases, self-administration is considered difficult, because of the impairment of activities of the individual's daily living (ADL), instrumental ADL and cognitive function. To assess comprehensive-geriatric-assessment (CGA) in elderly diabetic sufferers, 62 elderly inpatients and outpatients aged over 70 years were investigated. CGA includes Barthel index (BI), Mini-mental-state-examination (MMSE) and the Tokyo Metropolitan Institute of Gerontology index of competence (TMIGIC). The relation of ability to self-administer and CGA was examined. In oral therapy, there was significant difference between self-administration and non-self-administration in MMSE (p=0.0065), BI (p=0.0219) and TMIGIC (p=0.0053). Among these indexes, TMIGIC was the most sensitive index in oral therapy. In insulin therapy, there was also significant difference between self-administration and non-self-administration: MMSE (p=0.00042), BI (p=0.000019) and TMIGIC (p=0.0019). Among these indexes, BI was the most sensitive index in insulin therapy. It was suggested that CGA was useful to assess the ability of self-administration in elderly diabetic patients.
Horikawa
Shunji
S
Department of Pharmacy, JA Yoshida General Hospital, 3666 Yoshida Yoshida-cho, Akitakada City 731-0501, Japan. ja-ysd-pharmacy@beach.ocn.ne.jp
Tokumoto
Kazuya
K
Kanameda
Kayo
K
Kawakami
Keiko
K
Tadasa
Nobuko
N
Isogai
Akihiko
A
Takemasu
Mayumi
M
Ito
Akihiko
A
D000368:Aged; D000369:Aged, 80 and over; D003920:Diabetes Mellitus / Q000188:drug therapy*; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage*; D007328:Insulin / Q000008:administration & dosage; D008297:Male; D012646:Self Administration / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
D007004:Hypoglycemic Agents; D007328:Insulin