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标题：AVALIAÇÃO DIRETA E INDIRETA DAS HABILIDADES FUNCIONAIS EM PACIENTES COM DOENÇA DE PARKINSON EM TRANSIÇÃO PARA DEMÊNCIA
其他标题：Direct and indirect assessment of functional abilities in patients with Parkinson’s disease transitioning to dementia
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作者：Oliveira, Gisele Saraiva Reis de ; Bressan, Lúcia ; Balarini, Fernanda 等
期刊名称：Dementia & Neuropsychologia
印刷版ISSN：1980-5764
出版年度：2020
卷号：14
期号：2
页码：171-177
DOI：10.1590/1980-57642020dn14-020011
出版社：Associação de Neurologia Cognitiva e do Comportamento
摘要：Cognitive impairment is common in patients with Parkinson’s disease (PD), and evaluation of functional abilities is crucial for diagnosis of dementia. Objective: We evaluated differences between direct and indirect functional assessment methods to evaluate functional abilities in PD patients. Methods: We evaluated 32 patients with PD and suspected mild dementia using direct and indirect assessment methods. Results: There was a significant difference between the scores of direct and indirect methods of assessment. Patients and close informants usually overestimated their abilities in many ADL. However, all functional assessment tools used in this study had a relatively good accuracy to predict abnormal performance in a global cognitive scale. Patients with normal cognition according to scores in a global cognitive scale may have some functional impairment in ADL. Direct Assessment of Functional Ability (DAFA) scores correlated linearly with scores in global cognitive scales, and especially with scores in the domains of memory and concentration. Conclusion: Patients and close informants usually overestimate their instrumental abilities in ADL. The direct assessment of daily functioning was more reliable than indirect tools to assess functional losses in patients with PD. Finally, some patients with PD but no dementia may present functional losses in ADL.
关键词：doença de Parkinson;demência;avaliação funcional;avaliação direta da capacidade funcional;questionário de pílulas
其他关键词：Parkinson’s disease;dementia;mild cognitive Impairment;functional assessment