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The aim of this study was to examine the changes of activities of daily living and with quality of life of patients in a special nursing home founded in 1997 in Tsuwano Town, Shimane. We studied 19 special nursing home patients (age 69 to 96 years, mean age 83.3 years) for one year. To evaluate activities of daily living, mental decline, and quality of life, the Tokyo Metropolitan Institute of Gerontology Competence Index. Hasegawa's dementia rating scale, self-rating depression scale (Zung), apathy scale (Starkstein et al) and PGC morale scale (Lawton, subjective well-being scale) were used. The total score of the index of activities of daily living, self-rating depression scale, and the apathy score did not significantly change during one year. Although the total score of Hasegawa's dementia rating scale decreased significantly, PGC morale scale significantly improved during one year. These findings demonstrate that daily active rehabilitation had a beneficial effect on PGC morale scale in a special nursing home.

Changes of Activities of Daily Living and Quality of Life in a Special Nursing Home During a One-year Period.