Loading...
Please wait, while we are loading the content...
Similar Documents
Characteristics Associated with Quality of Life in Long-Term Care Residents with Dementia: A Cross-Sectional Study.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Klapwijk, Maartje S. Caljouw, Monique A. A. Pieper, Marjoleine J. C. Steen, Jenny T. Van Der Achterberg, Wilco P. |
| Copyright Year | 2016 |
| Abstract | BACKGROUND To determine which characteristics are associated with quality of life (QOL) in residents with moderate to very severe dementia in long-term care facilities (LTCFs). MATERIAL AND METHODS This was a cross-sectional analysis of a cluster randomized controlled study in 12 Dutch LTCFs that enrolled 288 residents, with moderate to severe dementia assessed with the Reisberg Global Deterioration Scale (Reisberg GDS) and QOL with the QUALIDEM. Characteristics that were hypothesized to be associated with the six domains of QOL (applicable to very severe dementia) included demographic variables, activities of daily living (Katz ADL), cognitive performance (Cognitive Performance Scale; CPS), pain (Pain Assessment Checklist for Seniors with Limited Ability to Communicate; PACSLAC-D), neuropsychiatric symptoms (Neuropsychiatric Inventory-Nursing Home Version; NPI-NH) and comorbidities. RESULTS Multivariate logistic regression modelling showed associations with age in the domain Social isolation [odds ratio, OR, 0.95 (95% confidence interval, CI, 0.91-0.99)], ADL level in the domain Positive affect [OR 0.89 (95% CI 0.83-0.95)] and the domain Social relations [OR 0.87 (95% CI 0.81-0.93)], severity of dementia in the domain Social relations [OR 0.28 (95% CI 0.12-0.62)] and in the domain Social isolation [OR 2.10 (95% CI 1.17-3.78)], psychiatric disorders in the domain Positive affect [OR 0.39 (95% CI 0.17-0.87)] and pulmonary diseases in the domain Negative affect [OR 0.14 (95% CI 0.03-0.61)] of the QUALIDEM. Neuropsychiatric symptoms were independently associated with all six domains of the QUALIDEM [OR 0.93 (95% CI 0.90-0.96) to OR 0.97 (95% CI 0.95-0.99)]. Pain was associated with the domains Care relationship [OR 0.92 (95% CI 0.84-1.00)] and Negative affect [OR 0.92 (95% CI 0.85-1.00)]. CONCLUSION QOL in dementia is independently associated with age, ADL, dementia severity, pain, psychiatric disorders, pulmonary diseases and neuropsychiatric symptoms. It is possible to detect persons with dementia at risk for a lower QOL. This information is important for developing personalized interventions to improve QOL in persons with dementia in LTCFs. |
| Starting Page | 186 |
| Ending Page | 197 |
| Page Count | 12 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://www.karger.com/Article/Pdf/448806 |
| PubMed reference number | 27668927v1 |
| Volume Number | 42 |
| Issue Number | 3-4 |
| Journal | Dementia and geriatric cognitive disorders |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Borg Category-Ratio 10 Perceived Exertion Score 7 Confidence Intervals Discipline of Nursing Lung diseases Mental association Mental disorders Pain Perceived quality of life Presenile dementia long-term care |
| Content Type | Text |
| Resource Type | Article |
