دورية أكاديمية
Characteristics Associated with Quality of Life in Long-Term Care Residents with Dementia: A Cross-Sectional Study.
| العنوان: | Characteristics Associated with Quality of Life in Long-Term Care Residents with Dementia: A Cross-Sectional Study. |
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| المؤلفون: | Klapwijk MS; Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands., Caljouw MA, Pieper MJ, van der Steen JT, Achterberg WP |
| المصدر: | Dementia and geriatric cognitive disorders [Dement Geriatr Cogn Disord] 2016; Vol. 42 (3-4), pp. 186-197. Date of Electronic Publication: 2016 Sep 27. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Karger Country of Publication: Switzerland NLM ID: 9705200 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1421-9824 (Electronic) Linking ISSN: 14208008 NLM ISO Abbreviation: Dement Geriatr Cogn Disord Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Basel ; New York : Karger, c1997- |
| مواضيع طبية MeSH: | Activities of Daily Living* , Interpersonal Relations* , Long-Term Care* , Nursing Homes* , Social Isolation*, Dementia/*psychology , Quality of Life/*psychology, Age Factors ; Aged ; Aged, 80 and over ; Comorbidity ; Cross-Sectional Studies ; Dementia/epidemiology ; Dementia/physiopathology ; Female ; Humans ; Logistic Models ; Lung Diseases/epidemiology ; Lung Diseases/psychology ; Male ; Mental Disorders/epidemiology ; Mental Disorders/psychology ; Multivariate Analysis ; Pain/epidemiology ; Pain/psychology ; Pain Measurement ; Severity of Illness Index |
| مستخلص: | 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. (© 2016 S. Karger AG, Basel.) |
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| تواريخ الأحداث: | Date Created: 20160927 Date Completed: 20180123 Latest Revision: 20181202 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC5290445 |
| DOI: | 10.1159/000448806 |
| PMID: | 27668927 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1421-9824 |
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| DOI: | 10.1159/000448806 |