Two-Year Course of Quality of Life in Nursing Home Residents with Dementia

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
Anne van der ZonD L Gerritsen

Abstract

To assess the course of quality of life (QoL) in nursing home residents with dementia and to study its predictors. This longitudinal, multicenter, observational cohort study with a 2-year follow-up looked at 290 residents with dementia, who lived in 14 dementia special care units in nine nursing homes in the Netherlands. QoL was assessed with the Qualidem, providing a total score and QoL profile with nine subscales. Residents were assessed at five assessments: every 6 months during 2 years. A linear mixed model was used for data analysis. No change was found in the Qualidem total score (range: 0-111) over 2 years. However, a significant increase of QoL over time was seen in the subscales "Care relationship," "Negative affect," "Restless tense behavior," "Positive self-image," "Social isolation," and "Feeling at home." A significant decrease of QoL was seen in the subscales "Positive affect," "Social relations," and "Having something to do." Most predictors of the course of Qol were found for the subscales "Positive self-image" (sex, Global Deterioration Scale, Severe Impairment Battery, Activities of Daily Living, and Neuropsychiatric Inventory) and "Having something to do" (Global Deterioration Scale, Severe Impairment Battery...Continue Reading

Citations

Oct 10, 2019·Acta Paediatrica·Maria Lindström NilssonGunn Engvall
Aug 30, 2019·Zoonoses and Public Health·Yasukazu MuramatsuMotohiro Horiuchi
Oct 28, 2019·Journal of Geriatric Psychiatry and Neurology·Leonie C P BanningInez H G B Ramakers
Nov 23, 2020·Journal of the American Medical Directors Association·Lihui PuRaymond T C M Koopmans

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