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Change in quality of life of people with dementia recently admitted to long-term care facilities.
- Source :
-
Journal of advanced nursing [J Adv Nurs] 2015 Jun; Vol. 71 (6), pp. 1435-47. Date of Electronic Publication: 2014 Nov 17. - Publication Year :
- 2015
-
Abstract
- Aim: To assess which factors are associated with change in quality of life of people with dementia who have recently been admitted to long-term care facilities.<br />Background: Many people with dementia will be admitted to long-term care facilities at some point during their disease. It is currently unknown which factors are associated with improvement and/or deterioration of quality of life immediately following admission.<br />Design: An observational and longitudinal survey.<br />Methods: Data on 343 people with dementia who have been recently admitted to long-term care facilities across eight European countries were collected between November 2010-April 2012. Quality of life was assessed by people with dementia and their proxies using the 'Quality of Life-Alzheimer's Disease scale'. Explanatory variables included cognitive status, comorbidities, activities of daily living, depressive symptoms and neuropsychiatric symptoms. Descriptive and multilevel regression analyses were performed.<br />Results: Better cognitive abilities at baseline were associated with a decrease in self-reported quality of life. Greater dependency and more depressive symptoms at baseline were associated with declined proxy-reported quality of life. Furthermore, an increased dependency and an increase of depressive symptoms between baseline and follow-up were associated with a decreased proxy-reported quality of life. On an individual level, three groups were identified, namely people whose quality of life: (1) decreased; (2) stayed the same; and (3) increased.<br />Conclusion: Cognitive functioning, functional rehabilitation and treatment of depressive symptoms should receive special attention. However, quality of life of people with dementia does not necessarily decrease after institutionalization.<br /> (© 2014 John Wiley & Sons Ltd.)
Details
- Language :
- English
- ISSN :
- 1365-2648
- Volume :
- 71
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of advanced nursing
- Publication Type :
- Academic Journal
- Accession number :
- 25403506
- Full Text :
- https://doi.org/10.1111/jan.12570