Sun Jung Kim1, Eun-Cheol Park2, Sulgi Kim3, Shunichi Nakagawa4, John Lung5, Jong Bum Choi6, Woo Sang Ryu7, Too Jae Min8, Hyun Phil Shin9, Kyudam Kim10, Ji Won Yoo11. 1. Department of Public Health, Yonsei University College of Medicine, Seoul, Korea; Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Korea. 2. Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Korea; Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea. 3. Department of Internal Medicine, University of Washington School of Medicine, Seattle, WA. 4. Department of Medicine, Columbia University College of Physicians and Surgeons, New York, NY. 5. Center for Senior Health and Longevity, Aurora Health Care, Milwaukee, WI. 6. Department of Pain Medicine and Anesthesia, Yonsei University College of Medicine, Seoul, Korea. 7. Center for Clinical Research, Korea University College of Medicine, Seoul, Korea. 8. Department of Pain Medicine and Anesthesia, Korea University College of Medicine, Seoul, Korea. 9. Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea. 10. Korean Advanced Institute of Science and Technology, Daejeon, Korea. 11. Center for Senior Health and Longevity, Aurora Health Care, Milwaukee, WI; Department of Medicine, University of Wisconsin School of Medicine and Public Health, Milwaukee, WI. Electronic address: ji.yoo@aurora.org.
Abstract
OBJECTIVES: To assess the overall quality of life of long-stay nursing home residents with preserved cognition, to examine whether the Centers for Medicare and Medicaid Service's Nursing Home Compare 5-star quality rating system reflects the overall quality of life of such residents, and to examine whether residents' demographics and clinical characteristics affect their quality of life. DESIGN/MEASUREMENTS: Quality of life was measured using the Participant Outcomes and Status Measures-Nursing Facility survey, which has 10 sections and 63 items. Total scores range from 20 (lowest possible quality of life) to 100 (highest). SETTING/PARTICIPANTS: Long-stay nursing home residents with preserved cognition (n = 316) were interviewed. RESULTS: The average quality- of-life score was 71.4 (SD: 7.6; range: 45.1-93.0). Multilevel regression models revealed that quality of life was associated with physical impairment (parameter estimate = -0.728; P = .04) and depression (parameter estimate = -3.015; P = .01) but not Nursing Home Compare's overall star rating (parameter estimate = 0.683; P = .12) and not pain (parameter estimate = -0.705; P = .47). CONCLUSION: The 5-star quality rating system did not reflect the quality of life of long-stay nursing home residents with preserved cognition. Notably, pain was not associated with quality of life, but physical impairment and depression were.
OBJECTIVES: To assess the overall quality of life of long-stay nursing home residents with preserved cognition, to examine whether the Centers for Medicare and Medicaid Service's Nursing Home Compare 5-star quality rating system reflects the overall quality of life of such residents, and to examine whether residents' demographics and clinical characteristics affect their quality of life. DESIGN/MEASUREMENTS: Quality of life was measured using the Participant Outcomes and Status Measures-Nursing Facility survey, which has 10 sections and 63 items. Total scores range from 20 (lowest possible quality of life) to 100 (highest). SETTING/PARTICIPANTS: Long-stay nursing home residents with preserved cognition (n = 316) were interviewed. RESULTS: The average quality- of-life score was 71.4 (SD: 7.6; range: 45.1-93.0). Multilevel regression models revealed that quality of life was associated with physical impairment (parameter estimate = -0.728; P = .04) and depression (parameter estimate = -3.015; P = .01) but not Nursing Home Compare's overall star rating (parameter estimate = 0.683; P = .12) and not pain (parameter estimate = -0.705; P = .47). CONCLUSION: The 5-star quality rating system did not reflect the quality of life of long-stay nursing home residents with preserved cognition. Notably, pain was not associated with quality of life, but physical impairment and depression were.
Authors: Yiyang Yuan; Kate L Lapane; Jonggyu Baek; Bill M Jesdale; Christine M Ulbricht Journal: J Am Med Dir Assoc Date: 2019-07-04 Impact factor: 4.669
Authors: Barbara Resnick; Marie Boltz; Elizabeth Galik; Sarah Holmes; Steven Fix; Shijun Zhu Journal: Res Gerontol Nurs Date: 2019-10-04 Impact factor: 1.571