Hanneke C Beerens1, Sandra M G Zwakhalen1, Hilde Verbeek1, Dirk Ruwaard1, Antonius W Ambergen2, Helena Leino-Kilpi3, Astrid Stephan4, Adelaida Zabalegui5, Maria Soto6, Kai Saks7, Christina Bökberg8, Caroline L Sutcliffe9, Jan P H Hamers1. 1. Department of Health Services Research, CAPHRI, Maastricht University, The Netherlands. 2. Department of Methodology & Statistics, CAPHRI, Maastricht University, The Netherlands. 3. Department of Nursing Science, University of Turku, Turku University Hospital, Finland. 4. Department: Faculty of Health, School of Nursing Science, Witten/Herdecke University, Germany. 5. Department of Nursing, Hospital Clinic of Barcelona, Spain. 6. Geriatrics Department, Toulouse University Hospital, France. 7. Department of Internal Medicine, University of Tartu, Estonia. 8. Department of Health Sciences, Faculty of Medicine, Lund University, The Swedish Institute for Health Sciences, Sweden. 9. Personal Social Services Research Unit, School of Nursing, Midwifery and Social Work, University of Manchester, UK.
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. 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. DESIGN: An observational and longitudinal survey. 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. 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. 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.
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. 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. DESIGN: An observational and longitudinal survey. 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. 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. 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.
Authors: Heather Davila; Weiwen Ng; Odichinma Akosionu; Mai See Thao; Tricia Skarphol; Beth A Virnig; Roland J Thorpe; Tetyana P Shippee Journal: Gerontologist Date: 2022-10-19
Authors: Rebecca Palm; Saskia Jünger; Sven Reuther; Christian G G Schwab; Martin N Dichter; Bernhard Holle; Margareta Halek Journal: BMC Geriatr Date: 2016-04-05 Impact factor: 3.921
Authors: Sarah Raes; Sophie Vandepitte; Delphine De Smedt; Herlinde Wynendaele; Yannai DeJonghe; Jeroen Trybou Journal: BMC Health Serv Res Date: 2020-11-09 Impact factor: 2.655
Authors: M Inzitari; E Risco; M Cesari; B M Buurman; K Kuluski; V Davey; L Bennett; J Varela; J Prvu Bettger Journal: J Nutr Health Aging Date: 2020 Impact factor: 4.075