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Change in quality of life of people with dementia recently admitted to long-term care facilities

Beerens, Hanneke C.; Zwakhalen, Sandra M. G.; Verbeek, Hilde; Ruwaard, Dirk; Ambergen, Antonius W.; Leino-Kilpi, Helena; Stephan, Astrid; Zabalegui, Adelaida; Soto, Maria and Saks, Kai, et al. (2015) In Journal of Advanced Nursing 71(6). p.1435-1447
Abstract
AimTo 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. BackgroundMany 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. DesignAn observational and longitudinal survey. MethodsData 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... (More)
AimTo 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. BackgroundMany 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. DesignAn observational and longitudinal survey. MethodsData 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. ResultsBetter 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. ConclusionCognitive 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. (Less)
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Contribution to journal
publication status
published
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keywords
admission, dementia, Europe, longitudinal study, long-term care, nursing, home, nursing research, quality of life, residential facility, transition
in
Journal of Advanced Nursing
volume
71
issue
6
pages
1435 - 1447
publisher
Wiley-Blackwell
external identifiers
  • wos:000354394800021
  • scopus:84929379161
ISSN
0309-2402
DOI
10.1111/jan.12570
language
English
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yes
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36eb8004-71c0-4b14-a7d0-18cb5e399941 (old id 7425333)
date added to LUP
2015-07-03 07:07:09
date last changed
2017-07-02 03:05:11
@article{36eb8004-71c0-4b14-a7d0-18cb5e399941,
  abstract     = {AimTo 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. BackgroundMany 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. DesignAn observational and longitudinal survey. MethodsData 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. ResultsBetter 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. ConclusionCognitive 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.},
  author       = {Beerens, Hanneke C. and Zwakhalen, Sandra M. G. and Verbeek, Hilde and Ruwaard, Dirk and Ambergen, Antonius W. and Leino-Kilpi, Helena and Stephan, Astrid and Zabalegui, Adelaida and Soto, Maria and Saks, Kai and Bökberg, Christina and Sutcliffe, Caroline L. and Hamers, Jan P. H.},
  issn         = {0309-2402},
  keyword      = {admission,dementia,Europe,longitudinal study,long-term care,nursing,home,nursing research,quality of life,residential facility,transition},
  language     = {eng},
  number       = {6},
  pages        = {1435--1447},
  publisher    = {Wiley-Blackwell},
  series       = {Journal of Advanced Nursing},
  title        = {Change in quality of life of people with dementia recently admitted to long-term care facilities},
  url          = {http://dx.doi.org/10.1111/jan.12570},
  volume       = {71},
  year         = {2015},
}