Resident health-related quality of life in Swiss nursing homes.
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UNIL restricted access
State: Public
Version: author
Serval ID
serval:BIB_11251D4310C2
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Resident health-related quality of life in Swiss nursing homes.
Journal
European Psychiatry : the Journal of the Association of European Psychiatrists
ISSN
1778-3585 (Electronic)
ISSN-L
0924-9338
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
30
Number
5
Pages
549-554
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Abstract
BACKGROUND: Health-related quality of life (HRQOL) levels and their determinants in those living in nursing homes are unclear. The aim of this study was to investigate different HRQOL domains as a function of the degree of cognitive impairment and to explore associations between them and possible determinants of HRQOL.
METHOD: Five HRQOL domains using the Minimum Data Set - Health Status Index (MDS-HSI) were investigated in a large sample of nursing home residents depending on cognitive performance levels derived from the Cognitive Performance Scale. Large effect size associations between clinical variables and the different HRQOL domains were looked for.
RESULTS: HRQOL domains are impaired to variable degrees but with similar profiles depending on the cognitive performance level. Basic activities of daily living are a major factor associated with some but not all HRQOL domains and vary little with the degree of cognitive impairment.
LIMITATIONS: This study is limited by the general difficulties related to measuring HRQOL in patients with cognitive impairment and the reduced number of variables considered among those potentially influencing HRQOL.
CONCLUSION: HRQOL dimensions are not all linearly associated with increasing cognitive impairment in NH patients. Longitudinal studies are required to determine how the different HRQOL domains evolve over time in NH residents.
METHOD: Five HRQOL domains using the Minimum Data Set - Health Status Index (MDS-HSI) were investigated in a large sample of nursing home residents depending on cognitive performance levels derived from the Cognitive Performance Scale. Large effect size associations between clinical variables and the different HRQOL domains were looked for.
RESULTS: HRQOL domains are impaired to variable degrees but with similar profiles depending on the cognitive performance level. Basic activities of daily living are a major factor associated with some but not all HRQOL domains and vary little with the degree of cognitive impairment.
LIMITATIONS: This study is limited by the general difficulties related to measuring HRQOL in patients with cognitive impairment and the reduced number of variables considered among those potentially influencing HRQOL.
CONCLUSION: HRQOL dimensions are not all linearly associated with increasing cognitive impairment in NH patients. Longitudinal studies are required to determine how the different HRQOL domains evolve over time in NH residents.
Keywords
Activities of Daily Living/psychology, Adaptation, Psychological, Aged, Cognition Disorders/psychology, Female, Health Status, Homes for the Aged, Humans, Longitudinal Studies, Male, Nursing Homes, Quality of Life/psychology, Switzerland
Pubmed
Web of science
Create date
30/03/2015 15:56
Last modification date
10/01/2020 8:08