Quality of Life of Nursing Home Residents With Dementia: A Comparison of Perspectives of Residents, Family, and Staff

Purpose: Quality of Life (QoL) has become increasingly valued as a key outcome in dementia both in clinical practice and in research. This study compares the QoL of long-term residents with dementia as assessed by the individuals, their relatives, and their care staff. Design and Methods: Data on re...

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Veröffentlicht in:The Gerontologist 2012-02, Vol.52 (1), p.56-65
Hauptverfasser: Crespo, Maria, Bernaldo de Quirós, Mónica, Gómez, M. Mar, Hornillos, Carlos
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container_end_page 65
container_issue 1
container_start_page 56
container_title The Gerontologist
container_volume 52
creator Crespo, Maria
Bernaldo de Quirós, Mónica
Gómez, M. Mar
Hornillos, Carlos
description Purpose: Quality of Life (QoL) has become increasingly valued as a key outcome in dementia both in clinical practice and in research. This study compares the QoL of long-term residents with dementia as assessed by the individuals, their relatives, and their care staff. Design and Methods: Data on residents with dementia were collected in 11 nursing homes. The Quality of Life-Alzheimer's Disease Scale (QOL-AD) residential version was directly applied to residents with dementia diagnosis and Mini-Mental State Examination scores under 27, randomly selected in each canter. Residents' QoL was further assessed from the perspective of some close relative and of some staff member. Altogether, 102 data sets from residents, 184 from relatives, and 197 from staff members were collected. Results: The completion rate for the resident QOL-AD was 48.8%. Residents' QoL ratings were significantly higher than proxies' ratings. Proxy (i.e., family and staff) scores in the QOL-AD tended to correlate with each other and did not correlate with resident scores. Implications: Various sources of data provided different perspectives on resident's QoL. Each perspective is relatively independent and somewhat unique. In those patients with mild to moderate cognitive impairment, direct measures of QoL should be considered.
doi_str_mv 10.1093/geront/gnr080
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Results: The completion rate for the resident QOL-AD was 48.8%. Residents' QoL ratings were significantly higher than proxies' ratings. Proxy (i.e., family and staff) scores in the QOL-AD tended to correlate with each other and did not correlate with resident scores. Implications: Various sources of data provided different perspectives on resident's QoL. Each perspective is relatively independent and somewhat unique. 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In those patients with mild to moderate cognitive impairment, direct measures of QoL should be considered.</abstract><cop>Cary, NC</cop><pub>Oxford University Press</pub><pmid>21903614</pmid><doi>10.1093/geront/gnr080</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection; Sociological Abstracts
subjects Activities of Daily Living - psychology
Adult
Aged
Aged, 80 and over
Allied Health Personnel - psychology
Alzheimers Disease
Attitude Measures
Biological and medical sciences
Cognition
Comparative Analysis
Dementia
Dementia - diagnosis
Dementia - psychology
Family
Family - psychology
Female
Gerontology
Health Professions
Health Status
Humans
Male
Medical sciences
Middle Aged
Miscellaneous
Nursing Homes
Older Adults
Patients
Physicians
Public health. Hygiene
Public health. Hygiene-occupational medicine
Quality of Health Care
Quality of Life
Rating Scales
Senility
Sickness Impact Profile
Spain
title Quality of Life of Nursing Home Residents With Dementia: A Comparison of Perspectives of Residents, Family, and Staff
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