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Quality of life among elderly patients with dementia in institutions.
Dement Geriatr Cogn Disord. 2011; 31(6):435-42.DG

Abstract

AIM

To study quality of life among the elderly with dementia in institutions.

METHODS

Patients above 60 years with dementia, 82 in nursing home and 74 in departments of geriatric psychiatry, were included. They were assessed with the Quality of Life in Late-Stage Dementia (QUALID); the Self-Maintenance scale, Mini Mental State Examination (MMSE) and Clinical Dementia Rating scale. Patient's age, gender, previous medical and psychiatric history were recorded. Dementia was diagnosed according to ICD-10 criteria for research. Based on information in an interview with the patient and a carer and information in the patient's record, a geriatric psychiatrist made a diagnosis of major depression according to DSM-IV, if present.

RESULTS

The patients' mean (± SD) age was 82.9 ± 7.7 years, 103 (66%) were women. A factor analysis of the QUALID scale resulted in two factors: 'discomfort' and 'comfort'. Three linear regression analyses were performed. Variables associated with lower quality of life (total QUALID score) were: a diagnosis of major depression (p < 0.001), lower score on MMSE (p = 0.032), impaired function in activities of daily living (p = 0.007) and female gender (p = 0.046). Variables associated with the 'discomfort' subscale score were: major depression (p < 0.001), lower score on MMSE (p = 0.006) and living in a department of geriatric psychiatry (p = 0.041). The 'comfort' subscale score was associated with impaired function in activities of daily living (p < 0.001). Explained variance for the three models was 34, 33 and 23%, respectively.

CONCLUSION

Quality of life is diminished among elderly patients in institutions and the most marked correlates were a diagnosis of major depression, worse performance in activities of daily living and worse cognitive function.

Authors+Show Affiliations

Norwegian Centre for Dementia Research, Centre for Aging and Health, Oslo University Hospital, Ullevaal, Oslo, Norway. maria.barca@aldringoghelse.noNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21757909

Citation

Barca, Maria L., et al. "Quality of Life Among Elderly Patients With Dementia in Institutions." Dementia and Geriatric Cognitive Disorders, vol. 31, no. 6, 2011, pp. 435-42.
Barca ML, Engedal K, Laks J, et al. Quality of life among elderly patients with dementia in institutions. Dement Geriatr Cogn Disord. 2011;31(6):435-42.
Barca, M. L., Engedal, K., Laks, J., & Selbæk, G. (2011). Quality of life among elderly patients with dementia in institutions. Dementia and Geriatric Cognitive Disorders, 31(6), 435-42. https://doi.org/10.1159/000328969
Barca ML, et al. Quality of Life Among Elderly Patients With Dementia in Institutions. Dement Geriatr Cogn Disord. 2011;31(6):435-42. PubMed PMID: 21757909.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Quality of life among elderly patients with dementia in institutions. AU - Barca,Maria L, AU - Engedal,Knut, AU - Laks,Jerson, AU - Selbæk,Geir, Y1 - 2011/07/15/ PY - 2011/04/22/accepted PY - 2011/7/16/entrez PY - 2011/7/16/pubmed PY - 2011/12/13/medline SP - 435 EP - 42 JF - Dementia and geriatric cognitive disorders JO - Dement Geriatr Cogn Disord VL - 31 IS - 6 N2 - AIM: To study quality of life among the elderly with dementia in institutions. METHODS: Patients above 60 years with dementia, 82 in nursing home and 74 in departments of geriatric psychiatry, were included. They were assessed with the Quality of Life in Late-Stage Dementia (QUALID); the Self-Maintenance scale, Mini Mental State Examination (MMSE) and Clinical Dementia Rating scale. Patient's age, gender, previous medical and psychiatric history were recorded. Dementia was diagnosed according to ICD-10 criteria for research. Based on information in an interview with the patient and a carer and information in the patient's record, a geriatric psychiatrist made a diagnosis of major depression according to DSM-IV, if present. RESULTS: The patients' mean (± SD) age was 82.9 ± 7.7 years, 103 (66%) were women. A factor analysis of the QUALID scale resulted in two factors: 'discomfort' and 'comfort'. Three linear regression analyses were performed. Variables associated with lower quality of life (total QUALID score) were: a diagnosis of major depression (p < 0.001), lower score on MMSE (p = 0.032), impaired function in activities of daily living (p = 0.007) and female gender (p = 0.046). Variables associated with the 'discomfort' subscale score were: major depression (p < 0.001), lower score on MMSE (p = 0.006) and living in a department of geriatric psychiatry (p = 0.041). The 'comfort' subscale score was associated with impaired function in activities of daily living (p < 0.001). Explained variance for the three models was 34, 33 and 23%, respectively. CONCLUSION: Quality of life is diminished among elderly patients in institutions and the most marked correlates were a diagnosis of major depression, worse performance in activities of daily living and worse cognitive function. SN - 1421-9824 UR - https://www.unboundmedicine.com/medline/citation/21757909/Quality_of_life_among_elderly_patients_with_dementia_in_institutions_ L2 - https://www.karger.com?DOI=10.1159/000328969 DB - PRIME DP - Unbound Medicine ER -