ERIC Number: EJ981844
Record Type: Journal
Publication Date: 2012-Oct
Abstractor: As Provided
Reference Count: N/A
Does Cognitive Impairment Influence Quality of Life among Nursing Home Residents?
Abrahamson, Kathleen; Clark, Daniel; Perkins, Anthony; Arling, Greg
Gerontologist, v52 n5 p632-640 Oct 2012
Purpose: We investigated the relationship between cognitive status and quality of life (QOL) of Minnesota nursing home (NH) residents and the relationship between conventional or Alzheimer's special care unit (SCU) placement and QOL. The study may inform development of dementia-specific quality measures. Design and Methods: Data for analyses came from face-to-face interviews with a representative sample of 13,130 Minnesota NH residents collected through the 2007 Minnesota NH Resident Quality of Life and Consumer Satisfaction survey. We examined 7 QOL domains: comfort, meaningful activities, privacy, environment, individuality, autonomy, relationships, and a positive mood scale. We applied multilevel models (resident and facility) to examine the relationship between the resident's score on each QOL domain and the resident's cognitive impairment (CI) level and SCU placement after controlling for covariates, such as activities of daily living dependency, pain, depression or psychiatric diagnosis, and length of stay. Results: Residents with more severe CI reported higher QOL in the domains of comfort and environment and lower QOL in activities, individuality, privacy and meaningful relationships, and the mood scale. Residents on SCU reported higher QOL in the meaningful activities, comfort, environment, and autonomy domains but had lower mood scores. Implications: Our findings point to QOL domains that show significant variation by CI and thus may be of greatest interest to consumers, providers, advocacy groups, and other stakeholders committed to improving dementia care. Findings are particularly applicable to the development of NH quality indicators that more accurately represent the QOL of NH residents with CI.
Descriptors: Stakeholders, Student Attitudes, Quality of Life, Dementia, Questionnaires, Depression (Psychology), Nursing Homes, Neurological Impairments, Correlation, Interviews, Interpersonal Relationship, Pain, Clinical Diagnosis, Privacy, Advocacy, Statistical Analysis
Oxford University Press. Great Clarendon Street, Oxford, OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: firstname.lastname@example.org; Web site: http://gerontologist.oxfordjournals.org
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A
Identifiers - Location: Minnesota