000003156 001__ 3156
000003156 005__ 20190228205114.0
000003156 022__ $$a1178-1998
000003156 0247_ $$2DOI$$a10.2147/CIA.S184329
000003156 037__ $$aARTICLE
000003156 041__ $$aeng
000003156 245__ $$aFactors influencing the quality of life perceptions of cognitively impaired older adults in a nursing home and their informal and professional caregivers :$$ba mixed methods study
000003156 260__ $$c2018-01
000003156 269__ $$a2018-01
000003156 300__ $$a13 p.
000003156 506__ $$avisible
000003156 520__ $$9eng$$aBackground: Identifying the objective and subjective aspects of the quality of life (QoL) of institutionalized cognitively impaired older adults (CIOAs) is a challenge. However, it can reveal which aspects of their care require improvement.
Aim: The aim of this study was to identify the core aspects of the QoL of CIOAs living in a nursing home (NH) by involving informal and professional caregivers (PCs).
Methods: Our sequential, mixed methods study exploring the QoL of CIOAs was based on Lodgson et al’s (2002) quantitative quality of life–Alzheimer’s disease (QoL-AD) questionnaire.Subsequently, a qualitative phase study analyzed perceptions and impressions of QoL using interviews of CIOAs and their most significant informal caregivers (SICs) and PCs.
Results: Fifteen CIOAs, 12 SICs, and 2 PCs were recruited. Two-thirds of the older adults were females, overall average age was 86 years (SD=6.1), and all had a severe clinical dementia rating (CDR=3). A high level of comorbidity (measured using the Cumulative Illness Rating Scale for Geriatrics) was significantly associated with a lower QoL-AD score (P=0.046). Higher numbers of visits by SICs or family members had a positive effect on QoL-AD scores (P=0.036). No significant differences were found in overall QoL-AD scores as rated by CIOAs, SICs, and PCs (P=0.080). Combining quantitative and qualitative data analyses revealed four significant themes influencing the QoL of CIOAs: 1) human dignity and acceptance; 2) development and existence; 3) functionality and health; and 4) recognizability and safety.
Conclusion: Sequentially using mixed methods proved an appropriate way to examine the QoL of severe CIOAs living in an NH, and these results were compared with the perceptions of informal and PCs. The factors optimizing overall health were visits by SICs and family members, and the major aspect that increases the QoL was freedom of movement inside and outside the NH.
000003156 540__ $$acorrect
000003156 592__ $$aHEdS-VS
000003156 592__ $$aLa Source
000003156 592__ $$bInstitut Santé
000003156 592__ $$bSecteur Recherche et Développement (Ra&D) de l'Institut et Haute Ecole de la Santé La Source
000003156 592__ $$cSanté
000003156 65017 $$aSanté
000003156 655__ $$ascientifique
000003156 6531_ $$9eng$$acontent analysis
000003156 6531_ $$9eng$$anursing homes
000003156 6531_ $$9eng$$aold age psychiatry
000003156 6531_ $$9eng$$aolder adults
000003156 6531_ $$9eng$$adementia
000003156 6531_ $$9eng$$abehavioral and psychological symptoms of dementia
000003156 6531_ $$9eng$$aobjective QoL
000003156 6531_ $$9eng$$asubjective QoL
000003156 6531_ $$9eng$$afunctional QoL
000003156 700__ $$uSchool of Health Science, HES-SO Valais-Wallis, Sion, Switzerland$$aVerloo, Henk
000003156 700__ $$uHome Salem Nursing Home, Eben-Hézer Foundation, Saint-Légier$$aSalina, Alexandre
000003156 700__ $$uInstitut et Haute Ecole de la Santé La Source, HES-SO Haute école spécialisée de Suisse occidentale$$aFiorentino, Assunta
000003156 700__ $$uInstitut et Haute Ecole de la Santé La Source, HES-SO Haute école spécialisée de Suisse occidentale$$aCohen, Christine
000003156 773__ $$g2018, vol. 13, pp. 2135-2147$$tClinical Interventions in Aging
000003156 8564_ $$uhttps://hesso.tind.io/record/3156/files/VerlooEtal_2018_ClinicalIntervaging.pdf$$s436079
000003156 909CO $$pGLOBAL_SET$$ooai:hesso.tind.io:3156
000003156 906__ $$aGOLD
000003156 950__ $$aSan2
000003156 981__ $$ascientifique
000003156 980__ $$ascientifique