Quality of life in dementia patients in long-term care.

Abstract:

OBJECTIVE:To evaluate variables associated with quality of life (QOL) in dementia residents in a long-term care facility using a recently standardized and validated dementia-specific QOL scale (ADRQL). METHOD:A cross-sectional, case-control design was employed using validated scales to assess dementia-related symptomatology. Thirty-two facility staff members were interviewed to assess the QOL of 120 patients meeting DSM-IV for dementia criteria residing in long-term care. RESULTS:ADRQL scores were higher in assisted living residents than in skilled nursing facility residents. In univariate analyses, worse orientation, greater physical dependency, depression, and treatment with anxiolytics were associated with lower ADRQL scores. In multivariate analyses, lower scores were associated with worse orientation, greater physical dependency, depression, and anxiolytic treatment. CONCLUSIONS:Residents exhibited better QOL than expected. Future longitudinal studies should address if reorientation, activity therapy, treatment of depression, and avoidance of benzodiazepines might improve QOL in this population. Interventions that might improve orientation and physical abilities, such as cholinomimetic therapies, psychosocial interventions, or behavioral strategies, should also be studied in future research on QOL.

authors

González-Salvador T,Lyketsos CG,Baker A,Hovanec L,Roques C,Brandt J,Steele C

doi

10.1002/(sici)1099-1166(200002)15:2<181::aid-gps96

subject

Has Abstract

pub_date

2000-02-01 00:00:00

pages

181-9

issue

2

eissn

0885-6230

issn

1099-1166

pii

10.1002/(SICI)1099-1166(200002)15:2<181::AID-GPS96

journal_volume

15

pub_type

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