hh.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Significance of quality of care for quality of life in persons with dementia at risk of nursing home admission: a cross-sectional study
Lund University, Lund, Sweden.ORCID iD: 0000-0002-0821-1959
Lund University, Lund, Sweden.
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing. Lund University, Lund, Sweden.ORCID iD: 0000-0002-6624-9963
2017 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 16, no 1, article id 39Article in journal (Refereed) Published
Abstract [en]

Background

Quality of life in persons with dementia is, in large part, dependent on the quality of care they receive. Investigating both subjective and objective aspects of quality of care may reveal areas for improvement regarding their care, which information may ultimately enable persons with dementia to remain living in their own homes while maintaining quality of life. The aim of this study was to 1) describe self-reported quality of life in persons with dementia at risk of nursing home admission. 2) describe subjective and objective aspects of quality of care, 3) investigate the significance of quality of care for quality of life.

Methods

A cross-sectional interview study design was used, based on questionnaires about quality of life (QoL-AD) and different aspects of quality of care (CLINT and quality indicators). The sample consisted of 177 persons with dementia living in urban and rural areas in Skåne County, Sweden. Descriptive and comparative statistics (Mann-Whitney U-test) were used to analyse the data.

Results

Based upon Lawton’s conceptual framework for QoL in older people, persons with pain showed significantly lower quality of life in the dimensions behavioural competence (p = 0.026) and psychological wellbeing (p = 0.006) compared with those without pain. Satisfaction with care seemed to have a positive effect on quality of life. The overall quality of life was perceived high even though one-third of the persons with dementia had daily pain and had had a weight loss of ≥4% during the preceding year. Furthermore, 23% of the persons with dementia had fallen during the last month and 40% of them had sustained an injury when falling.

Conclusion

This study indicates need for improvements in home care and services for persons with dementia at risk for nursing home admission. Registered nurses are responsible for nursing interventions related to pain, patient safety, skin care, prevention of accidents, and malnutrition. Therefore, it is of great importance for nurses to have knowledge about areas that can be improved to be able to tailor interventions and thereby improve quality of care outcomes such as quality of life in persons with dementia living at home. © 2017 The Author(s).

Place, publisher, year, edition, pages
London: BioMed Central, 2017. Vol. 16, no 1, article id 39
Keywords [en]
Quality of life, Quality of care, Persons with dementia, Home care
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:hh:diva-34831DOI: 10.1186/s12912-017-0230-6ISI: 000405812500002PubMedID: 28725160Scopus ID: 2-s2.0-85023647327OAI: oai:DiVA.org:hh-34831DiVA, id: diva2:1137262
Projects
RightTimePlaceCare
Funder
EU, FP7, Seventh Framework Programme, 242153Swedish Research CouncilAvailable from: 2017-08-30 Created: 2017-08-30 Last updated: 2018-03-23Bibliographically approved

Open Access in DiVA

fulltext(569 kB)344 downloads
File information
File name FULLTEXT01.pdfFile size 569 kBChecksum SHA-512
7a150d8e7869eeae37a87c548de9cf27b1c2157f840c5931e1d27c28dd5b8e90bca0740a3e727dde0a028b3b80bc01e4b5bc20a0d2170cb4e76362d8c35f5b76
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Bökberg, ChristinaKarlsson, Staffan

Search in DiVA

By author/editor
Bökberg, ChristinaKarlsson, Staffan
By organisation
Health and Nursing
In the same journal
BMC Nursing
Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 344 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 466 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf