hh.sePublikationer
Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • 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.
Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad. Lund University, Lund, Sweden.ORCID-id: 0000-0002-6624-9963
2017 (Engelska)Ingår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 16, nr 1, artikel-id 39Artikel i tidskrift (Refereegranskat) 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).

Ort, förlag, år, upplaga, sidor
London: BioMed Central, 2017. Vol. 16, nr 1, artikel-id 39
Nyckelord [en]
Quality of life, Quality of care, Persons with dementia, Home care
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
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
Projekt
RightTimePlaceCare
Forskningsfinansiär
EU, FP7, Sjunde ramprogrammet, 242153VetenskapsrådetTillgänglig från: 2017-08-30 Skapad: 2017-08-30 Senast uppdaterad: 2018-03-23Bibliografiskt granskad

Open Access i DiVA

fulltext(569 kB)344 nedladdningar
Filinformation
Filnamn FULLTEXT01.pdfFilstorlek 569 kBChecksumma SHA-512
7a150d8e7869eeae37a87c548de9cf27b1c2157f840c5931e1d27c28dd5b8e90bca0740a3e727dde0a028b3b80bc01e4b5bc20a0d2170cb4e76362d8c35f5b76
Typ fulltextMimetyp application/pdf

Övriga länkar

Förlagets fulltextPubMedScopus

Person

Bökberg, ChristinaKarlsson, Staffan

Sök vidare i DiVA

Av författaren/redaktören
Bökberg, ChristinaKarlsson, Staffan
Av organisationen
Hälsa och omvårdnad
I samma tidskrift
BMC Nursing
Hälsovetenskaper

Sök vidare utanför DiVA

GoogleGoogle Scholar
Totalt: 344 nedladdningar
Antalet nedladdningar är summan av nedladdningar för alla fulltexter. Det kan inkludera t.ex tidigare versioner som nu inte längre är tillgängliga.

doi
pubmed
urn-nbn

Altmetricpoäng

doi
pubmed
urn-nbn
Totalt: 466 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf