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Quality of care significance for Quality of life in persons with dementia at risk of moving into nursing home: a cross-sectional stud
2016 (English)Conference paper, Oral presentation with published abstract (Refereed)
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 threefold. Firstly, we wanted to describe self-reported quality of life in persons with dementia at risk of nursing home admission. Secondly, the aim was to describe subjective and objective aspects of quality of care. The third aim was to investigate the significance of quality of care for quality of life in persons with dementia at risk of nursing home admission.

Methods: A cross-sectional interview study design was used, based on questionnaires about quality of life in persons with dementia and different aspects of quality of care. The participants were 177 persons with dementia at risk of nursing home admission. Descriptive and comparative statistics were used to analyse the data.

Results: 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 received 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 health care and social 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.

Place, publisher, year, edition, pages
2016.
Keywords [en]
Quality of life, quality of care, persons with dementia, home care
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-36005OAI: oai:DiVA.org:hh-36005DiVA, id: diva2:1169663
Conference
EANS Summer Conference "The unique contribution of nursing science in improving the Health of European citizens in the 21th Century", Halle, Germany, 14th of July, 2016
Available from: 2017-12-29 Created: 2017-12-29 Last updated: 2018-03-28Bibliographically approved

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Karlsson, Staffan

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • 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