Journal Article

DZNE-2020-07229

http://join2-wiki.gsi.de/foswiki/pub/Main/Artwork/join2_logo100x88.png Quality of Life in People With Severe Dementia and Its Association With the Environment in Nursing Homes: An Observational Study.

Palm, R. (First author)DZNE* ; Trutschel, D.DZNE* ; Sorg, C. G. G.DZNE* ; Dichter, M. N.DZNE* ; Haastert, B. ; Holle, B. (Last author)DZNE*

2019
Oxford Univ. Press Oxford

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Please use a persistent id in citations: doi:10.1093/geront/gny017

Abstract: Theoretical models propose the environment as a factor influencing the quality of life (QoL) of nursing home residents with dementia. This study investigates whether the observed QoL differs depending on the type of care unit.DemenzMonitor is an exploratory, observational study involving annual data collection in German nursing homes (2012-2014). For this analysis, we selected residents with a recorded diagnosis of dementia and severe cognitive impairment. QoL was measured with the proxy assessment QUALIDEM. Four care unit types were investigated: large integrated, large segregated, small integrated, and small segregated.We did not find a significant difference between the care units. During the 2 years, the observed QoL was not affected by any of the care unit types in a statistically significant or clinically relevant manner. However, a significant interaction effect between time and care unit types was found.Structural and organizational characteristics of care units, which in turn have implications for residents characteristics and the quality of care, may influence the QoL of residents. This may explain the interaction we observed.

Keyword(s): Aged (MeSH) ; Aged, 80 and over (MeSH) ; Dementia (MeSH) ; Environment (MeSH) ; Female (MeSH) ; Germany (MeSH) ; Health Facility Size (MeSH) ; Humans (MeSH) ; Longitudinal Studies (MeSH) ; Male (MeSH) ; Nursing Homes: organization & administration (MeSH) ; Quality of Life (MeSH) ; Severity of Illness Index (MeSH) ; Social Environment (MeSH)

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Contributing Institute(s):

1. Care Structures (AG Holle)
2. Care Interventions (AG Halek)
3. Implementation Science & Person-Centered Dementia Care (AG Roes)
4. Witten Pre 2020 (Witten Pre 2020)

Research Program(s):

1. 344 - Clinical and Health Care Research (POF3-344) (POF3-344)

Appears in the scientific report 2019

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Database coverage:
; Clarivate Analytics Master Journal List ; Current Contents - Social and Behavioral Sciences ; Ebsco Academic Search ; IF >= 5 ; JCR ; Nationallizenz ; SCOPUS ; Social Sciences Citation Index

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