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000140907 0247_ $$2doi$$a10.1093/geront/gny017
000140907 0247_ $$2pmid$$apmid:29566150
000140907 0247_ $$2ISSN$$a0016-9013
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000140907 037__ $$aDZNE-2020-07229
000140907 041__ $$aEnglish
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000140907 1001_ $$0P:(DE-2719)2661160$$aPalm, Rebecca$$b0$$eFirst author$$udzne
000140907 245__ $$aQuality of Life in People With Severe Dementia and Its Association With the Environment in Nursing Homes: An Observational Study.
000140907 260__ $$aOxford$$bOxford Univ. Press$$c2019
000140907 264_1 $$2Crossref$$3online$$bOxford University Press (OUP)$$c2018-03-16
000140907 264_1 $$2Crossref$$3print$$bOxford University Press (OUP)$$c2019-07-16
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000140907 520__ $$aTheoretical 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.
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000140907 542__ $$2Crossref$$i2018-03-16$$uhttps://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model
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000140907 650_2 $$2MeSH$$aAged
000140907 650_2 $$2MeSH$$aAged, 80 and over
000140907 650_2 $$2MeSH$$aDementia
000140907 650_2 $$2MeSH$$aEnvironment
000140907 650_2 $$2MeSH$$aFemale
000140907 650_2 $$2MeSH$$aGermany
000140907 650_2 $$2MeSH$$aHealth Facility Size
000140907 650_2 $$2MeSH$$aHumans
000140907 650_2 $$2MeSH$$aLongitudinal Studies
000140907 650_2 $$2MeSH$$aMale
000140907 650_2 $$2MeSH$$aNursing Homes: organization & administration
000140907 650_2 $$2MeSH$$aQuality of Life
000140907 650_2 $$2MeSH$$aSeverity of Illness Index
000140907 650_2 $$2MeSH$$aSocial Environment
000140907 7001_ $$0P:(DE-2719)2811166$$aTrutschel, Diana$$b1$$udzne
000140907 7001_ $$0P:(DE-2719)9000967$$aSorg, Christian G G$$b2$$udzne
000140907 7001_ $$0P:(DE-2719)2451281$$aDichter, Martin N$$b3$$udzne
000140907 7001_ $$aHaastert, Burkhard$$b4
000140907 7001_ $$0P:(DE-2719)2259175$$aHolle, Bernhard$$b5$$eLast author$$udzne
000140907 77318 $$2Crossref$$3journal-article$$a10.1093/geront/gny017$$b : Oxford University Press (OUP), 2018-03-16$$n4$$p665-674$$tThe Gerontologist$$v59$$x0016-9013$$y2018
000140907 773__ $$0PERI:(DE-600)2043844-8$$a10.1093/geront/gny017$$gVol. 59, no. 4, p. 665 - 674$$n4$$p665-674$$q59:4<665 - 674$$tThe gerontologist$$v59$$x0016-9013$$y2018
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000140907 9141_ $$y2019
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