The variables influencing the quality of life of older adults with severe dementia in long-term care facilities.
TL;DR
It is suggested that addressing behavioural problems and increasing non-sedentary time may enhance the overall QoL and alleviate discomfort in individuals with severe dementia in residential units.
Abstract
Objective
This study aimed to examine the clinical factors affecting the quality of life (QoL) of older adults with severe dementia in long-term care facilities.
Methods
This was a cross-sectional study. Eligible participants were aged ≥ 65 years and at a severe stage of dementia. The dependent variable (QoL) was assessed using the Chinese version of the Quality of Life in Late-Stage Dementia Scale (QUALID-C). The independent variables included demographic data, behavioural symptoms, depression, cognitive function, self-care function, physical activity level and activity involvement.
Results
A total of 81 participants (female= 70, mean age = 89.41 ± 6.68) were recruited. Behavioural problems and non-sedentary time were significantly associated with overall QoL in the multiple regression model (adjusted R2= 0.346, p = 0.001). Pain level, behavioural problems, non-sedentary time, involvement in daily activities, and length of stay were significantly associated with the discomfort QoL subscale in multiple regression (adjusted R2= 0.362, p = 0.000). For the comfort scale, behavioural problems were the only significant variable in the multiple regression model (adjusted R2= 0.256, p = 0.008).
Conclusion
The results suggest that addressing behavioural problems and increasing non-sedentary time may enhance the overall QoL and alleviate discomfort in individuals with severe dementia in residential units.