The Association Between Quality of Care and Quality of Life in Long-Stay Nursing Home Residents With Preserved Cognition

Cited 16 time in webofscience Cited 17 time in scopus
  • Hit : 328
  • Download : 0
Objectives: To assess the overall quality of life of long-stay nursing home residents with preserved cognition, to examine whether the Centers for Medicare and Medicaid Service's Nursing Home Compare 5-star quality rating system reflects the overall quality of life of such residents, and to examine whether residents' demographics and clinical characteristics affect their quality of life. Design/measurements: Quality of life was measured using the Participant Outcomes and Status Measures-Nursing Facility survey, which has 10 sections and 63 items. Total scores range from 20 (lowest possible quality of life) to 100 (highest). Setting/participants: Long-stay nursing home residents with preserved cognition (n = 316) were interviewed. Results: The average quality-of-life score was 71.4 (SD: 7.6; range: 45.1-93.0). Multilevel regression models revealed that quality of life was associated with physical impairment (parameter estimate = 0.728; P=.04) and depression (parameter estimate = -3.015; P=.01) but not Nursing Home Compare's overall star rating (parameter estimate = 0.683; P=.12) and not pain (parameter estimate = -0.705; P=.47). Conclusion: The 5-star quality rating system did not reflect the quality of life of long-stay nursing home residents with preserved cognition. Notably, pain was not associated with quality of life, but physical impairment and depression were.
Publisher
ELSEVIER SCIENCE INC
Issue Date
2014-03
Language
English
Article Type
Article
Keywords

DEPRESSION; PAIN

Citation

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, v.15, no.3, pp.220 - 225

ISSN
1525-8610
DOI
10.1016/j.jamda.2013.10.012
URI
http://hdl.handle.net/10203/188774
Appears in Collection
RIMS Journal Papers
Files in This Item
There are no files associated with this item.
This item is cited by other documents in WoS
⊙ Detail Information in WoSⓡ Click to see webofscience_button
⊙ Cited 16 items in WoS Click to see citing articles in records_button

qr_code

  • mendeley

    citeulike


rss_1.0 rss_2.0 atom_1.0