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Resident health-related quality of life in Swiss nursing homes

Published online by Cambridge University Press:  15 April 2020

L. Chouiter ,
W.P. Wodchis ,
C. Abderhalden  and
A. von Gunten
L. Chouiter*
Affiliation:
University Service of Old-Age Psychiatry, Psychiatry Department, University of Lausanne, Lausanne, Switzerland Laboratory for Cognitive and Neurological Sciences, Neurology Unit, Department of Medicine, University of Fribourg, Fribourg, Switzerland
W.P. Wodchis
Affiliation:
Toronto Rehabilitation Institute, Institute for Clinical Evaluative Sciences, University of Toronto, Toronto, Canada
C. Abderhalden
Affiliation:
Research Department, Healthy and Pedagogy Development, University Service of Psychiatry, Berne, Switzerland
A. von Gunten
Affiliation:
University Service of Old-Age Psychiatry, Psychiatry Department, University of Lausanne, Lausanne, Switzerland
*
⁎Corresponding author. Laboratory for Cognitive and Neurological Sciences, Neurology Unit, Department of Medicine, University of Fribourg, PER 09, Chemin du Museé 5, 1700 Fribourg, Switzerland. Tel.: +41 26 300 85 38; fax: +41 26 426 81 35. E-mail address:[email protected] (L. Chouiter).
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Abstract

Background

Health-related quality of life (HRQOL) levels and their determinants in those living in nursing homes are unclear. The aim of this study was to investigate different HRQOL domains as a function of the degree of cognitive impairment and to explore associations between them and possible determinants of HRQOL.

Method

Five HRQOL domains using the Minimum Data Set - Health Status Index (MDS-HSI) were investigated in a large sample of nursing home residents depending on cognitive performance levels derived from the Cognitive Performance Scale. Large effect size associations between clinical variables and the different HRQOL domains were looked for.

Results

HRQOL domains are impaired to variable degrees but with similar profiles depending on the cognitive performance level. Basic activities of daily living are a major factor associated with some but not all HRQOL domains and vary little with the degree of cognitive impairment.

Limitations

This study is limited by the general difficulties related to measuring HRQOL in patients with cognitive impairment and the reduced number of variables considered among those potentially influencing HRQOL.

Conclusion

HRQOL dimensions are not all linearly associated with increasing cognitive impairment in NH patients. Longitudinal studies are required to determine how the different HRQOL domains evolve over time in NH residents.

Keywords

Quality of lifeQuality of careGeriatric psychiatry and aging
Type
Original article
Information
European Psychiatry , Volume 30 , Issue 5 , July 2015 , pp. 549 - 554
Copyright
Copyright © Elsevier Masson SAS 2015

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Footnotes

1

Deceased author.

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