Loading…
Quality of life and factors affecting it in patients with Alzheimer's disease: a cross-sectional study
Quality of life (QoL) is a growing area of interest in dementia research. However, it remains a controversial topic. This study aimed to determine the QoL of people with Alzheimer's disease (PwAD) and investigate the factors affecting patients' and caregivers' QoL scores. A cross-sect...
Saved in:
Published in: | Health and quality of life outcomes 2020-09, Vol.18 (1), p.304-304, Article 304 |
---|---|
Main Authors: | , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c597t-3eb44cd2127c91adea378a49a7f863d8d4a046bedbd243699da436c0c572bdb03 |
---|---|
cites | cdi_FETCH-LOGICAL-c597t-3eb44cd2127c91adea378a49a7f863d8d4a046bedbd243699da436c0c572bdb03 |
container_end_page | 304 |
container_issue | 1 |
container_start_page | 304 |
container_title | Health and quality of life outcomes |
container_volume | 18 |
creator | Akpınar Söylemez, Burcu Küçükgüçlü, Özlem Akyol, Merve Aliye Işık, Ahmet Turan |
description | Quality of life (QoL) is a growing area of interest in dementia research. However, it remains a controversial topic. This study aimed to determine the QoL of people with Alzheimer's disease (PwAD) and investigate the factors affecting patients' and caregivers' QoL scores.
A cross-sectional study design was used. A total of 98 home-dwelling PwADs and their primary caregivers were recruited in the study. Sociodemographic characteristics and QoL scores, activities of daily living (ADL) and instrumental ADL (IADL), Mini-mental State Examination (MMSE) scores, neuropsychiatric inventory (NPI), and NPI-distress were determined to assess the relevant outcomes. All statistical analyses were performed using SPSS version 22.0. Descriptive statistics, t-test, Pearson correlation, and multinomial regression were used for analysis.
The patients' ratings of their QoL were higher than those of the caregivers. Caregiver education, patients' ADL, and IADL were associated with the patients' score on the Quality of Life in Alzheimer's Disease (QoL-AD) scale. In addition to these variables, MMSE, NPI, and NPI-distress were associated with the caregiver scores on QoL-AD.
From a clinical point of view, the proxy-rated scores of QoL cannot replace the self-ratings of the patients. This study suggests that both self- and proxy-rated QoL scores should be applied whenever possible. Focusing on the management of behavioral problems and supporting functionality and cognitive functions may be modifiable factors that may represent targets for intervention to improve the QoL. The findings of this study should also be used to design caregiver educational programs about the determinants of QoL. |
doi_str_mv | 10.1186/s12955-020-01554-2 |
format | article |
fullrecord | <record><control><sourceid>gale_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_192bfa1ccc124b9bafceafa75cf3b4d6</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A635134217</galeid><doaj_id>oai_doaj_org_article_192bfa1ccc124b9bafceafa75cf3b4d6</doaj_id><sourcerecordid>A635134217</sourcerecordid><originalsourceid>FETCH-LOGICAL-c597t-3eb44cd2127c91adea378a49a7f863d8d4a046bedbd243699da436c0c572bdb03</originalsourceid><addsrcrecordid>eNptUluLEzEUHkRx19U_4IMEfFAfZs11MuODUBYvhQXx9hzO5NKmTCfdJKPWX2_arksrkocTTr4L5-SrqqcEXxLSNq8ToZ0QNaa4xkQIXtN71TnhUtZSUHH_6H5WPUpphTFllIqH1RmjHaGUsfPKfZ5g8HmLgkODdxbBaJADnUNMCJyzOvtxgXxGfkQbyN6OOaGfPi_RbPi9tH5t44uEjE8Wkn2DAOkYUqrTjhhGGFDKk9k-rh44GJJ9clsvqu_v3327-lhff_owv5pd11p0MtfM9pxrQwmVuiNgLDDZAu9AurZhpjUcMG96a3pDOWu6zkApGmshaW96zC6q-UHXBFipTfRriFsVwKt9I8SFgpi9HqwiHe0dEK01obzvenDaggMptGM9N03RenvQ2kz92hpdJo8wnIievox-qRbhh5K8bQmTReDlrUAMN5NNWa190nYYYLRhSopyThqCW7Hzev4PdBWmWNa3R3FCG0aOUAsoA_jRheKrd6Jq1jBBGKdkZ3v5H1Q5xq69DqN1vvRPCK9OCAWT7a-8gCklNf_65RRLD9j9N0fr7vZBsNqlUh1SqUoq1T6VihbSs-NN3lH-xpD9AYEZ3N4</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2444126316</pqid></control><display><type>article</type><title>Quality of life and factors affecting it in patients with Alzheimer's disease: a cross-sectional study</title><source>Publicly Available Content Database</source><source>PubMed Central(OpenAccess)</source><creator>Akpınar Söylemez, Burcu ; Küçükgüçlü, Özlem ; Akyol, Merve Aliye ; Işık, Ahmet Turan</creator><creatorcontrib>Akpınar Söylemez, Burcu ; Küçükgüçlü, Özlem ; Akyol, Merve Aliye ; Işık, Ahmet Turan</creatorcontrib><description>Quality of life (QoL) is a growing area of interest in dementia research. However, it remains a controversial topic. This study aimed to determine the QoL of people with Alzheimer's disease (PwAD) and investigate the factors affecting patients' and caregivers' QoL scores.
A cross-sectional study design was used. A total of 98 home-dwelling PwADs and their primary caregivers were recruited in the study. Sociodemographic characteristics and QoL scores, activities of daily living (ADL) and instrumental ADL (IADL), Mini-mental State Examination (MMSE) scores, neuropsychiatric inventory (NPI), and NPI-distress were determined to assess the relevant outcomes. All statistical analyses were performed using SPSS version 22.0. Descriptive statistics, t-test, Pearson correlation, and multinomial regression were used for analysis.
The patients' ratings of their QoL were higher than those of the caregivers. Caregiver education, patients' ADL, and IADL were associated with the patients' score on the Quality of Life in Alzheimer's Disease (QoL-AD) scale. In addition to these variables, MMSE, NPI, and NPI-distress were associated with the caregiver scores on QoL-AD.
From a clinical point of view, the proxy-rated scores of QoL cannot replace the self-ratings of the patients. This study suggests that both self- and proxy-rated QoL scores should be applied whenever possible. Focusing on the management of behavioral problems and supporting functionality and cognitive functions may be modifiable factors that may represent targets for intervention to improve the QoL. The findings of this study should also be used to design caregiver educational programs about the determinants of QoL.</description><identifier>ISSN: 1477-7525</identifier><identifier>EISSN: 1477-7525</identifier><identifier>DOI: 10.1186/s12955-020-01554-2</identifier><identifier>PMID: 32912233</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Activities of daily living ; Activities of Daily Living - psychology ; Aged ; Aged, 80 and over ; Alzheimer Disease - psychology ; Alzheimer Disease - therapy ; Alzheimer's disease ; Analysis ; Care and treatment ; Caregivers ; Caregivers - psychology ; Cognitive ability ; Cross-Sectional Studies ; Cultural differences ; Dementia ; Dementia disorders ; Disease ; Female ; Humans ; Male ; Medical research ; Memantine ; Mental Status and Dementia Tests ; Middle Aged ; Neurodegenerative diseases ; Outpatient care facilities ; Patient education ; Proxy ; Quality of Life ; Quantitative psychology ; Questionnaires ; Ratings ; Ratings & rankings ; Regression analysis ; Sociodemographics ; Statistical analysis ; Statistical tests ; Variables</subject><ispartof>Health and quality of life outcomes, 2020-09, Vol.18 (1), p.304-304, Article 304</ispartof><rights>COPYRIGHT 2020 BioMed Central Ltd.</rights><rights>2020. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c597t-3eb44cd2127c91adea378a49a7f863d8d4a046bedbd243699da436c0c572bdb03</citedby><cites>FETCH-LOGICAL-c597t-3eb44cd2127c91adea378a49a7f863d8d4a046bedbd243699da436c0c572bdb03</cites><orcidid>0000-0002-4771-1091 ; 0000-0001-5867-6503 ; 0000-0001-5107-266X ; 0000-0002-9643-0325</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7488137/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2444126316?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,883,25736,27907,27908,36995,36996,44573,53774,53776</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32912233$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akpınar Söylemez, Burcu</creatorcontrib><creatorcontrib>Küçükgüçlü, Özlem</creatorcontrib><creatorcontrib>Akyol, Merve Aliye</creatorcontrib><creatorcontrib>Işık, Ahmet Turan</creatorcontrib><title>Quality of life and factors affecting it in patients with Alzheimer's disease: a cross-sectional study</title><title>Health and quality of life outcomes</title><addtitle>Health Qual Life Outcomes</addtitle><description>Quality of life (QoL) is a growing area of interest in dementia research. However, it remains a controversial topic. This study aimed to determine the QoL of people with Alzheimer's disease (PwAD) and investigate the factors affecting patients' and caregivers' QoL scores.
A cross-sectional study design was used. A total of 98 home-dwelling PwADs and their primary caregivers were recruited in the study. Sociodemographic characteristics and QoL scores, activities of daily living (ADL) and instrumental ADL (IADL), Mini-mental State Examination (MMSE) scores, neuropsychiatric inventory (NPI), and NPI-distress were determined to assess the relevant outcomes. All statistical analyses were performed using SPSS version 22.0. Descriptive statistics, t-test, Pearson correlation, and multinomial regression were used for analysis.
The patients' ratings of their QoL were higher than those of the caregivers. Caregiver education, patients' ADL, and IADL were associated with the patients' score on the Quality of Life in Alzheimer's Disease (QoL-AD) scale. In addition to these variables, MMSE, NPI, and NPI-distress were associated with the caregiver scores on QoL-AD.
From a clinical point of view, the proxy-rated scores of QoL cannot replace the self-ratings of the patients. This study suggests that both self- and proxy-rated QoL scores should be applied whenever possible. Focusing on the management of behavioral problems and supporting functionality and cognitive functions may be modifiable factors that may represent targets for intervention to improve the QoL. The findings of this study should also be used to design caregiver educational programs about the determinants of QoL.</description><subject>Activities of daily living</subject><subject>Activities of Daily Living - psychology</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alzheimer Disease - psychology</subject><subject>Alzheimer Disease - therapy</subject><subject>Alzheimer's disease</subject><subject>Analysis</subject><subject>Care and treatment</subject><subject>Caregivers</subject><subject>Caregivers - psychology</subject><subject>Cognitive ability</subject><subject>Cross-Sectional Studies</subject><subject>Cultural differences</subject><subject>Dementia</subject><subject>Dementia disorders</subject><subject>Disease</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical research</subject><subject>Memantine</subject><subject>Mental Status and Dementia Tests</subject><subject>Middle Aged</subject><subject>Neurodegenerative diseases</subject><subject>Outpatient care facilities</subject><subject>Patient education</subject><subject>Proxy</subject><subject>Quality of Life</subject><subject>Quantitative psychology</subject><subject>Questionnaires</subject><subject>Ratings</subject><subject>Ratings & rankings</subject><subject>Regression analysis</subject><subject>Sociodemographics</subject><subject>Statistical analysis</subject><subject>Statistical tests</subject><subject>Variables</subject><issn>1477-7525</issn><issn>1477-7525</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptUluLEzEUHkRx19U_4IMEfFAfZs11MuODUBYvhQXx9hzO5NKmTCfdJKPWX2_arksrkocTTr4L5-SrqqcEXxLSNq8ToZ0QNaa4xkQIXtN71TnhUtZSUHH_6H5WPUpphTFllIqH1RmjHaGUsfPKfZ5g8HmLgkODdxbBaJADnUNMCJyzOvtxgXxGfkQbyN6OOaGfPi_RbPi9tH5t44uEjE8Wkn2DAOkYUqrTjhhGGFDKk9k-rh44GJJ9clsvqu_v3327-lhff_owv5pd11p0MtfM9pxrQwmVuiNgLDDZAu9AurZhpjUcMG96a3pDOWu6zkApGmshaW96zC6q-UHXBFipTfRriFsVwKt9I8SFgpi9HqwiHe0dEK01obzvenDaggMptGM9N03RenvQ2kz92hpdJo8wnIievox-qRbhh5K8bQmTReDlrUAMN5NNWa190nYYYLRhSopyThqCW7Hzev4PdBWmWNa3R3FCG0aOUAsoA_jRheKrd6Jq1jBBGKdkZ3v5H1Q5xq69DqN1vvRPCK9OCAWT7a-8gCklNf_65RRLD9j9N0fr7vZBsNqlUh1SqUoq1T6VihbSs-NN3lH-xpD9AYEZ3N4</recordid><startdate>20200910</startdate><enddate>20200910</enddate><creator>Akpınar Söylemez, Burcu</creator><creator>Küçükgüçlü, Özlem</creator><creator>Akyol, Merve Aliye</creator><creator>Işık, Ahmet Turan</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISR</scope><scope>3V.</scope><scope>7T2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PATMY</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PYCSY</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-4771-1091</orcidid><orcidid>https://orcid.org/0000-0001-5867-6503</orcidid><orcidid>https://orcid.org/0000-0001-5107-266X</orcidid><orcidid>https://orcid.org/0000-0002-9643-0325</orcidid></search><sort><creationdate>20200910</creationdate><title>Quality of life and factors affecting it in patients with Alzheimer's disease: a cross-sectional study</title><author>Akpınar Söylemez, Burcu ; Küçükgüçlü, Özlem ; Akyol, Merve Aliye ; Işık, Ahmet Turan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c597t-3eb44cd2127c91adea378a49a7f863d8d4a046bedbd243699da436c0c572bdb03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Activities of daily living</topic><topic>Activities of Daily Living - psychology</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alzheimer Disease - psychology</topic><topic>Alzheimer Disease - therapy</topic><topic>Alzheimer's disease</topic><topic>Analysis</topic><topic>Care and treatment</topic><topic>Caregivers</topic><topic>Caregivers - psychology</topic><topic>Cognitive ability</topic><topic>Cross-Sectional Studies</topic><topic>Cultural differences</topic><topic>Dementia</topic><topic>Dementia disorders</topic><topic>Disease</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical research</topic><topic>Memantine</topic><topic>Mental Status and Dementia Tests</topic><topic>Middle Aged</topic><topic>Neurodegenerative diseases</topic><topic>Outpatient care facilities</topic><topic>Patient education</topic><topic>Proxy</topic><topic>Quality of Life</topic><topic>Quantitative psychology</topic><topic>Questionnaires</topic><topic>Ratings</topic><topic>Ratings & rankings</topic><topic>Regression analysis</topic><topic>Sociodemographics</topic><topic>Statistical analysis</topic><topic>Statistical tests</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akpınar Söylemez, Burcu</creatorcontrib><creatorcontrib>Küçükgüçlü, Özlem</creatorcontrib><creatorcontrib>Akyol, Merve Aliye</creatorcontrib><creatorcontrib>Işık, Ahmet Turan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Environmental Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Environmental Science Collection</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Health and quality of life outcomes</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akpınar Söylemez, Burcu</au><au>Küçükgüçlü, Özlem</au><au>Akyol, Merve Aliye</au><au>Işık, Ahmet Turan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of life and factors affecting it in patients with Alzheimer's disease: a cross-sectional study</atitle><jtitle>Health and quality of life outcomes</jtitle><addtitle>Health Qual Life Outcomes</addtitle><date>2020-09-10</date><risdate>2020</risdate><volume>18</volume><issue>1</issue><spage>304</spage><epage>304</epage><pages>304-304</pages><artnum>304</artnum><issn>1477-7525</issn><eissn>1477-7525</eissn><abstract>Quality of life (QoL) is a growing area of interest in dementia research. However, it remains a controversial topic. This study aimed to determine the QoL of people with Alzheimer's disease (PwAD) and investigate the factors affecting patients' and caregivers' QoL scores.
A cross-sectional study design was used. A total of 98 home-dwelling PwADs and their primary caregivers were recruited in the study. Sociodemographic characteristics and QoL scores, activities of daily living (ADL) and instrumental ADL (IADL), Mini-mental State Examination (MMSE) scores, neuropsychiatric inventory (NPI), and NPI-distress were determined to assess the relevant outcomes. All statistical analyses were performed using SPSS version 22.0. Descriptive statistics, t-test, Pearson correlation, and multinomial regression were used for analysis.
The patients' ratings of their QoL were higher than those of the caregivers. Caregiver education, patients' ADL, and IADL were associated with the patients' score on the Quality of Life in Alzheimer's Disease (QoL-AD) scale. In addition to these variables, MMSE, NPI, and NPI-distress were associated with the caregiver scores on QoL-AD.
From a clinical point of view, the proxy-rated scores of QoL cannot replace the self-ratings of the patients. This study suggests that both self- and proxy-rated QoL scores should be applied whenever possible. Focusing on the management of behavioral problems and supporting functionality and cognitive functions may be modifiable factors that may represent targets for intervention to improve the QoL. The findings of this study should also be used to design caregiver educational programs about the determinants of QoL.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>32912233</pmid><doi>10.1186/s12955-020-01554-2</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-4771-1091</orcidid><orcidid>https://orcid.org/0000-0001-5867-6503</orcidid><orcidid>https://orcid.org/0000-0001-5107-266X</orcidid><orcidid>https://orcid.org/0000-0002-9643-0325</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1477-7525 |
ispartof | Health and quality of life outcomes, 2020-09, Vol.18 (1), p.304-304, Article 304 |
issn | 1477-7525 1477-7525 |
language | eng |
recordid | cdi_doaj_primary_oai_doaj_org_article_192bfa1ccc124b9bafceafa75cf3b4d6 |
source | Publicly Available Content Database; PubMed Central(OpenAccess) |
subjects | Activities of daily living Activities of Daily Living - psychology Aged Aged, 80 and over Alzheimer Disease - psychology Alzheimer Disease - therapy Alzheimer's disease Analysis Care and treatment Caregivers Caregivers - psychology Cognitive ability Cross-Sectional Studies Cultural differences Dementia Dementia disorders Disease Female Humans Male Medical research Memantine Mental Status and Dementia Tests Middle Aged Neurodegenerative diseases Outpatient care facilities Patient education Proxy Quality of Life Quantitative psychology Questionnaires Ratings Ratings & rankings Regression analysis Sociodemographics Statistical analysis Statistical tests Variables |
title | Quality of life and factors affecting it in patients with Alzheimer's disease: a cross-sectional study |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-17T01%3A01%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Quality%20of%20life%20and%20factors%20affecting%20it%20in%20patients%20with%20Alzheimer's%20disease:%20a%20cross-sectional%20study&rft.jtitle=Health%20and%20quality%20of%20life%20outcomes&rft.au=Akp%C4%B1nar%20S%C3%B6ylemez,%20Burcu&rft.date=2020-09-10&rft.volume=18&rft.issue=1&rft.spage=304&rft.epage=304&rft.pages=304-304&rft.artnum=304&rft.issn=1477-7525&rft.eissn=1477-7525&rft_id=info:doi/10.1186/s12955-020-01554-2&rft_dat=%3Cgale_doaj_%3EA635134217%3C/gale_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c597t-3eb44cd2127c91adea378a49a7f863d8d4a046bedbd243699da436c0c572bdb03%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2444126316&rft_id=info:pmid/32912233&rft_galeid=A635134217&rfr_iscdi=true |