Quality of life and associated characteristics in long-term care residents with advanced dementia in Macao: a cross-sectional study

The quality of life (QoL) of long-term care residents with advanced dementia represents a critical concern. However, empirical data on this topic especially within Chinese society remains relatively scarce. This study aimed to investigate the QoL in this population and identify the key factors affec...

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Bibliographic Details
Published in:BMC geriatrics 2024-11, Vol.24 (1), p.969-8, Article 969
Main Authors: Wu, Jianwei, Tam, Kuai In, Wang, Han, Zhu, Mingxia
Format: Article
Language:English
Subjects:
Advanced dementia
Aged
Aged, 80 and over
Care and treatment
Caregivers
Comorbidity
Cross-Sectional Studies
Dementia
Dementia - epidemiology
Dementia - psychology
Dementia disorders
Development and progression
Diagnosis
Disease
Female
Health aspects
Humans
Long term health care
Long-term care
Long-Term Care - methods
Long-Term Care - psychology
Long-term care of the sick
Macao
Macau - epidemiology
Male
Medical personnel
Nursing Homes
Older people
Pain
Population studies
Professionals
Quality of life
Quality of Life - psychology
Regression analysis
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Summary:The quality of life (QoL) of long-term care residents with advanced dementia represents a critical concern. However, empirical data on this topic especially within Chinese society remains relatively scarce. This study aimed to investigate the QoL in this population and identify the key factors affecting it. A cross-sectional study employing cluster sampling methodology was carried out in three long-term care facilities in Macao, involving a sample of 81 residents. The participants were assessed using the Functional Assessment Staging Test (FAST) and the Quality of Life in Late-Stage Dementia (QUALID) scale. Other variables recorded included Behavioral and Psychological Symptoms of Dementia (BPSD), comorbidities, PAINAD scores, and Waterlow scores. The majority of participants were female (65.4%), and 70.1% were classified at Stage 7 on the FAST scale. The mean score on the QUALID was 23.94 ± 7.58, suggesting a relatively lower QoL in Macao, particularly in items of smiling, interaction, and touch. Multiple linear regression analysis indicated that higher PAINAD scores, presence of BPSD, and higher FAST stage were significantly associated with lower quality of life among long-term care residents with advanced dementia, explaining 65.9% of the total variance (F = 36.639, p 
ISSN:1471-2318
1471-2318
DOI:10.1186/s12877-024-05466-4