Health-Related Quality of Life among Older Adults with Dementia Living in Vietnamese Nursing Homes

Better understanding of the quality of life among nursing home residents with dementia is important for developing interventions. The objectives of this cross-sectional study were to examine factors associated with poor health-related quality of life in older people with dementia living in nursing h...

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Published in:International journal of environmental research and public health 2024-01, Vol.21 (2), p.135
Main Authors: Nguyen, Thanh Xuan, Nguyen, Anh Huynh Phuong, Nguyen, Huong Thi Thu, Nguyen, Thu Thi Hoai, Nguyen, Hoa Lan, Goldberg, Robert Joel, Thillainadesan, Janani, Naganathan, Vasi, Vu, Huyen Thi Thanh, Tran, Luc Viet, Nguyen, Anh Trung
Format: Article
Language:English
Subjects:
Activities of Daily Living
Aged
Cognition & reasoning
Cross-Sectional Studies
Data collection
Dementia
Dementia - epidemiology
Elder care
Female
Geriatrics
Humans
Interviews
Male
Malnutrition
Mortality
Nursing Homes
Nutritional status
Older people
Quality of Life
Vietnam - epidemiology
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Summary:Better understanding of the quality of life among nursing home residents with dementia is important for developing interventions. The objectives of this cross-sectional study were to examine factors associated with poor health-related quality of life in older people with dementia living in nursing homes in Hanoi, Vietnam. In-person interviews were conducted with 140 adults who were 60 years and older with dementia, and information about their quality of life was obtained using the Quality of Life in Alzheimer's Disease (QOL-AD) scale. The sociodemographic and clinical factors associated with poor health-related quality of life (lowest quartile) were assessed through the results of physical tests, interviews with nursing home staff, and review of medical records. The average age of the study sample was 78.3 years, 65% were women, and their average QOL-AD total score was 27.3 (SD = 4.4). Malnutrition, total dependence in activities of daily living, and urinary incontinence were associated with poor quality of life after controlling for multiple potentially confounding factors. Our findings show that Vietnamese nursing home residents with dementia have a moderate total quality of life score, and interventions based on comprehensive geriatric assessment remain needed to modify risk factors related to poor health-related quality of life.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph21020135