Associations between Pain and Quality of Life in Severe Dementia: A Norwegian Cross-Sectional Study

Rostad, Hanne Marie; Puts, Martine; Småstuen, Milada Cvancarova; Grov, Ellen Karine; Utne, Inger; Halvorsrud, Liv

doi:10.1159/000468923

Cited by 22 publications

(27 citation statements)

References 57 publications

(96 reference statements)

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“…Depressive symptoms and cognitive impairment are phenomena known to affect HRQOL [1,3,5,7,22,23] significantly lower HRQOL. Moreover, the implemented educational intervention had a positive impact on HRQOL of the NHR (β = 0.173, p < 0.05).…”

Section: Ols Modelsmentioning

confidence: 99%

“…quality of sleep, mobility) and therefore, most domains of HRQOL. Extent, duration, acuteness, intensity, affectivity, and meaning of pain determine type and strength of the effect of pain on HRQOL [2,[4][5][6].…”

Section: Introductionmentioning

confidence: 99%

“…Pain is a central problem in the geriatric population, especially in nursing home residents (NHR) [5][6][7]. Next to pain, NHR frequently have multiple diseases and depressive disorders, which are also known to lower HRQOL [1,7,8].…”

Section: Introductionmentioning

confidence: 99%

“…Next to pain, NHR frequently have multiple diseases and depressive disorders, which are also known to lower HRQOL [1,7,8]. The empirical evidence regarding the relationship of pain and HRQOL of NHR is still limited especially when considering other co-determinants [3,5,7]. Therefore, further research and a broader understanding of the multidimensional impact of pain on HRQOL of NHR is needed to provide indications for target-group-specific treatment and finally, maintain, restore or improve the HRQOL of NHR [3,5,7].…”

Section: Introductionmentioning

confidence: 99%

“…The empirical evidence regarding the relationship of pain and HRQOL of NHR is still limited especially when considering other co-determinants [3,5,7]. Therefore, further research and a broader understanding of the multidimensional impact of pain on HRQOL of NHR is needed to provide indications for target-group-specific treatment and finally, maintain, restore or improve the HRQOL of NHR [3,5,7]. The present study addresses this issue and adds further evidence on influencing factors concerning HRQOL of NHR who are in pain.…”

Section: Introductionmentioning

confidence: 99%

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Quality of life in nursing home residents with pain: pain interference, depression and multiple pain-related diseases as important determinants

et al. 2019

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Aim Quality of life is an essential outcome parameter in geriatric research and presents an important indicator for the evaluation of care treatments. The present study analyses potential impact factors on health-related quality of life (HRQOL) of nursing home residents (NHR) who are in pain. Methods Data came from the cRCT 'PIASMA'. Statistical analyses of 146 respondents were carried out by multiple linear regressions based on the EQ-5D index (Euroquol Quality of Life) as dependent variable. Potential impact factors were applied and categorised in five blocks: pain intensity and interference (according to the Brief Pain Inventory), intervention effect, sex and age, pain-related diagnoses, and scales regarding depressive symptoms and cognitive impairment (based on the Geriatric Depression Scale and the Mini-Mental State Examination). Results On average, residents showed a pain intensity of 18.49, a pain interference of 29.61, a MMSE score of 22.84, a GDS score of 5.65 and an EQ-5D index of 0.52. Residents with more diagnoses, more depressive symptoms, and a higher pain interference showed a significantly reduced HRQOL. Conclusion Findings underline the importance of identifying and applying treatment options for both pain (especially interference) and depressive disorders to maintain HRQOL of NHR.

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