The comparison of quality of life among people with mild dementia in nursing home and home care—a preliminary report

Abstract

Older adults with dementia who were living at home experienced higher QoL, ADLs, and social connectedness compared with those living in institutional care. Support should be provided enabling home care and empowering caregivers to provide better care for people with dementia.

Factors influencing quality of life of elderly people with dementia and care implications: A systematic review

“…Elderly people with 24 dementia living in their own home tended to report higher QoL than those living in care institutions. This is supported by four studies (Kuo et al, 2010;Nikmat et al, 2015;Salvador et al, 2000;Winzelberg et al, 2005). Besides, recognised that elderly people with dementia in residential care/assisted living settings showed higher QoL than those in nursing homes.…”

“…Most care institutions provide various facilities and professional care for elderly people with dementia, which is usually regarded as benefit for them; however, studies comparing QoL between elderly people with dementia in the community and those living in care institutions showed that living in the community contributed to a better QoL of elderly people with dementia (Nikmat et al, 2015;Kuo et al, 2010;Winzelberg et al, 2005). In addition, Borowiak & Kostka (2004) pointed out that determinants of QoL in older adults are different between in the communities and care institutions.…”

“…Four studies (Fukushima et al, 2004;Nikmat et al, 2015;Li et al, 2012;Byrne et al, 2006) explored the association between financial status and QoL for 26 elderly people with dementia, and the results suggested that financial security is a key factor in determining QoL. Additionally, quality of dementia care is also an essential factor influencing QoL.…”

“…Factors in relation to the physical health of elderly people with dementia consist of four influencing sub-factors: general health status, comorbidity, cognitive status and severity of dementia. QoL showed higher among the elderly people with dementia whose general health status is better (Marventano et al, 2015;Nikmat et al, 2015;Black et al, 2012;Samus et al, 2005;Byrne et al, 2006;Silberfeld et al, 2002). Four studies (León-Salas et al, 2015;Beerens et al, 2014;Monteiro et al, 2014; examined the relationship between comorbidity and QoL for elderly people with dementia, results indicating that the increasing number of chronic health problems is a negative association with QoL.…”

“…According to the findings of seven studies (Moyle et al, 2011;Woods et al, 2014;Clare et al, 2014b;Nikmat et al, 2015;O'Rourke et al, 2015;Orpwood et al, 2007;and Moyle et al, 2015) it is suggested that higher quality of relationship with family, friends, neighbours and caregivers, either family caregivers or care staff, is associated with increased QoL of elderly people with dementia. In addition, effective communication with their caregivers for elderly people with dementia will enhance their QoL (Young et al, 2011;Orpwood et al, 2007).…”