The Association Between Quality of Care and Quality of Life in Long-Stay Nursing Home Residents With Preserved Cognition
- Authors
- Kim, Sun Jung; Park, Eun-cheol; Kim, Sulgi; Nakagawa, Shunichi; Lung, John; Choi, Jong Bum; Ryu, Woo Sang; Min, Too Jae; Shin, Hyun Phil; Kim, Kyudam; Yoo, Ji Won
- Issue Date
- 3월-2014
- Publisher
- ELSEVIER SCIENCE INC
- Keywords
- Activity of daily living; cognition; nursing home; quality of health care; quality of life
- Citation
- JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, v.15, no.3, pp.220 - 225
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
- Volume
- 15
- Number
- 3
- Start Page
- 220
- End Page
- 225
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/99123
- DOI
- 10.1016/j.jamda.2013.10.012
- ISSN
- 1525-8610
- Abstract
- Objectives: To assess the overall quality of life of long-stay nursing home residents with preserved cognition, to examine whether the Centers for Medicare and Medicaid Service's Nursing Home Compare 5-star quality rating system reflects the overall quality of life of such residents, and to examine whether residents' demographics and clinical characteristics affect their quality of life. Design/measurements: Quality of life was measured using the Participant Outcomes and Status Measures-Nursing Facility survey, which has 10 sections and 63 items. Total scores range from 20 (lowest possible quality of life) to 100 (highest). Setting/participants: Long-stay nursing home residents with preserved cognition (n = 316) were interviewed. Results: The average quality-of-life score was 71.4 (SD: 7.6; range: 45.1-93.0). Multilevel regression models revealed that quality of life was associated with physical impairment (parameter estimate = 0.728; P=.04) and depression (parameter estimate = -3.015; P=.01) but not Nursing Home Compare's overall star rating (parameter estimate = 0.683; P=.12) and not pain (parameter estimate = -0.705; P=.47). Conclusion: The 5-star quality rating system did not reflect the quality of life of long-stay nursing home residents with preserved cognition. Notably, pain was not associated with quality of life, but physical impairment and depression were. (C) 2014 - American Medical Directors Association, Inc. All rights reserved.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
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