期刊
DEMENTIA AND GERIATRIC COGNITIVE DISORDERS EXTRA
卷 7, 期 1, 页码 109-121出版社
KARGER
DOI: 10.1159/000468923
关键词
Age 80 years and over; Dementia; Mediation analysis; Nursing home; Pain; Quality of life
资金
- Oslo and Akershus University College of Applied Sciences
- Canadian Institutes of Health Research New investigator Award
Background/Aims: Many variables influence the quality of life in older adults with dementia. We aim to quantify how the relationship between pain and quality of life in nursing home residents with severe dementia can be explained by neuropsychiatric symptoms, depressive symptoms, and activities of daily living. Methods: This article presents cross-sectional baseline data from a cluster randomised controlled trial. Results: The total and direct effects of pain on quality of life were statistically significant. Both neuropsychiatric and depressive symptoms partially mediated the relationship between pain and quality of life. Activities of daily living acted as a mediator only when modelled together with depressive symptoms. Conclusion: Pain, neuropsychiatric symptoms, and depressive symptoms appear to be important factors that influence the quality of life for nursing home residents with severe dementia. Therefore, multidimensional interventions may be beneficial for maintaining or improving quality of life in this population. (C) 2017 The Author(s) Published by S. Karger AG, Basel
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