Longitudinal changes in quality of life among elderly people with and without dementia
| Autor: | Corinna Vossius, Sverre Bergh, Kolbjørn Brønnick, J. Šaltytė Benth, Arnt Egil Ydstebø, Geir Selbæk |
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| Rok vydání: | 2018 |
| Předmět: |
Gerontology
Male Longitudinal study Proxy ratings Severity of Illness Index 03 medical and health sciences 0302 clinical medicine Quality of life Activities of Daily Living medicine Dementia Elderly people Humans Longitudinal Studies Prospective Studies Depression (differential diagnoses) Aged Aged 80 and over 030214 geriatrics business.industry Depression Norway medicine.disease humanities Proxy Psychiatry and Mental health Clinical Psychology Severe dementia Case-Control Studies Quality of Life Functional status Female Independent Living Self Report Geriatrics and Gerontology business 030217 neurology & neurosurgery |
| Zdroj: | International psychogeriatrics. 30(11) |
| ISSN: | 1741-203X |
| Popis: | Objective:To study longitudinal changes in the quality of life (QoL) in persons with and without dementia, and explore the factors associated with baseline QoL and changes of QoL over the follow-up period.Design:Prospective longitudinal study.Setting:Data were collected from 17 municipalities in Norway in the period from January 2009 to August 2012. A total of 412 persons were included, 254 (61.7 %) persons without dementia and 158 (38.3 %) with dementia at baseline.Subjects:Persons 70 years of age or older, receiving municipal care services. Main outcome measures include the following: self-rated and proxy-rated QoL over a period of 18 months, cognitive status, functional status, neuropsychiatric symptoms, and demographics.Results:Longitudinal changes in QoL were small, despite changes in clinical variables. Proxy ratings of patients QoL were lower than the patients’ own ratings. Belonging to a group with low QoL trajectory was associated with symptoms of depression, reduced physical and instrumental functioning, and more severe dementia.Conclusion:Patients and proxies evaluated the patients’ QoL differently and QoL did not necessarily correspond with deterioration in clinical parameters. To prevent impaired QoL, we need to address identified factors and keep an approach open to the individual perceptions of QoL. |
| Databáze: | OpenAIRE |
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