The association between quality of care and quality of life in long-stay nursing home residents with preserved cognition
Recommended Citation
Kim S, Park E, Yoo J, et al. The association between quality of care and quality of life in long-stay nursing home residents with preserved cognition. Journal of the American Medical Directors Association. March 2014;15(3):220-225.
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.
Document Type
Article
PubMed ID
24355078
Affiliations
Center for Senior Health and Longevity