The Association Between Quality of Care and Quality of Life in Long-Stay Nursing Home Residents With Preserved Cognition.
Authors
Sun Jung Kim ; Eun-cheol Park ; Sulgi Kim ; Shunichi Nakagawa ; John Lung ; Jong Bum Choi ; Woo Sang Ryu ; Too Jae Min ; Hyun Phil Shin ; Kyudam Kim ; Ji Won Yoo
Citation
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, Vol.15(3) : 220-225, 2014
Activities of Daily Living ; Aged ; Centers for Medicare and Medicaid Services (U.S.) ; Cognition ; Humans ; Long-Term Care ; Michigan ; Middle Aged ; Nursing Homes* ; Qualitative Research ; Quality Indicators, Health Care ; Quality of Health Care* ; Quality of Life* ; Regression Analysis ; Surveys and Questionnaires ; United States ; Urban Health Services
Keywords
Activity of daily living ; cognition ; nursing home ; quality of health care ; quality of life
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.