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http://dx.doi.org/10.22683/tsnr.2019.8.1.007

Factors Affecting the Quality of Life of Patients With Dementia: A Systematic Review of Literature Focusing on the Subjects Admitted to an Overseas Long-term Care Facility  

Kim, Sun-Il (Dept. of Occupational Therapy, Graduate School, Yonsei University)
Jung, Min-Ye (Dept. of Occupational Therapy, College of Health Science, Yonsei University)
Publication Information
Therapeutic Science for Rehabilitation / v.8, no.1, 2019 , pp. 7-25 More about this Journal
Abstract
Objective: The purpose of this study was to perform a systematic literature review focusing on international studies to identify various factors affecting the quality of life(QOL) of dementia patients admitted to long-term care facilities. Methods: From January 2000 to July 2018, the articles published in foreign journals were searched through CINAHL and MEDLINE databases. The main search terms were'dementia or Alzheimer's'. 'quality of life', 'long-term care', 'care home', 'nursing home', 'care institution', 'residential care', 'small- scale setting'. The first 1706 articles were searched, but 10 studies were selected using the selection and exclusion criteria. Results: Analysis of ten cross-sectional studies showed that factors such as physical functioning status, ability to perform activities of daily living, and cognition showed a positive correlation with QOL. Depression and anxiety, severity of dementia, and neuropsychiatric symptoms were found to be negatively correlated with QOL. In addition, two longitudinal studies have confirmed that factors affecting QOL are affected by individual functional status and social environmental factors rather than the size and form of care facilities. Conclusion: This study summarized 10 papers and analyzed them through a systematic review of literature. We found that factors such as individual characteristics and social environment determine QOL of patients with dementia. In this study, various intervention methods to improve QOL of patients with dementia should be developed and used in long-term care facilities by identifying the factors affecting QOL of dementia patients and using them.
Keywords
Dementia; Long-term care; Quality of life; Systematic literature review;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 보건복지부. (2017). 치매, 안심하세요. 이제 국가가 책임집니다! 1:1 맞춤형 상담.사례관리부터 치료지원까지, 세종: 보건복지부.
2 한수정. (2016). 노인장기요양보험제도가 대상자의 삶의 질에 미치는 영향. 한국복지패널 학술대회 논문집, 9(0), 135-159.
3 American Occupational Thareapist Association. (2014). The occupational therapy practice framework: Domain and process (3rd ed.). American Journal of Occupational Therapy, 68(1), 1-48.
4 Alzheimer's Disease International. (2015). World Alzheimer report 2015. Retrieved from https://www.alz.co.uk/research/WorldAlzheimerReport2015.pdf
5 Bae, K. Y., Shin, I. S., Kim, S. W., Kim, J. M., Yang, S. J., Mun, J. W., ... Yoon, J. S. (2006). Care burden caregivers according to cognitive function of elderly persons. Journal of The Korean Society of Biological Therapies in Psychiatry, 12(1), 66-75.
6 Barca, M. L., Engedal, K., Laks, J., & Selbæk, G. (2011). Quality of life among elderly patients with dementia in institutions. Dementia and Geriatric Cognitive Disorders, 31(6), 435-42. doi:http://dx.doi.org.access.yonsei.ac.kr:8080/10.1159/000328969   DOI
7 Beer, C., Flicker, L., Horner, B., Bretland, N., Scherer, S., Lautenschlager, N. T., ... Almeida, O. P. (2010). Factors associated with self and informant ratings of the quality of life of people with dementia living in care facilities: A cross sectional study. PLoS One, 5(12), 1-5.
8 Burckhardt, C. S., Woods, S. L., Schultz, A. A., & Ziebarth, D. M. (1989). Quality of life of adults with chronic illness: A psychometric study. Research Nursing Health Journal, 12, 347-354. doi:10.1002/nur.4770120604   DOI
9 대한지방행정공제회. (2017). "고령화 시대 속 치매와의 전쟁 '치매 국가책임제'", 지방행정, 66(769), 8-9.
10 Castro-Monteiro, E., Alhayek-Ai, M., Diaz-Redondo, A., Ayala, A., Rodriguez-Blazquez, C., Rojo-Perez, F., & Forjaz, M. J. (2016). Quality of life of institutionalized older adults by dementia severity. International Psychogeriatrics, 28(1), 83-92. doi:10.1017/S1041610215000757   DOI
11 Clare, L., Quinn, C., Hoare, Z., Whitaker, R., & Woods, R. T. (2014). Care staff and family member perspectives on quality of life in people with very severe dementia in long-term care: A cross-sectional study. Health and Quality of Life Outcomes, 12, 1-14. doi:http://dx.doi.org.access.yonsei.ac.kr:8080/10.1186/s12955-014-0175-3   DOI
12 Clarissa, M. G., Caroline, S., & David, C. (2015). Activities of daily living and quality of life across different stages of dementia: A UK study. Aging & Mental Health, 19(1), 63-71. doi: 10.1080/13607863.2014.915920   DOI
13 Coelho, F. G. D. M., Andrade, L. P., Pedroso, R. V., Santos-Galduroz, R. F., Gobbi, S., Costa, J. L. R., & Gobbi, L. T. B. (2013). Multimodal exercise intervention improves frontal cognitive functions and gait in Alzheimer's disease: A controlled trial. Geriatrics and Gerontology International, 13(1), 198-203. doi:10.1111/j.1447-0594.2012.00887   DOI
14 de Rooij, A. H. P. M., Luijkx, K. G., Schaafsma, J., Declercq, A. G., Emmerink, P. M. J., & Schols, J. M. G. A. (2012). Quality of life of residents with dementia in traditional versus small-scale long-term care settings: A quasi-experimental study. International Journal of Nursing Studies, 49(8), 931-940. doi:10.1016/j.ijnurstu.2012.02.007   DOI
15 Kim, M. J., & Oh, M. Y. (2018). The effect of reminiscence-oriented group arts therapy on the ego integrity, depression and quality of life for the elderly patients with dementia in a nursing home. Journal of Arts Psychotherapy, 14(1), 249-271.   DOI
16 Gonzalez-Salvador, T., Lyketsos, C. G., Baker, A., Hovanec, L., Roques, C., Brandt, J., & Steele, C. (2000). Quality of life in dementia patients in long-term care. International Journal of Geriatric Psychiatry, 15, 181-189. doi:10.1002/(SICI)1099-1166(200002)15:2<181:AID-GPS96>3.0.CO;2-I   DOI
17 Graske J., Meyer, S., & Wolf-Ostermann, K. (2014). Quality of life ratings in dementia care a cross-sectional study to identify factors associated with proxy-ratings. Health and Quality of Life Outcomes, 12(1), 177-1. doi:10.1186/s12955-014-0177-1   DOI
18 Hanneke, C. B., Sandra, M. G. Z., Hilde, V., Dirk, R., & Jan, P. H. H. (2013). Factors associated with quality of life of people with dementia in long-term care facilities:A systematic review. International Journal of Nursing Studies, 50(9), 1259-1270. doi:10.1016/j.ijnurstu.2013.02.005   DOI
19 Kang, H. W. (2018). Needs of the elderly with dementia in long-term care facilities: From the perspectives of patients and caregivers. Kais, 19(1), 260-269.
20 Kim, M. H., & Lee, S. M. (2007). A study on long term care system in germany and the netherlands: Focusing on cash payment and family caregiver. Social Welfare Policy, 31(0), 369-96.
21 Kim, S. W., & Shin, I. S. (2006). Patients' versus caregivers' reports of quality of life in Alzheimer's disease. Journal of The Korean Society of Biological Therapies in Psychiatry, 12(2), 224-230.
22 Moniz-Cook, E., Manthorpe, Jill, & Ebooks Corporation. (2009). Early psychosocial interventions in dementia evidence-based practice. London, Philadelphia: Jessica Kingsley
23 Klapwijk, M. S., Caljouw, M. A. A., Pieper, M. J. C., van der Steen, Jenny T., & Achterberg, W. P. (2016). Characteristics associated with quality of life in long-term care residents with dementia: A cross-sectional study. Dementia and Geriatric Cognitive Disorders, 42(3-4), 186-197. doi:10.1159/000448806   DOI
24 Kwak, K. P. (2018). Korean dementia observatory and national responsibility for dementia. Evidence and Values in Healthcare, 4(1), 1-9
25 Lawton, M. P. (1994). Quality of life in Alzheimer disease. Alzheimer Disease and Associated Disorders, 8(3), 138.   DOI
26 Merriam, A. E., Aronson, M. K., Gaston, P., Wey, S. L., & Katz, I. (1988). The psychiatric symptoms of Alzheimer's disease. Journal of the American Geriatrics Society, 36, 7-12.   DOI
27 Missotten, P., Ylieff, M., Di Notte, D., Paquay, L., De Lepeleire, J., Buntinx, F., & Fontaine, O. (2007). Quality of life in dementia: A 2-year follow-up study. International Journal of Geriatric Psychiatry, 22(12), 1201-1207. doi:10.1002/gps.1814   DOI
28 Oh, S. R. (2006). Comparison study on the quality of life between persons with and without disabilities: Focusing on adults with mental retardation. Journal of Rehabilitation Research, 10, 38-62.
29 Park, J. H., Yang, Y. A., Yong, M. H., Cho, M. L., & Kang, S. U. (2013). The systematic review for research on applying the reminiscence therapy to patient with dementia domestically. The Journal of Korea Aging Friendly Industry Association, 5(2), 1-8.
30 Park, S. H., & Kim, H. Y. (2015). The effect of client-centered cognitive stimulation therapy on the progression of mild and moderate dementia. Korea Care Management Research, 17, 81-96
31 Park, S. J., & Kim, H. G. (2009). A study on the quality of life of elderly people with dementia and the environmental factor of facilities. Journal of the Korea Gerontological Society, 29(4), 1361-1381.
32 Park, S. J., & Ko, S. H. (2008). The study on the rise in quality of life-dementia. Journal of Public Welfare Administration, 18(2), 115-142.
33 Rabins, P. V., & Black, B. S. (2007). Measuring quality of life in dementia: Purposes, goals, challenges and progress. International Psychogeriatrics, 19(3), 401-407. doi:10.1017/S1041610207004863   DOI
34 Shin, S. J., Lee, J. S., Kim, S. K., & Jeon, B. J. (2013). The effect of a group occupational therapy on cognitive function and depression for mild dementia patients in a community. Journal of Korean Society of Occupational Therapy, 21(3), 45-60.
35 Shin, G. I., Woo, Y. S., & Park, H. Y. (2017). A systematic review of randomized controlled trials (RCTs) with community-based intervention for patients with dementia. The Journal of Korean Society of Occupational Therapy, 25(3), 87-101.   DOI
36 Sanderson, S., Tatt, I. D., & Higgins, J. P. (2007). Tools for assessing quality and susceptibility to bias in observational studies in epidemiology: A systematic review and annotated bibliography. International Journal of Epidemiology, 36(3), 666-676. doi:10.1093/ije/dym018   DOI
37 Schuessler, K. F., & Fisher, G. A. (1985). Quality of life research and sociology. Annual Review of Sociology, 11(1), 129-149. doi:10.1146/annurev.so.11.080185.001021   DOI
38 The World Health Organization Quality of Life assessment(WHO-QOL). (1995). Position paper from the World Health Organization. Social Science & Medicine, 41, 1403-1409.   DOI
39 Shin, Y. I, Mong, B. W., Kim, K. H., & Koo K. S. (2017). Effects of combination therapy with donepezil and electroencephalogram based self-cognition training in dementia. The Journal of Occupational Therapy for the Aged and Dementia, 11(2), 1-9.
40 Statistics Korea. (2017). 2017 Statistics of the elderly. Daejeon: Statistics Korea
41 건강보험심사평가원. (2016). 노인 다빈도 질병 통계. Retrieved from http://www.hira.or.kr/main.do
42 김상호, 신관홍, 진창윤, 정복자. (2017). 치매 예방을 위한 운동프로그램 연구. 2017년 한국운동재활학회.협회 추계학술대회, 102-102.
43 김진수, 선우덕, 이기주, 최인덕, 이호용, 김경아. (2013). 요양병원과 요양시설의 역할 정립 방안연구-연계방안을 중심으로(2013-31-18). 서울:한국보건사회연구원.
44 노인장기요양보험. (2018). 노인장기요양보험 제도 개요. Retrieved from http://www.longtermcare.or.kr/npbs/
45 대한노인정신의학회. (2003). 치매클리닉. Retrieved from http://www.kagp.or.kr/