title: Person-centered care and quality of life of patients with dementia in long-term care facilities.
abstract: Good quality of life (QOL) is an important goal of dementia care. However, there have been few studies on the relationship of care characteristics to QOL of dementia patients in long-term care facilities. We developed a questionnaire evaluating person-centered care and used it to assess person-centered care and QOL of elderly patients with dementia in both geriatric health service facilities (GHSF) and hospitals. In GHSF, person-centered care scores were not correlated with cognitive or activities of daily living (ADL) functions, but were significantly correlated with four subscale scores on a quality of life questionnaire for dementia (QOL-D) after controlling the effect of age, cognitive function, and ADL scores. In contrast, in hospitals, person-centered care scores were significantly correlated with cognitive and ADL function. We found quite different patterns in the relationship of person-centered care scores to clinical characteristics. Dementia care characteristics and QOL of dementia patients are significantly interrelated, especially in GHSF. Improvement of dementia care standards might affect the QOL of dementia patients. We should pay more attention to the quality of dementia care and QOL of dementia patients.
authors.affiliation: Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan. terada@cc.okayama-u.ac.jp
authors.forename: Seishi
authors.initials: S
authors.lastname: Terada
authors.forename: Etsuko
authors.initials: E
authors.lastname: Oshima
authors.forename: Osamu
authors.initials: O
authors.lastname: Yokota
authors.forename: Chikako
authors.initials: C
authors.lastname: Ikeda
authors.forename: Shigeto
authors.initials: S
authors.lastname: Nagao
authors.forename: Naoya
authors.initials: N
authors.lastname: Takeda
authors.forename: Ken
authors.initials: K
authors.lastname: Sasaki
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Uchitomi
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers; D003704:Dementia / Q000451:nursing* / Q000523:psychology; D005260:Female; D006707:Homes for the Aged; D006761:Hospitals; D006801:Humans; D008134:Long-Term Care / Q000379:methods / Q000523:psychology; D008297:Male; D018802:Patient-Centered Care / Q000379:methods*; D011788:Quality of Life / Q000523:psychology*; D011795:Surveys and Questionnaires