title: Quality of life and related factors of nursing home residents in Singapore.
abstract: BACKGROUND
  Litter is known about the well-being of nursing home (NH) residents in Singapore. This study aimed to identify predictors of self-reported quality of life (QOL) of NH residents in Singapore.
  
  
  METHODS
  In face-to-face interviews, trained medical students assessed each consenting resident recruited from 6 local NHs using a modified Minnesota QOL questionnaire, and rating scales and questions assessing independence, cognitive function, depression, and communication. Predictors of residents' QOL in five aspects (comfort, dignity, food enjoyment, autonomy, and security) were identified using the censored least absolute deviations (CLAD) models.
  
  
  RESULTS
  A total of 375 residents completed the interviews. A higher score on comfort was negatively associated with major depression while a higher score on dignity was positively associated with no difficulty in communication with staff. Higher scores in food enjoyment were negatively associated with major depression and poorer cognitive function. Higher scores in autonomy were negatively associated with major depression, greater dependence, and difficulty in communication with staff. A higher score on security were negatively associated with major depression.
  
  
  CONCLUSIONS
  It appears that depression and difficulty in communication with staff are the two main modifiable risk factors of poor quality of life of local NH residents.
authors.affiliation: Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, Tahir Foundation Building, Singapore, Singapore.
authors.forename: Pei
authors.initials: P
authors.lastname: Wang
authors.affiliation: Khoo Teck Puat Hospital, Singapore, Singapore.
authors.forename: Philip
authors.initials: P
authors.lastname: Yap
authors.affiliation: Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, Tahir Foundation Building, Singapore, Singapore.
authors.forename: Gerald
authors.initials: G
authors.lastname: Koh
authors.affiliation: Ministry of Health, Singapore, Singapore.
authors.forename: Jia An
authors.initials: JA
authors.lastname: Chong
authors.affiliation: Singapore General Hospital, Singapore, Singapore.
authors.forename: Lucy Jennifer
authors.initials: LJ
authors.lastname: Davies
authors.affiliation: National University Health System, Singapore, Singapore.
authors.forename: Mayank
authors.initials: M
authors.lastname: Dalakoti
authors.affiliation: Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, Tahir Foundation Building, Singapore, Singapore.
authors.forename: Ngan Phoon
authors.initials: NP
authors.lastname: Fong
authors.affiliation: Ministry of Health, Singapore, Singapore.
authors.forename: Wei Wei
authors.initials: WW
authors.lastname: Tiong
authors.affiliation: Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, Tahir Foundation Building, Singapore, Singapore. nan_luo@nuhs.edu.sg.
authors.forename: Nan
authors.initials: N
authors.lastname: Luo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003071:Cognition; D003865:Major Depressive Disorder / Q000209:etiology* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D009735:Nursing Homes; D011788:Quality of Life / Q000523:psychology*; D057566:Self Report; D012846:Singapore
keywords: Nursing home; Quality of life; Risk factors; Singapore