Evaluating quality of life in patients with dementia


Authors: MUDr. Milan Stolička 1;  PhDr. Radka Bužgová, Ph.D. 2
Authors‘ workplace: Léčebna dlouhodobě nemocných Klokočov 1;  Ústav ošetřovatelství a porodní asistence LF MU a FN Ostrava 2
Published in: Geriatrie a Gerontologie 2014, 3, č. 4: 153-158
Category: Original Article/Study

Overview

The aim of the research was to identify the most common negative symptoms in patients with late stage dementia and their quality of life during their hospitalization in the Long-term care institution Klokočov. Another aim was to find out whether the significant differences in the observed data were statistically repeated in the measurements. The group included 105 patients with end-stage dementia hospitalized in Long-term care institution Klokočov. For data collection in patients with dementia were chosen following tools: Qualid (Quality of life in late-stage dementia scale) and SM-EOLD (Symptom Management at the End-of-Life in Dementia).

Results:
In the second measurement to achieve better overall score in the scale of QUALID - quality of life of respondents improved. The most frequently reported symptoms were pain and shortness of breath. The frequency of their occurrence in the second measurement decreased. Other frequently occurring symptoms of the depression, and anxiety. Incidence of depression in the second measurement unchanged. Sadness for no apparent reason was given by 2/3 of the respondents. For three quarters of the respondents were recorded your meal at least 1 day. More than 2/3 of respondents did not prevent touches. For other symptoms (crying, restlessness, fear, grimacing, agitation, resistance to care and skin disorders) was observed a low rate.

Conclusion:
Evaluation instruments relating to negative symptoms and quality of life of seniors with severe dementia are based on the observation frequency of occurrence of these symptoms and assessment of the achieved score. Used assessment tools QUALID and SM-EOLD can be recommended for the evaluation of the negative symptoms and quality of life of older people with severe dementia.

Keywords:
late stages of dementia – symptoms, quality of life


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