Correlates of Quality of Life of Older Adults with Dementia, Alexandria, Egypt | ||||
| Journal of High Institute of Public Health | ||||
| Article 5, Volume 46, Issue 1, April 2016, Page 31-37 PDF (830.9 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/jhiph.2016.20593 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Zeinab Shata  1; Heba Elkady2; Hala Ibrahim3
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| 1Family Health (Mental Health) Department, High Institute of Public Health, Alexandria University, Egypt | ||||
| 2Family Health Department (Geriatric Health), High Institute of Public Health, Alexandria University, Egypt | ||||
| 3Family Health Department (Public Health Nursing), High Institute of Public Health, Alexandria University, Egypt | ||||
| Abstract | ||||
| Objective(s): To determine factors associated with quality of life (QoL) of older adults with dementia in Alexandria, Egypt. Methods: A total of 102 dementia patient-caregiver participated in a cross-sectional study at the psychogeriatric outpatient clinic in Almaamora Psychiatric Hospital in Alexandria (2013). Community dwelling older adults (≥ 60 years), and having scores of 10-20 on the Mini Mental State Examination (MMSE), were recruited. They were assessed using Quality of Life-Alzheimer’s Disease (QoL-AD)-combined report, Patient Health Questionnaire-9 (PHQ-9) for depression, and Katz Index for Activities of Daily Living (ADL). Results: The higher scores on the QoL-AD correlated significantly with younger ages of patients (r = –0.270, p < 0.001) and caregivers (r = –0.254, p = 0.01), higher scores on the MMSE (r = 0.208, p = 0.03) and ADL (r = 0.551, p < 0.001), and lower PHQ-9 scores (r = –0.506, p < 0.001). Better QoL associated significantly with adequate monthly income (p = 0.04), AD type of dementia (p = 0.002), absence of co-morbid physical diseases (p < 0.001), and caregivers not living with the patient in same residence (p = 0.02). Regression analysis revealed only two predictors of QoL namely the person's level of independence in ADL, and lower depressive symptoms (B = 0.644, B = –0.303, respectively, p < 0.001). Conclusion: QoL of patients with moderate dementia was significantly predicted by the severity of depressive symptoms and level of functional dependence. Dementia care plans should include regular screening and early management of depression, as well as patient and caregiver psycho-education to increase patients' functional independency. | ||||
| Keywords | ||||
| ADL; community dwelling older adults; Dementia; depression; QoL-AD | ||||
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