Factors influencing quality of life of elderly people with dementia and care implications: A systematic review |
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| Affiliation: | 1. Centre for Research on Ageing, Faculty of Social, Human and Mathematical Sciences, University of Southampton, SO17 1BJ, United Kingdom;2. Nursing School, Zhengzhou University, China;1. Dementia Collaborative Research Center (DCRC) Network, University of New South Wales Australia, Sydney, Australia;2. Aging Work and Health Research Unit, Faculty of Health Sciences, University of Sydney, Sydney, Australia;3. Center for Healthy Brain Aging (CHeBA), University of New South Wales Australia, Sydney, Australia;1. School of Health and Social Care, University of Greenwich, Southwood Site Avery Hill Road Eltham, London SE9 2UG, UK;2. Department of Clinical Neuropsychology, VU University Amsterdam, Van der Boechorststraat 1, 1081 BT Amsterdam, The Netherlands;3. Department of Physiotherapy, University of Birmingham, 52 Pritchatts Road, Birmingham B15 2TT, UK;4. University Psychiatric Centre, KU Leuven, Kortenberg, Department of Neurosciences, Leuvensesteenweg 517, B-3070 Kortenberg, Belgium;5. Department of Rehabilitation Sciences, KU Leuven, Tervuursevest 101, B-3001 Leuven, Belgium;6. Old Age Psychiatry, University Hospitals Leuven, & Department of Neurosciences, KU Leuven, Herestraat 49, B-3000, Belgium;1. Division of Psychiatry, University College London, London, UK;2. UCL Statistical Science and PRIMENT Clinical Trials Unit, University College London, London, UK;3. Department of Primary Care and Population Health, Faculty of Population Health Sciences, University College London, London, UK;4. Camden and Islington NHS Foundation Trust, St Pancras Hospital, London, UK;5. Centre for Dementia Studies, Brighton and Sussex Medical School and Sussex Partnership, NHS Foundation Trust, Brighton, UK;1. Personal Social Services Research Unit: Faculty of Biology, Medicine, and Health, Division of Population Health, University of Manchester, Manchester, UK;2. School of Health Sciences, University of East Anglia, Norwich, UK;3. Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands;4. Department of Health Sciences, Division of Nursing, Lund University, Lund, Sweden;5. Department of Nursing Science, University of Turku, and Turku University Hospital, Turku, Finland;6. Department of Internal Medicine, Faculty of Medicine, University of Tartu, Tartu, Estonia;7. Geriatrics Department, Gerontôpole, Toulouse University Hospital, INSERM UMR 1027, Toulouse, France;8. School of Nursing Science, Faculty of Health, University of Witten/Herdecke, Witten, and Institute for Health and Nursing Science, Medical Faculty, Martin Luther University, Halle-Wittenberg, Germany;9. Nursing Department, Hospital Clinic of Barcelona, Barcelona, Spain |
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| Abstract: | BackgroundIdentifying factors associated with Quality of Life (QoL) of elderly people with dementia could contribute to finding pathways to improve QoL for elderly people in dementia.AimThis paper systematically reviews all possible factors that influence QoL of elderly people with dementia, identifies how these factors are different by different stages of dementia and living settings, and explores how the influencing factors could be perceive differently by elderly people with dementia, family members, and caregivers.MethodPubMed, PsycINFO, Web of Science and DelphiS searches from 2000 to 2015 and hand searches of publication lists, reference lists and citations were used to identify primary studies on ‘quality of life’ and ‘dementia’ elderly people.ResultsThe results suggest that there are a complex variety of factors influencing QoL of elderly people with dementia, and the factors cover demographic, physical, psychological, social, and religious aspects. And the factors influencing QoL of elderly people with dementia are different in different living settings (care institutions and communities) as well as different people’s perspectives (elderly people with dementia, family members and care staff). Environmental factors and quality of care are important for elderly people in care institutions; while religious seem to only affect QoL of those living in communities. However, this review fails to comprehensively identify unique or common factors associated QoL in dementia across three stages. Further study should pay more attention to comparing factors associated with QoL in dementia across three stages of dementia. |
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| Keywords: | Quality of life Elderly people Dementia |
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