Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Health-Related Quality of Life among Older Adults with Dementia Living in Vietnamese Nursing Homes

Version 1 : Received: 5 December 2023 / Approved: 6 December 2023 / Online: 6 December 2023 (15:39:13 CET)

A peer-reviewed article of this Preprint also exists.

Nguyen, T.X.; Nguyen, A.H.P.; Nguyen, H.T.T.; Nguyen, T.T.H.; Nguyen, H.L.; Goldberg, R.J.; Thillainadesan, J.; Naganathan, V.; Vu, H.T.T.; Tran, L.V.; Nguyen, A.T. Health-Related Quality of Life among Older Adults with Dementia Living in Vietnamese Nursing Homes. Int. J. Environ. Res. Public Health 2024, 21, 135. Nguyen, T.X.; Nguyen, A.H.P.; Nguyen, H.T.T.; Nguyen, T.T.H.; Nguyen, H.L.; Goldberg, R.J.; Thillainadesan, J.; Naganathan, V.; Vu, H.T.T.; Tran, L.V.; Nguyen, A.T. Health-Related Quality of Life among Older Adults with Dementia Living in Vietnamese Nursing Homes. Int. J. Environ. Res. Public Health 2024, 21, 135.

Abstract

Better understanding of the quality of life among nursing home residents with dementia is im-portant for developing interventions. The objectives of this cross-sectional study were to examine factors associated with poor health-related quality of life in older adults with dementia living in nursing homes in Hanoi, Vietnam. In-person interviews were conducted with 140 adults 60 years and older with dementia and information about their quality of life was obtained using the Quality of Life in Alzheimer’s Disease scale (QOL-AD). A number of sociodemographic and clinical factors associated with poor health-related quality of life (lowest tertile) were assessed through the results of physical tests, interviews with nursing home staff, and review of medical records. The average age of the study sample was 78.3 years, 65% were women, and their av-erage QOL-AD total score was 27.3 (SD = 4.4). Malnutrition, total dependence in activities of daily living, and urinary incontinence were associated with poor quality of life after controlling for multiple potentially confounding factors. Our findings show that Vietnamese nursing home residents with dementia have a moderate quality of life and interventions based on comprehen-sive geriatric assessment remain needed to modify risk factors associated with poor health-related quality of life.

Keywords

Vietnam; dementia; older adult; quality of life; related factors; nursing home

Subject

Public Health and Healthcare, Public Health and Health Services

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