The Influence of the Characteristics of Nursing Home Residents with Dementia on the Quality of Life of the Family Caregiver

Introduction As dementia prevalence increases, more individuals are becoming caregivers for family members with dementia. This role can negatively impact the caregiver's quality of life (QoL), even when the person with dementia resides in a nursing home. This study aimed to identify factors influencing caregivers' well-being. We investigated whether the type and stage of dementia, the QoL of the person with dementia, and their interactions could predict the family caregiver's QoL. Methods This study included 205 elderly participants with dementia from 19 nursing homes and their family caregivers. It measured the type of dementia by using a physician’s diagnosis, stage of dementia using the Bedford Alzheimer Nursing Severity-Scale (BANS-S) ( M = 14.92, SD = 4.58), QoL of the person with dementia using the Quality of Life in Late-Stage Dementia (QUALID) scale (M = 22.88, SD = 7.96 ), and caregiver QoL using a scale question from the TOPICS-MDS questionnaire (M = 7.36 , SD = 1.18). A...Show moreIntroduction As dementia prevalence increases, more individuals are becoming caregivers for family members with dementia. This role can negatively impact the caregiver's quality of life (QoL), even when the person with dementia resides in a nursing home. This study aimed to identify factors influencing caregivers' well-being. We investigated whether the type and stage of dementia, the QoL of the person with dementia, and their interactions could predict the family caregiver's QoL. Methods This study included 205 elderly participants with dementia from 19 nursing homes and their family caregivers. It measured the type of dementia by using a physician’s diagnosis, stage of dementia using the Bedford Alzheimer Nursing Severity-Scale (BANS-S) ( M = 14.92, SD = 4.58), QoL of the person with dementia using the Quality of Life in Late-Stage Dementia (QUALID) scale (M = 22.88, SD = 7.96 ), and caregiver QoL using a scale question from the TOPICS-MDS questionnaire (M = 7.36 , SD = 1.18). A general linear model was employed to analyze the data. Results Neither the type of dementia (F(3, 189) = 0.62, p = 0.6030), stage of dementia (F(1, 189) = 0.871, p = 0.352), nor the QoL of the person with dementia (F(1, 189) = 0.225, p = 0.636) predicted the QoL of the family caregiver. Additionally, no interactions between these factors were significant predictors of the family caregiver’s QoL (Type x Stage; F(3, 189) = .264, p = .851) (Type x QoL); F(3, 189) =.548 , p =.650) (Stage x QoL; F(1, 189) = .388, p = .534) (Type x Stage x QoL; F(3, 189) =.149, p = .930). Discussion None of the characteristics nor their interactions were able to predict the caregiver's quality of life. These results contradict earlier research. Possible explanations are the violations of certain assumptions within the GLM, the methods that were used to measure the variables and the difference in care setting between this study and previous studies. Further investigation is needed to clarify these discrepancies and refine our understanding of factors affecting family caregivers' QoL.Show less

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The Influence of the Characteristics of Nursing Home Residents with Dementia on the Quality of Life of the Family Caregiver