Skip to main content
Top
Published in: Health and Quality of Life Outcomes 1/2016

Open Access 01-12-2016 | Research

Quality of life and related factors of nursing home residents in Singapore

Authors: Pei Wang, Philip Yap, Gerald Koh, Jia An Chong, Lucy Jennifer Davies, Mayank Dalakoti, Ngan Phoon Fong, Wei Wei Tiong, Nan Luo

Published in: Health and Quality of Life Outcomes | Issue 1/2016

Login to get access

Abstract

Background

Litter is known about the well-being of nursing home (NH) residents in Singapore. This study aimed to identify predictors of self-reported quality of life (QOL) of NH residents in Singapore.

Methods

In face-to-face interviews, trained medical students assessed each consenting resident recruited from 6 local NHs using a modified Minnesota QOL questionnaire, and rating scales and questions assessing independence, cognitive function, depression, and communication. Predictors of residents’ QOL in five aspects (comfort, dignity, food enjoyment, autonomy, and security) were identified using the censored least absolute deviations (CLAD) models.

Results

A total of 375 residents completed the interviews. A higher score on comfort was negatively associated with major depression while a higher score on dignity was positively associated with no difficulty in communication with staff. Higher scores in food enjoyment were negatively associated with major depression and poorer cognitive function. Higher scores in autonomy were negatively associated with major depression, greater dependence, and difficulty in communication with staff. A higher score on security were negatively associated with major depression.

Conclusion

It appears that depression and difficulty in communication with staff are the two main modifiable risk factors of poor quality of life of local NH residents.
Literature
2.
go back to reference Intermediate and long-term care in Singapore. In: Division IHSDaHF, editor. Singapore. 2006. Intermediate and long-term care in Singapore. In: Division IHSDaHF, editor. Singapore. 2006.
4.
go back to reference Wong GH, Yap PL, Pang WS. Changing landscape of nursing homes in Singapore: challenges in the 21st century. Ann Acad Med Singapore. 2014;43:44–50.PubMed Wong GH, Yap PL, Pang WS. Changing landscape of nursing homes in Singapore: challenges in the 21st century. Ann Acad Med Singapore. 2014;43:44–50.PubMed
6.
go back to reference Yap LK, Au SY, Ang YH, Kwan KY, Ng SC, Ee CH. Who are the residents of a nursing home in Singapore? Singapore Med J. 2003;44:65–73.PubMed Yap LK, Au SY, Ang YH, Kwan KY, Ng SC, Ee CH. Who are the residents of a nursing home in Singapore? Singapore Med J. 2003;44:65–73.PubMed
7.
go back to reference Ang YH, Au SY, Yap LK, Ee CH. Functional decline of the elderly in a nursing home. Singapore Med J. 2006;47:219–24.PubMed Ang YH, Au SY, Yap LK, Ee CH. Functional decline of the elderly in a nursing home. Singapore Med J. 2006;47:219–24.PubMed
8.
go back to reference Holtkamp CC, Kerkstra A, Ribbe MW, Van Campen C, Ooms ME. The relation between quality of co-ordination of nursing care and quality of life in Dutch nursing homes. J Adv Nurs. 2000;32:1364–73.CrossRefPubMed Holtkamp CC, Kerkstra A, Ribbe MW, Van Campen C, Ooms ME. The relation between quality of co-ordination of nursing care and quality of life in Dutch nursing homes. J Adv Nurs. 2000;32:1364–73.CrossRefPubMed
10.
go back to reference Burack OR, Weiner AS, Reinhardt JP, Annunziato RA. What matters most to nursing home elders: quality of life in the nursing home. J Am Med Dir Assoc. 2012;13:48–53.CrossRefPubMed Burack OR, Weiner AS, Reinhardt JP, Annunziato RA. What matters most to nursing home elders: quality of life in the nursing home. J Am Med Dir Assoc. 2012;13:48–53.CrossRefPubMed
11.
go back to reference Hall S, Opio D, Dodd RH, Higginson IJ. Assessing quality-of-life in older people in care homes. Age Ageing. 2011;40:507–12.CrossRefPubMed Hall S, Opio D, Dodd RH, Higginson IJ. Assessing quality-of-life in older people in care homes. Age Ageing. 2011;40:507–12.CrossRefPubMed
12.
go back to reference Barca ML, Engedal K, Lask J, Selbaek G. Quality of life among elderly patients with dementia in institutions. Dement Geriatr Cogn Disord. 2011;31:435–42.CrossRefPubMed Barca ML, Engedal K, Lask J, Selbaek G. Quality of life among elderly patients with dementia in institutions. Dement Geriatr Cogn Disord. 2011;31:435–42.CrossRefPubMed
13.
go back to reference Levasseur M, Desrosiers J, St-Cyr Tribble D. Do quality of life, participation and environment of older adults differ according to level of activity? Health Qual Life Outcomes. 2008;6:30.CrossRefPubMedPubMedCentral Levasseur M, Desrosiers J, St-Cyr Tribble D. Do quality of life, participation and environment of older adults differ according to level of activity? Health Qual Life Outcomes. 2008;6:30.CrossRefPubMedPubMedCentral
14.
go back to reference Cordner Z, Blass DM, Rabins PV, Black BS. Quality of life in nursing home residents with advanced dementia. J Am Med Dir Assoc. 2010;58:2394–400. Cordner Z, Blass DM, Rabins PV, Black BS. Quality of life in nursing home residents with advanced dementia. J Am Med Dir Assoc. 2010;58:2394–400.
15.
go back to reference Chang HT, Liu LF, Chen CK, Hwang SJ, Chen LK, Lu FH. Correlates of institutionalized senior veterans’ quality of life in Taiwan. Health Qual Life Outcomes. 2010;8:70.CrossRefPubMedPubMedCentral Chang HT, Liu LF, Chen CK, Hwang SJ, Chen LK, Lu FH. Correlates of institutionalized senior veterans’ quality of life in Taiwan. Health Qual Life Outcomes. 2010;8:70.CrossRefPubMedPubMedCentral
16.
go back to reference Tseng SZ, Wang RH. Quality of life and related factors among elderly nursing home residents in Southern Taiwan. Public Health Nurs. 2001;18:304–11.CrossRefPubMed Tseng SZ, Wang RH. Quality of life and related factors among elderly nursing home residents in Southern Taiwan. Public Health Nurs. 2001;18:304–11.CrossRefPubMed
18.
go back to reference Comondore VR, Devereaus PJ, Zhou Q, Stone SB, Busse JW, Ravindran NC. Quality of care in for-profit and not-for-profit nursing homes: systematic review and meta-analysis. Br Med J. 2009;339:b2732.CrossRef Comondore VR, Devereaus PJ, Zhou Q, Stone SB, Busse JW, Ravindran NC. Quality of care in for-profit and not-for-profit nursing homes: systematic review and meta-analysis. Br Med J. 2009;339:b2732.CrossRef
19.
go back to reference Leong IY, Nuo TH. Prevalence of pain in nursing home residents with different cognitive and communicative abilities. Clin J Pain. 2007;23:119–27.CrossRefPubMed Leong IY, Nuo TH. Prevalence of pain in nursing home residents with different cognitive and communicative abilities. Clin J Pain. 2007;23:119–27.CrossRefPubMed
21.
go back to reference Sahadevan S, Tan JL, Tan T, Tan S. Cognitive testing of elderly Chinese people in Singapore: Influence of education and age on normative scores. Age Ageing. 1997;26:481–6.CrossRefPubMed Sahadevan S, Tan JL, Tan T, Tan S. Cognitive testing of elderly Chinese people in Singapore: Influence of education and age on normative scores. Age Ageing. 1997;26:481–6.CrossRefPubMed
22.
go back to reference Kramer D, Allgaier AK, Fejtkova S, Mergl R, Hegerl U. Depression in nursing homes: prevalence, recognition, and treatment. The International Journal of Psychiatry in Medicine. 2009;39:345–58.CrossRefPubMed Kramer D, Allgaier AK, Fejtkova S, Mergl R, Hegerl U. Depression in nursing homes: prevalence, recognition, and treatment. The International Journal of Psychiatry in Medicine. 2009;39:345–58.CrossRefPubMed
23.
go back to reference Wallace M, Shelkey M. Katz index of independence in activities of daily living (ADL). Urol Nurs. 2007;27:93–4.PubMed Wallace M, Shelkey M. Katz index of independence in activities of daily living (ADL). Urol Nurs. 2007;27:93–4.PubMed
24.
go back to reference Powell J. Least absolute deviations estimation for the censored regression model. J Econ. 1984;25:303–25.CrossRef Powell J. Least absolute deviations estimation for the censored regression model. J Econ. 1984;25:303–25.CrossRef
25.
go back to reference Austin PC. A comparison of methods for analyzing health-related quality-of-life measure. Value Health. 2002;5:329–37.CrossRefPubMed Austin PC. A comparison of methods for analyzing health-related quality-of-life measure. Value Health. 2002;5:329–37.CrossRefPubMed
26.
go back to reference Clarke P, Gray A, Holman R. Estimating utility values for health states of type 2 diabetic patients using the EQ-5D (UKPDS62). Med Decis Making. 2002;22:340–9.CrossRefPubMed Clarke P, Gray A, Holman R. Estimating utility values for health states of type 2 diabetic patients using the EQ-5D (UKPDS62). Med Decis Making. 2002;22:340–9.CrossRefPubMed
27.
go back to reference Sullivan PW, Ghushchyan V. Mapping the EQ-5D index from the SF-12: US general population preferences in a nationally representative sample. Med Decis Making. 2006;26:401–9.CrossRefPubMedPubMedCentral Sullivan PW, Ghushchyan V. Mapping the EQ-5D index from the SF-12: US general population preferences in a nationally representative sample. Med Decis Making. 2006;26:401–9.CrossRefPubMedPubMedCentral
28.
go back to reference Degenholtz HB, Kane RA, Kane RL, Bershadsky B, Kling KC. Predicting nursing facility residents’ quality of life using external indicators. Health Service Research. 2006;42:335–56.CrossRef Degenholtz HB, Kane RA, Kane RL, Bershadsky B, Kling KC. Predicting nursing facility residents’ quality of life using external indicators. Health Service Research. 2006;42:335–56.CrossRef
29.
go back to reference Crogan NL, Evan BC. Quality improvement in nursing homes: identifying depressed residents is critical to improve quality of life. Arizona Geriatrics Society Journal. 2008;13:15–8.PubMedPubMedCentral Crogan NL, Evan BC. Quality improvement in nursing homes: identifying depressed residents is critical to improve quality of life. Arizona Geriatrics Society Journal. 2008;13:15–8.PubMedPubMedCentral
Metadata
Title
Quality of life and related factors of nursing home residents in Singapore
Authors
Pei Wang
Philip Yap
Gerald Koh
Jia An Chong
Lucy Jennifer Davies
Mayank Dalakoti
Ngan Phoon Fong
Wei Wei Tiong
Nan Luo
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2016
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-016-0503-x

Other articles of this Issue 1/2016

Health and Quality of Life Outcomes 1/2016 Go to the issue