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

Thanh Xuan Nguyen (), Anh Huynh Phuong Nguyen, Huong Thi Thu Nguyen, Thu Thi Hoai Nguyen, Hoa Lan Nguyen, Robert Joel Goldberg, Janani Thillainadesan, Vasi Naganathan, Huyen Thi Thanh Vu, Luc Viet Tran and Anh Trung Nguyen
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Thanh Xuan Nguyen: Department of Geriatrics, Hanoi Medical University, Hanoi 100000, Vietnam
Anh Huynh Phuong Nguyen: Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
Huong Thi Thu Nguyen: Department of Geriatrics, Hanoi Medical University, Hanoi 100000, Vietnam
Thu Thi Hoai Nguyen: Department of Geriatrics, Hanoi Medical University, Hanoi 100000, Vietnam
Hoa Lan Nguyen: Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA 01655, USA
Robert Joel Goldberg: Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA 01655, USA
Janani Thillainadesan: Department of Geriatric Medicine, Centre for Education and Research on Ageing (CERA), Concord Hospital, Sydney, NSW 2139, Australia
Vasi Naganathan: Department of Geriatric Medicine, Centre for Education and Research on Ageing (CERA), Concord Hospital, Sydney, NSW 2139, Australia
Huyen Thi Thanh Vu: Department of Geriatrics, Hanoi Medical University, Hanoi 100000, Vietnam
Luc Viet Tran: National Geriatric Hospital, Hanoi 100000, Vietnam
Anh Trung Nguyen: Department of Geriatrics, Hanoi Medical University, Hanoi 100000, Vietnam

IJERPH, 2024, vol. 21, issue 2, 1-11

Abstract: Better understanding of the quality of life among nursing home residents with dementia is important for developing interventions. The objectives of this cross-sectional study were to examine factors associated with poor health-related quality of life in older people with dementia living in nursing homes in Hanoi, Vietnam. In-person interviews were conducted with 140 adults who were 60 years and older with dementia, and information about their quality of life was obtained using the Quality of Life in Alzheimer’s Disease (QOL-AD) scale. The sociodemographic and clinical factors associated with poor health-related quality of life (lowest quartile) 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 average 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 total quality of life score, and interventions based on comprehensive geriatric assessment remain needed to modify risk factors related to poor health-related quality of life.

Keywords: Vietnam; dementia; older adult; quality of life; nursing home; related factors (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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