Environmental Determinants of Quality of Life in Nursing Home Residents with Severe Dementia
Article first published online: 15 JUN 2012
© 2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society
Journal of the American Geriatrics Society
Volume 60, Issue 7, pages 1230–1236, July 2012
How to Cite
Garre-Olmo, J., López-Pousa, S., Turon-Estrada, A., Juvinyà, D., Ballester, D. and Vilalta-Franch, J. (2012), Environmental Determinants of Quality of Life in Nursing Home Residents with Severe Dementia. Journal of the American Geriatrics Society, 60: 1230–1236. doi: 10.1111/j.1532-5415.2012.04040.x
- Issue published online: 12 JUL 2012
- Article first published online: 15 JUN 2012
- quality of life;
- nursing homes;
- long-term care;
- health facility environment;
- environment design
To determine the relationship between quality of life (QOL) and environmental factors of temperature, noise, and lighting in nursing home residents with severe dementia.
Cross-sectional, observational, analytical.
Eight public, long-term care nursing homes in the province of Girona, Spain.
Random sample of 160 nursing home residents with severe dementia.
Functional and cognitive impairment, pain, neuropsychiatric disturbances, and QOL were determined using standardized instruments. Temperature, noise, and lighting in bedrooms, dining rooms, and living rooms were measured in the morning and afternoon using a multifunction environment meter in a standardized manner.
Adjusted multivariate linear regression models demonstrated that environmental measures were independently associated with QOL and related factors. High temperature in the bedroom was associated with lower QOL (standardized β = 0.184), high noise levels in the living room were associated with low behavioral signs of social interactions (β = 0.196), and low lighting levels in the bedroom were associated with number of signs of negative affective mood (β = −0.135).
The QOL of nursing home residents with severe dementia was related to environmental factors such as temperature, noise, and lighting. The monitoring of these environmental factors may improve these individuals' QOL.