Evidence map›Paper›PMID 31298499›Full record

ArticleInternational journal of older people nursing2019

Quality of life of older persons in nursing homes after the implementation of a knowledge-based palliative care intervention.

Christina Bökberg, Lina Behm, Gerd Ahlström

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of older people nursing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Christina BökbergDepartment of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.ORCID https://orcid.org/0000-0002-0821-1959
Lina BehmDepartment of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.ORCID https://orcid.org/0000-0003-2023-2100
Gerd AhlströmDepartment of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.ORCID https://orcid.org/0000-0001-6230-7583

Funding

Greta och Johan Kocks stiftelserLinnéuniversitetetMedicinska Fakulteten, Lunds UniversitetPalliative Care Institute at Lund UniversityRagnhild and Einar Lundströms Memorial FoundationRegion SkåneRibbingska Memorial FoundationVårdalstiftelsen 2014-0071Vetenskapsrådet VR 2014-2759
6 · The paper itself

Abstract

backgroundThe goals of palliative care are to relieve suffering and promote quality of life. Palliative care for older persons has been less prioritised than palliative care for younger people with cancer, which may lead to unnecessary suffering and decreased quality of life at the final stage of life.

aimTo evaluate whether a palliative care intervention had any influence on the perceived quality of life of older persons (≥65 years).

methodsThis study was conducted as a complex intervention performed with an experimental crossover design. The intervention was implemented in 20 nursing homes, with a six-month intervention period in each nursing home. Twenty-three older persons (≥65 years) in the intervention group and 29 in the control group were interviewed using the WHOQOL-BREF and WHOQOL-OLD questionnaires at both baseline and follow-up. The collected data were analysed using the Wilcoxon signed-rank test to compare paired data between baseline and follow-up.

resultsIn the intervention group, no statistically significant increases in quality of life were found. This result contrasted with the control group, which revealed statistically significant declines in quality of life at both the dimension and item levels. Accordingly, this study showed a trend of decreased health after nine months in both the intervention and control groups.

conclusionIt is reasonable to believe that quality of life decreases with age as part of the natural course of the ageing process. However, it seems that the palliative care approach of the intervention prevented unnecessary quality of life decline by supporting sensory abilities, autonomy and social participation among older persons in nursing homes. From the ageing perspective, it may not be realistic to strive for an increased quality of life in older people living in nursing homes; maybe the goal should be to delay or prevent reduced quality of life. Based on this perspective, the intervention prevented decline in quality of life in nursing home residents. IMPLICATIONS FOR PRACTICE: The high number of deaths shows the importance to identify palliative care needs in older persons at an early stage to prevent or delay deterioration of quality of life.

Indexed as

Hospice and Palliative Care NursingQuality of LifeAgedAged, 80 and overCase-Control StudiesCross-Over StudiesEvidence-Based NursingFemaleFrail ElderlyHealth Services for the AgedHomes for the AgedHumansMaleProgram EvaluationPsychometricsSwedenageingeducationnursing homespalliative carequality of life

Identifiers

PMID31298499
PMCPMC6900068

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.