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A cross-sectional investigation of the impact of non-communicable diseases and multimorbidity on health-related quality of life in nursing home residents in Armenia
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DOI：10.1016/j.gerinurse.2026.104029.png)
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Abstract
En 中文
Objective: This study assessed the impact of non-communicable diseases (NCDs) on health-related quality of life (HRQoL) in nursing home residents in Armenia. Methods: We used a structured interviewer-administered questionnaire to collect data on socio-demographic characteristics, NCDs, sleeping disorders, smoking status, visual impairment (VI), and HRQoL in a sample of 313 participants from nursing homes in Armenia. The Short-Form Health Survey (SF-36) questionnaire was used to measure the Physical Component Summary (PCS) and Mental Component Summary (MCS) of HRQoL. An ophthalmic examination was conducted to assess VI. Results: The participants' mean age was 72.45 years. The most common NCDs in the sample were bone/joint diseases (30.7%), hypertension (27.5%), and heart diseases (18.5%). In the adjusted analysis, those with more than one NCD reported significantly lower PCS and MCS scores. After adjusting for potential confounders, only kidney disease was significantly associated with both PCS and MCS scores. Heart disease, respiratory diseases/asthma, and bone/joint diseases were significantly associated with only PCS score. The assessment of the influence of each NCD on specific SF-36 domains showed that, after adjusting for confounders, heart and kidney diseases were significantly associated with pain and general health domains of PCS. Bone/ joint diseases were negatively associated with all domains of PCS. Kidney diseases were found to be associated with vitality and mental health. Conclusion: NCDs significantly impaired HRQoL, with kidney and bone/joint diseases having the broadest impact on HRQoL domains. Strategies should be developed for the adequate management of NCDs, prioritizing the residents of nursing homes with multiple conditions. (c) 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
Keywords:
Health-related quality of life
Nursing homes
Non-communicable diseases
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