In 2015 in France, 585,560 people were nursing home residents. A large body of studies has identified predictors of poor quality of life and poor adaptation in institution, mostly for residents without dementia. With 42 to 72% of these residents diagnosed with dementia, it is crucial to identify what factors prior to admission might have an impact on quality of life once the admission is finalized, in order to target specific domains of intervention, while the person still lives at home and after his/her admission. QOL-EHPAD is a prospective, multi-centred, observational cohort study. At baseline, we will collect retrospective data on the life of 150 persons with dementia and their caregivers. These data will refer to the conditions of admission to a nursing home (emergency admission, involvement in the decision, admission from home or from the hospital) and to the 6 months prior to the admission of the person with dementia: sociodemographic and medical data, psychological tests, information on quality of life, satisfaction, behaviour, and nutrition. Similar data about life in the nursing home will be collected after 6 months, along with information on adaptation of the person with dementia to his/her new living environment. We will use univariate regression analyses followed by stepwise linear regression models to identify which factors pertaining to life at home are associated with quality of life and adaptation after 6 months. This study will provide data on the impact of institutionalization on quality of life and the determinants of a successful institutionalization in people with dementia. This could be helpful in setting up targeted interventions to prepare admission into a nursing home before the actual admission and to accompany both the caregiver and the person with dementia throughout this process.

中文翻译：

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准入因素对痴呆疗养院居民生活质量和适应的影响：QOL-EHPAD研究方案

2015年，法国有585,560人为养老院居民。大量研究确定了生活质量差和机构适应性差的预测因素，这些预测因素大多是针对无痴呆症的居民。这些居民中有42％至72％被诊断患有痴呆症，至关重要的是，一旦入院完成，确定入院前哪些因素可能对生活质量产生影响，以针对特定的干预领域，而该人仍在生活中。在家里和他/她入院后。QOL-EHPAD是一项前瞻性，多中心，观察性队列研究。在基线时，我们将收集有关150名痴呆症患者及其护理人员生活的回顾性数据。这些数据将涉及到疗养院的入院条件（紧急入院，参与决策，从家中或从医院住院）以及痴呆症患者入院前六个月：社会人口统计学和医学数据，心理测验，生活质量，满意度，行为和营养信息。在六个月后，将收集关于疗养院生活的类似数据，以及有关痴呆症患者适应新生活环境的信息。我们将使用单变量回归分析，然后使用逐步线性回归模型来确定与家庭生活有关的哪些因素与6个月后的生活质量和适应能力有关。这项研究将提供有关制度化对生活质量的影响的数据以及痴呆症患者成功制度化的决定因素。