Document Type : Original Article

Authors

1 Associate Professor, Department of Psychiatric Nursing and Management, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Assistant Professor, Department of Educational Sciences, Abadeh Branch, Islamic Azad University, Abadeh, Iran

3 Department of Nursing, School of Nursing, Jahrom University of Medical Sciences, Jahrom, Iran

4 PhD Candidate in Nursing, Student Research Committee, Faculty of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran

5 Department of Community Health Nursing, Vali Asr Nursery, Shiraz, Iran

6 Master of Nursing Internal surgery, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran

10.30476/smsj.2025.101167.1478

Abstract

Introduction: The present study aimed to investigate the effect of Namaste care on the Quality of Life (QoL) of elderly individuals with Alzheimer’s disease (AD).
Methods: This quasi-experimental pre-post intervention study was conducted on 25 elderly individuals with AD who were receiving care at a nursing care center. The QoL in the Last Stage of Dementia (QUALID) questionnaire was used to evaluate QoL before the intervention. This questionnaire had 11 items across various domains and was scored on a 5-point Likert scale. All participants received Namaste care for 4 months, 7 days a week, by trained caregivers. At the end of the study, QoL was reassessed using the QUALID questionnaire.
Results: The findings revealed that the mean QoL scores before and after the intervention were 45.24±6.26 and 23.72±6.55, respectively. Namaste care significantly improved the QoL of elderly individuals with AD (P<0.001). All variables related to QoL showed improvement after the provision of Namaste care.
Conclusion: The care for individuals with AD extended beyond medical and nursing protocols and encompassed psychological and social dimensions. Namaste care could enhance the quality of care for elderly individuals with AD.

Keywords

  1. Dalkin SM, Lhussier M, Kendall N, Atkinson J, Tolman S. Namaste care in the home setting: developing initial realist explanatory theories and uncovering unintended outcomes. BMJ Open. 2020;10(1):e033046.
  2. Rezapour-Nasrabad R. Feasibility of providing Namaste managed care to the elderly with Alzheimer’s disease. AVFT–Archivos Venezolanos de Farmacología y Terapéutica. 2021;40(4):455-63.
  3. Albert SM, Del Castillo-Castaneda C, Sano M, Jacobs DM, Marder K, Bell K, et al. Quality of life in patients with Alzheimer’s disease as reported by patient proxies. J Am Geriatr Soc. 1996;44(11):1342-7.
  4. Smaling HJA, Joling KJ, van de Ven PM, Bosmans JE, Simard J, Volicer L, et al. Effects of the Namaste Care Family programme on quality of life of nursing home residents with advanced dementia and on family caregiving experiences: study protocol of a cluster-randomised controlled trial. BMJ Open. 2018;8(10):e025411.
  5. Marinus J, Ramaker C, van Hilten JJ, Stiggelbout AM. Health related quality of life in Parkinson’s disease: a systematic review of disease specific instruments. J Neurol Neurosurg Psychiatry. 2002;72(2):241-8.
  6. Froggatt K, Patel S, Perez Algorta G, Bunn F, Burnside G, Coast J, et al. Namaste Care in nursing care homes for people with advanced dementia: protocol for a feasibility randomised controlled trial. BMJ Open. 2018;8(11):e026531.
  7. Latham I, Brooker D, Bray J, Jacobson-Wright N, Frost F. The Impact of Implementing a Namaste Care Intervention in UK Care Homes for People Living with Advanced Dementia, Staff and Families. Int J Environ Res Public Health. 2020;17(16):6004.
  8. Lawton MP, Van Haitsma K, Perkinson M, Ruckdeschel K. Observed affect and quality of life in dementia: Further affirmations and problems. Journal of mental Health and Aging. 2020;5(1):69-81.
  9. Hertzog MA. Considerations in determining sample size for pilot studies. Res Nurs Health. 2008;31(2):180-91.
  10. Rabins PV, Kasper JD, Kleinman L, Black BS, Patrick DL. Concepts and methods in the development of the ADRQL: an instrument for assessing health-related quality of life in persons with Alzheimer’s disease. Journal of Mental Health and Aging. 1999;5(1):33-48.
  11. Albert SM, Castillo-Castanada C, Jacobs DM, Sano M, Bell K, Merchant C, et al. Proxy-reported quality of life in Alzheimer’s patients: Comparison of clinical and population-based samples. Journal of Mental Health and Aging. 1999;5(1):49-58.
  12. Amrollah Majdabadi Kohne Z, Nikpeyma N, Bayat F, Salsali M, Hunter PV, Kaasalainen S, et al. The effects of a Namaste care program on quality of life: A pilot study in Iranian women with late-stage Alzheimer’s disease. Geriatr Nurs. 2021;42(1):78-82.
  13. Kaasalainen S, Hunter PV, Dal Bello-Haas V, Dolovich L, Froggatt K, Hadjistavropoulos T, et al. Evaluating the feasibility and acceptability of the Namaste Care program in long-term care settings in Canada. Pilot Feasibility Stud. 2020;6:34-46.
  14. Simard J, Volicer L. Effects of Namaste Care on residents who do not benefit from usual activities. Am J Alzheimers Dis Other Demen. 2010;25(1):46-50.
  15. Stacpoole M, Hockley J, Thompsell A, Simard J, Volicer L. Implementing the Namaste Care Program for residents with advanced dementia: exploring the perceptions of families and staff in UK care homes. Ann Palliat Med. 2017;6(4):327-39.
  16. Papi S, Karimi Z, Ghaed Amini Harooni G, Nazarpour A, Shahry P. Determining the prevalence of sleep disorder and its predictors among elderly residents of nursing homes of Ahvaz city in 2017. Iranian Journal of Ageing. 2019;13(5):576-87.
  17. St John K, Koffman J. Introducing Namaste Care to the hospital environment: a pilot study. Ann Palliat Med. 2017;6(4):354-64.
  18. Salehi K, Kordlu A, Rezapour-Nasrabad R. Prevalence of type 2 diabetes in population over 30 years old (2017-2018). Ethno Med. 2020;14(1-2):24-9.