A DESCRIPTION OF AGITATION IN A NURSING-HOME
A DESCRIPTION OF AGITATION IN A NURSING-HOME
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DOI：
10.1093/geronj/44.3.m77
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发表时间：
1989-05-01
期刊：
影响因子：
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通讯作者：
ROSENTHAL, AS
中科院分区：
文献类型：
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作者：
COHENMANSFIELD, J;MARX, MS;ROSENTHAL, AS
躁动对于老年人、其家人以及护理人员来说是一个重大问题。本研究描述了408名养老院居民的躁动行为。熟悉这些居民的护士使用7分制量表来评定每位居民出现29种躁动行为的频率。每位居民由三名护士独立评定，分别来自三个护理班次。结果显示，躁动行为在白班（即居民最活跃的时候）最常发生，在夜班最不常发生。最常出现的躁动行为是坐立不安、踱步、重复语句、寻求关注、抱怨、消极和咒骂。大多数躁动行为在不同班次之间存在显著相关性，这表明此类行为在24小时内反复出现。因子分析得出了三种躁动综合征：攻击性行为、非身体攻击性行为和言语躁动行为。这些结果为进一步研究老年人的躁动提供了基础。
Agitation is a significant problem for elderly persons, their families, and their caregivers. This study describes the agitated behaviors of 408 nursing home residents. Nurses who were familiar with the residents used a 7-point scale to rate how often each resident manifested 29 agitated behaviors. Each resident was rated independently by three nurses, one from each of the three nursing shifts. Results showed that agitated behaviors occurred most often during the day shift (i.e., when residents were most active), and least often during the night shift. The most frequently exhibited agitated behaviors were general restlessness, pacing, repetitious sentences, requests for attention, complaining, negativism, and cursing. Most agitated behaviors correlated significantly across shifts, suggesting that such behaviors occur and reoccur throughout the 24-hour day. Factor analysis yielded three syndromes of agitation: aggressive behavior, physically nonaggressive behavior, and verbally agitated behavior. These results provide a foundation for further studies of agitation in elderly persons.