Empirical derivation and validation of a wandering typology.
Empirical derivation and validation of a wandering typology.
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徘徊类型学的经验推导和验证。
DOI：
10.1111/j.1532-5415.2009.02491.x
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发表时间：
2009
影响因子：
6.3
通讯作者：
Yao,Lan
中科院分区：
文献类型：
--
作者：
Algase,DonnaL;Antonakos,Cathy;Beattie,ElizabethRA;Beel-Bates,CynthiaA;Yao,Lan
目的：发展和验证流浪类型学。设计：横断面相关描述性设计。地点：：22家疗养院和6家辅助生活设施。参与者：142名痴呆患者，会说英语，符合《精神疾病诊断和统计手册》第四版痴呆标准，简易精神状态检查（MMSE）评分低于24分，（有或没有辅助设备），并保持一个稳定的制度精神药物studied.MEASUREMENTS：流浪的数据收集使用直接观察，连续绘制根据率和持续时间，以产生21个参数，并减少通过因子分析到四个组成部分：高速率、高持续时间、低至中等速率和持续时间以及一天中的时间。其他措施包括MMSE，最小数据集2.0流动性项目，累积疾病评定量表，老年，和鼓膜体温readings.Results：三组流浪者被确定通过聚类分析：经典，中度，亚临床。MMSE，流动性，心脏和上，下消化道的问题不同组的流浪者和比较nonwanderers.CONCLUSION：结果有影响，以提高识别流浪者和治疗可能的影响因素。
OBJECTIVES:To develop and validate a wandering typology.DESIGN:Cross‐sectional, correlational descriptive design.SETTING::Twenty‐two nursing homes and six assisted living facilities.PARTICIPANTS:One hundred forty‐two residents with dementia who spoke English, metDiagnostic and Statistical Manual for Mental Disorders, Fourth Edition, criteria for dementia, scored less than 24 on the Mini‐Mental State Examination (MMSE), were ambulatory (with or without assistive device), and maintained a stable regime of psychotropic medications were studied.MEASUREMENTS:Data on wandering were collected using direct observations, plotted serially according to rate and duration to yield 21 parameters, and reduced through factor analysis to four components: high rate, high duration, low to moderate rate and duration, and time of day. Other measures included the MMSE, Minimum Data Set 2.0 mobility items, Cumulative Illness Rating Scale—Geriatric, and tympanic body temperature readings.RESULTS:Three groups of wanderers were identified through cluster analysis: classic, moderate, and subclinical. MMSE, mobility, and cardiac and upper and lower gastrointestinal problems differed between groups of wanderers and in comparison with nonwanderers.CONCLUSION:Results have implications for improving identification of wanderers and treatment of possible contributing factors.