Predictors of agitation in nursing home residents.
Predictors of agitation in nursing home residents.
复制标题
疗养院居民躁动的预测因素。
DOI：
10.1093/geronb/58.2.p129
复制
发表时间：
2003
期刊：
影响因子：
--
通讯作者：
Yurick,Ann
中科院分区：
文献类型：
--
作者：
Vance,DavidE;Burgio,LouisD;Roth,DavidL;Stevens,AlanB;Fairchild,JKaci;Yurick,Ann
养老院居民的躁动对护理人员提出了严峻的挑战，并可能使居民面临伤害的风险。了解激越的病因可以帮助临床医生制定预防和治疗这一问题的非药物干预措施。本研究旨在以结构方程模式探讨住院医师躁动之独立及共同预测因子。躁动的测量与标准化的工作人员报告评定量表和直接的行为观察。通过直接行为观察发现，认知障碍、视力和听力障碍以及性别是躁动的独立预测因素。只有认知障碍被认为是预测激越的标准化工作人员报告量表测量。一个意想不到的发现是，视力障碍似乎对这些严重认知障碍的居民的躁动产生了保护作用。这些研究结果的临床意义进行了讨论，以及测量搅拌的两种方法的相对优点。
Agitation in nursing home residents presents a serious challenge to caregivers and may place residents at risk for harm. Understanding the etiology of agitation can assist clinicians in developing nonpharmacologic interventions for preventing and treating this problem. The purpose of this study was to examine independent and common predictors of resident agitation with structural equation modeling. Agitation was measured with both a standardized staff report rating scale and direct behavioral observation. No indirect or mediating effects were found. Cognitive impairment, vision and hearing impairment, and gender were found to be independent predictors of agitation as measured by direct behavioral observation. Only cognitive impairment was found to be predictive of agitation as measured by the standardized staff report scale. An unexpected finding was that vision impairment appeared to exert a protective effect for agitation in these severely cognitively impaired residents. The clinical implications of these findings are discussed as well as the relative merits of the two methods of measuring agitation.