Aggressive behaviour by people with dementia in residential care settings: a review
Aggressive behaviour by people with dementia in residential care settings: a review
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DOI：
10.1111/j.1365-2850.2006.00964.x
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发表时间：
2006-10-01
影响因子：
2.7
通讯作者：
Duxbury, J.
中科院分区：
文献类型：
--
作者：
Pulsford, D.;Duxbury, J.
本文认为，痴呆症患者在住宿护理环境中犯下的攻击行为的现象。侵略行为的定义在痴呆症患者的背景下，并确定痴呆症患者之间的侵略的发病率的问题进行了讨论。护士和其他专业人员的攻击的情绪影响突出，并考虑了不同的角度对侵略性行为的因果关系。管理策略来自物理/药理学;环境管理;行为矫正和以人为本的方法进行审查。我们的结论是，虽然某些战略似乎反映了良好的和常识性的做法，特别是那些来自以人为本的方法，没有明确的研究证据表明任何一种管理方法的普遍有效性，每一种方法都有实际或道德性质的缺点。关于专业护理人员在实践中如何管理攻击性行为的经验信息也很少。
This paper considers the phenomenon of aggressive behaviour perpetrated by people with dementia in residential care settings. Aggressive behaviour is defined in the context of people with dementia, and the problem of ascertaining the incidence of aggression among people with dementia is discussed. The emotional impact of assaults on nurses and other professionals is highlighted, and differing perspectives on the causation of aggressive behaviour are considered. Management strategies derived from the physical/pharmacological; environment management; behaviour modification and person-centred approaches are reviewed. Our conclusion is that while certain strategies appear to reflect good and common sense practice, in particular those deriving from the person-centred approach, there is no clear research evidence for the general effectiveness of any one management approach, and each has drawbacks of a practical or ethical nature. There is also little empirical information about how professional carers actually manage aggressive behaviour in practice.