Factors Affecting Agitation in Nursing Home Patients with Dementia

Factors Affecting Agitation in Nursing Home Patients with Dementia
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影响疗养院痴呆症患者躁动的因素

DOI:
10.17079/jkgn.2016.18.1.41
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发表时间:
2016
期刊:
Alzheimer's & Dementia
影响因子:
--
通讯作者:
Hyojin Park
Hyojin Park
中科院分区:
--
文献类型:
--
作者:
Minsuk Gang;Heeok Park;Hyojin Park

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目的:本研究的目的是确定影响老年痴呆症患者住在疗养院躁动的因素。根据Algase的需求驱动痴呆妥协行为模型,对背景因素和邻近因素进行了测试。方法:于2015年12月1日至28日对4所养老院的193名老年人进行调查。研究工具包括CMAI(Cohen-Mansfield激越量表)、K-MMSE(韩国简易精神状态检查量表)、霍尔顿沟通量表、K-ADL(韩国日常生活能力量表)、DS-DAT(阿尔茨海默型痴呆不适量表)、CSDD(康奈尔痴呆抑郁量表)、NPI(神经精神量表)以及生理和心理社会环境。采用描述性统计、t检验、方差分析、Scheffé和Dunnet T3、Pearson相关和多元回归进行数据分析。结果如下:多元回归分析确定幻觉(β= 0.24)、妄想(β= 0.22)、疼痛(β= 0.15)和被诊断为痴呆的总时间(β= 0.10)是激越的重要预测因素,这些因素解释了模型中36.0%的方差。结论:本研究结果显示,在制定控制痴呆患者激越的干预方案时,需要考虑幻觉妄想、疼痛和被诊断为痴呆的总时间。
Purpose: The purpose of this study was to identify factors affecting agitation in patients with dementia who live in nursing homes. Factors including background and proximal factors based on the Algase’s Need-Driven DementiaCompromised Behavior model were tested. Methods: Data collection was performed from Dec. 1 to 28 2015, and 193 elders from 4 nursing homes participated in this study. The instruments included CMAI (Cohen-Mansfield Agitation Inventory), K-MMSE (Korean Mini-Mental State Examination), Holden Communication Scale, K-ADL (Korea Activity of Daily Living scale), DS-DAT (Discomfort scale-Dementia of the Alzheimer’s Type), CSDD (The Cornell Scale for Depression in Dementia), NPI (Neuropsychiatric Inventory), as well as items on the physical and psychosocial environment. Data analysis was performed using descriptive statistics, t-test, ANOVA, Scheffé and Dunnet T3, Pearson correlation and multiple regression. Results: Multiple regression analyses identified hallucination (β=.24), delusion (β=.22), pain (β=.15), and the total period of being diagnosed with dementia (β=.10) as significant predictors of agitation and these factors explained 36.0% of the variance in the model. Conclusion: The findings of this study show that hallucination delusion, pain and total period of being diagnosed with dementia need to be considered when developing intervention programs to control agitation in patients with dementia.
与痴呆症疗养院居民的攻击行为相关的因素。
DOI: 10.1093/geront/48.6.721
发表时间: 2008
期刊: The Gerontologist
影响因子: --
作者:
Whall,AnnL;Colling,KathleenB;Kolanowski,Ann;Kim,HyoJeong;SonHong,Gwi-Ryung;DeCicco,Barry;Ronis,DavidL;Richards,KathyC;Algase,Donna;Beck,Cornelia
通讯作者: Beck,Cornelia
疗养院居民的心理健康状况与痴呆症的攻击行为相关。
DOI: 10.1093/geront/42.2.169
发表时间: 2002
期刊: The Gerontologist
影响因子: --
作者:
Talerico,KarenAmann;Evans,LoisK;Strumpf,NevilleE
通讯作者: Strumpf,NevilleE