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요양시설 치매 환자의 초조행동에 미치는 영향요인

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Author(s)
박희옥
Alternative Author(s)
Park, Hee Ok
Publication Year
2016
Keyword
Risk factors(위험요인)Dementia(치매)Nursing homes(요양시설)Psychomotor agitation(초조)
Abstract
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 Dementia-
Compromised 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.
Alternative Title
Factors Affecting Agitation in Nursing Home Patients with Dementia
Department
Dept. of Nursing (간호학)
Research Institute for Nursing Science (간호과학연구소)
Publisher
College of Nursing
Citation
노인간호학회지, Vol.18(1) : 41-52, 2016
Type
Article
ISSN
2384-1877
DOI
10.17079/jkgn.2016.18.1.41
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/33347
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