Beattie Elizabeth R A, Song JunAh, LaGore Shane
University of Michigan Ann Arbor, School of Nursing, MI 48109, USA.
Res Theory Nurs Pract. 2005 Summer;19(2):181-96.
Wandering, a challenging behavior associated with dementia, affects many residents of long-term care facilities and can result in elopement, injury, and death. Most studies of wandering have taken place in nursing homes (NH). Expansion of the long-term care sector over the last 2 decades has resulted in a surge in options such as assisted living facilities (ALF). This study compared wandering behavior of residents (N = 108) in 21 long-term care facilities (15 NH, 6 ALF). Staff used the Revised Algase Wandering Scale-Nursing Home Version (RAWS-NH) to quantify wandering. While there were some differences in demographic variables (i.e., race, motor ability) between NH and ALF participants, no significant differences were found in either RAWS-NH overall or any of the 6 subscale scores. This suggests that the expression of wandering is similar in long-term care residents across all dimensions of the RAWS-NH regardless of facility type. Findings are of concern for those involved in the safe management and protection of residents at risk for wandering, particularly in long-term care facilities with underregulated staffing and training requirements.
徘徊是一种与痴呆症相关的具有挑战性的行为，影响着许多长期护理机构的居民，并可能导致走失、受伤和死亡。大多数关于徘徊的研究都在养老院（NH）中进行。在过去20年里，长期护理行业的扩张导致了诸如辅助生活设施（ALF）等选择的激增。本研究比较了21个长期护理机构（15个养老院、6个辅助生活设施）中108名居民的徘徊行为。工作人员使用修订后的阿尔加斯徘徊量表-养老院版（RAWS-NH）来量化徘徊行为。虽然养老院和辅助生活设施的参与者在人口统计学变量（即种族、运动能力）上存在一些差异，但在RAWS-NH总分或6个分量表分数中的任何一项上均未发现显著差异。这表明，无论设施类型如何，在RAWS-NH的所有维度上，长期护理居民的徘徊表现都是相似的。这一发现令那些参与对有徘徊风险居民进行安全管理和保护的人担忧，尤其是在人员配备和培训要求监管不足的长期护理机构中。
