Song Jun-Ah, Lim Young Mi, Hong Gwi-Ryung Son
College of Nursing, Korea University, Seoul, Korea.
Taehan Kanho Hakhoe Chi. 2008 Feb;38(1):29-38. doi: 10.4040/jkan.2008.38.1.29.
This study investigated various factors related to wandering behavior of Korean elders with dementia (KED).
A sample of 160 ambulatory residents with dementia from 14 long term care facilities was used to examine demographic, individual, cognitive, physical health, and environmental characteristics by comparing wanderers (N=108) to nonwanders (N=52). Subjects were evaluated by Korean versions of the Mini-mental State Exam (K-MMSE), the Physical and Instrumental Activities of Daily Living (K-PIADL), and the Revised Algase Wandering Scale Nursing Home version (KRAWS-NH) along its six dimensions. Demographic and environmental data were also obtained. Independent sample t-tests, Chi-square test, Fisher's Exact tests, and ANCOVAs were used to examine differences between wanderers and nonwanders.
Wanderers were significantly (p<.05) older and had more limitations in K-PADL and K-IADL. The degree of overall wandering and certain features of wandering were significantly different (p<.05) by total number of residents in the facility, type of bedroom (i.e., "Ondol"), and color of bedroom and living-room walls (i.e., sky blue).
Findings of this study may be useful in understanding wandering behavior of KEDs and thus developing more culturally specific management strategies.
本研究调查了与韩国老年痴呆症患者（KED）游荡行为相关的各种因素。
从14个长期护理机构选取了160名能走动的痴呆症患者作为样本，通过比较游荡者（N = 108）和非游荡者（N = 52）来检查人口统计学、个体、认知、身体健康和环境特征。采用韩国版简易精神状态检查表（K-MMSE）、身体和日常生活活动能力量表（K-PIADL）以及修订版阿尔加塞游荡量表养老院版（KRAWS-NH）的六个维度对受试者进行评估。同时获取了人口统计学和环境数据。使用独立样本t检验、卡方检验、费舍尔精确检验和协方差分析来检查游荡者和非游荡者之间的差异。
游荡者年龄显著更大（p <.05），在K-PADL和K-IADL方面有更多限制。设施内居民总数、卧室类型（即“温突”）以及卧室和客厅墙壁颜色（即天蓝色）对总体游荡程度和某些游荡特征有显著差异（p <.05）。
本研究结果可能有助于理解韩国老年痴呆症患者的游荡行为，从而制定更具文化针对性的管理策略。
