Rosen Tony, Lachs Mark S, Bharucha Ashok J, Stevens Scott M, Teresi Jeanne A, Nebres Flor, Pillemer Karl
Division of Geriatric Medicine and Gerontology, Weill Medical College, Cornell University, New York, New York, USA.
J Am Geriatr Soc. 2008 Aug;56(8):1398-408. doi: 10.1111/j.1532-5415.2008.01808.x. Epub 2008 Jul 15.
To more fully characterize the spectrum of resident-to-resident aggression (RRA).
A focus group study of nursing home staff members and residents who could reliably self-report.
A large, urban, long-term care facility.
Seven residents and 96 staff members from multiple clinical and nonclinical occupational groups.
Sixteen focus groups were conducted. Content was analyzed using nVivo 7 software for qualitative data.
Thirty-five different types of physical, verbal, and sexual RRA were described, with screaming or yelling being the most common. Calling out and making noise were the most frequent of 29 antecedents identified as instigating episodes of RRA. RRA was most frequent in dining and residents' rooms, and in the afternoon, although it occurred regularly throughout the facility at all times. Although no proven strategies exist to manage RRA, staff described 25 self-initiated techniques to address the problem.
RRA is a ubiquitous phenomenon in nursing home settings, with important consequences for affected individuals and facilities. Further epidemiological research is necessary to more fully describe the phenomenon and identify risk factors and preventative strategies.
更全面地描述同住居民间攻击行为（RRA）的范围。
对能够可靠地自我报告的养老院工作人员和居民进行焦点小组研究。
一个大型城市长期护理机构。
来自多个临床和非临床职业群体的7名居民和96名工作人员。
进行了16个焦点小组讨论。使用nVivo 7软件对定性数据的内容进行分析。
描述了35种不同类型的身体、言语和性方面的同住居民间攻击行为，其中尖叫或大喊最为常见。在确定为引发同住居民间攻击行为事件的29个先行因素中，呼喊和制造噪音最为频繁。同住居民间攻击行为在餐厅和居民房间最为常见，且在下午最为频繁，不过该行为在整个机构内随时都有发生。尽管不存在已证实的管理同住居民间攻击行为的策略，但工作人员描述了25种自行采取的解决该问题的技巧。
同住居民间攻击行为在养老院环境中是一种普遍现象，对受影响的个人和机构具有重要影响。有必要进行进一步的流行病学研究，以更全面地描述这一现象，并确定风险因素和预防策略。
