Davison Tanya E, McCabe Marita P, Bird Michael, Mellor David, MacPherson Sarah, Hallford David, Seedy Melissa, O'Connor Daniel W
J Gerontol Nurs. 2017 Jan 1;43(1):34-43. doi: 10.3928/00989134-20160928-01. Epub 2016 Oct 5.
The current study aimed to profile behaviors associated with dementia that pose management difficulties for staff and determine whether existing rating scales capture these reported behaviors. Staff in 17 nursing homes described the behavioral symptoms of 229 residents with predominantly moderate-severe dementia associated with management difficulties. Behaviors were categorized by an expert clinical panel and compared to items in four dementia behavior rating scales. Staff reported 59 discrete behavioral symptoms, with physically agitated, aggressive verbal, non-aggressive verbal, and aggressive physical behaviors most common, followed by resistance to care and inappropriate social and sexual behaviors. Results suggested that some scales omit important behaviors reported by staff for residents with particularly challenging behaviors. The current study highlights the clinical complexity faced by nursing home staff in managing residents with behavioral symptoms of dementia. [Journal of Gerontological Nursing, 43(1), 34-43.].
本研究旨在剖析与痴呆症相关的、给工作人员带来管理困难的行为，并确定现有的评定量表是否涵盖了这些报告的行为。17家养老院的工作人员描述了229名主要患有中度至重度痴呆症且存在管理困难的居民的行为症状。行为由一个专家临床小组进行分类，并与四种痴呆症行为评定量表中的项目进行比较。工作人员报告了59种不同的行为症状，其中身体躁动、攻击性言语、非攻击性言语和攻击性身体行为最为常见，其次是抗拒护理以及不适当的社交和性行为。结果表明，一些量表遗漏了工作人员报告的、行为特别具有挑战性的居民的重要行为。本研究凸显了养老院工作人员在管理有痴呆症行为症状的居民时所面临的临床复杂性。[《老年护理杂志》，43(1)，34 - 43。]
