Holst Adelheid, Skär Lisa
Faculty of Professional Studies, Nord University, Bodø, Norway.
Department of Health, Blekinge Institute of Technology, Karlskrona, Sweden.
Int J Older People Nurs. 2017 Dec;12(4). doi: 10.1111/opn.12158. Epub 2017 Jun 30.
The purpose of this study was to investigate formal caregivers' experiences of aggressive behaviour in older people living with dementia in nursing homes.
Aggressive behaviour symptoms among older people living with dementia are reported to be prevalent. As aggressive behaviour includes both verbal and physical behaviours, such as kicking, hitting and screaming, it causes an increased burden on formal caregivers. Professionals experiencing this aggression perceived it as challenging, causing physical and psychological damage, leading to anger, stress and depression.
A systematic review was conducted. A search of published research studies between 2000 and 2015 was conducted using appropriate search terms. Eleven studies were identified and included in this review.
The analysis resulted in four categories: formal caregivers' views on triggers of aggression, expressions of aggression, the effect of aggressive behaviours on formal caregivers and formal caregivers' strategies to address aggression. The results show that aggressive behaviour may lead to negative feelings in formal caregivers and nursing home residents.
The results of this study suggest that having the ability to identify triggers possibly assists caregivers with addressing aggressive behaviour. Aggressive behaviour might also affect quality of care.
Results from this systematic review indicate that caregivers prefer person-centred strategies to handle aggressive behaviour among older people, while the use of pharmaceuticals and coercion strategies is a last resort.
本研究旨在调查养老院中痴呆症老年人的攻击性行为对正式照护者的影响。
据报道，痴呆症老年人的攻击性行为症状很普遍。由于攻击性行为包括言语和身体行为，如踢打、尖叫等，这给正式照护者带来了更大的负担。经历过这种攻击行为的专业人员认为这具有挑战性，会造成身体和心理伤害，导致愤怒、压力和抑郁。
进行了一项系统综述。使用适当的检索词对2000年至2015年发表的研究进行了检索。确定了11项研究并纳入本综述。
分析得出四个类别：正式照护者对攻击行为触发因素的看法、攻击行为的表现形式、攻击行为对正式照护者的影响以及正式照护者应对攻击行为的策略。结果表明，攻击行为可能会给正式照护者和养老院居民带来负面情绪。
本研究结果表明，能够识别触发因素可能有助于照护者应对攻击行为。攻击行为也可能影响护理质量。
该系统综述的结果表明，照护者更喜欢采用以人为本的策略来处理老年人的攻击行为，而使用药物和强制策略是最后的手段。
