与轻度痴呆退伍军人游走行为相关的因素：一项前瞻性纵向社区为基础的研究。
Factors Associated With Wandering Behaviors in Veterans With Mild Dementia: A Prospective Longitudinal Community-Based Study.
机构信息
1 VISN 8 Patient Safety Center of Inquiry, James A. Haley VA Hospital, Tampa, FL, USA.
2 Center of Innovation on Disability and Rehabilitation Research, James A. Haley VA Hospital, Tampa, FL, USA.
出版信息
Am J Alzheimers Dis Other Demen. 2018 Mar;33(2):100-111. doi: 10.1177/1533317517735168. Epub 2017 Oct 26.
OBJECTIVE
To investigate baseline factors associated with caregiver-reported wandering among community-dwelling veterans with mild dementia.
METHODS
Veterans with mild dementia (N = 143) and their caregivers participated in a 2-year prospective longitudinal study. Measures assessed wandering, daily function, behavior, cognition, and personality features. Wandering was dichotomized as present or absent across study periods, and associations with baseline characteristics were examined.
RESULTS
One-quarter of participants demonstrated caregiver-reported wandering at 1 or more study visits, with 14% to 15% wandering at any 1 visit. Wandering was associated with significantly lower baseline scores in performance of daily function, behavioral response to stress, gait, and balance, and conscientiousness.
CONCLUSIONS
This novel study evaluated wandering in a community-dwelling sample of veterans with mild dementia. Wandering was associated with a specific personality trait, poorer behavioral response to stress as well as greater functional and gait/balance impairment. These findings may assist in developing community-based interventions for caregivers.
目的
调查与社区居住的轻度痴呆退伍军人 caregiver报告的走失相关的基线因素。
方法
轻度痴呆（N=143）的退伍军人及其照顾者参加了为期 2 年的前瞻性纵向研究。评估了走失、日常功能、行为、认知和人格特征。在研究期间，将走失情况分为存在或不存在两种情况，并检查了与基线特征的关联。
结果
四分之一的参与者在 1 次或多次研究访问中出现了 caregiver 报告的走失，有 14%至 15%的人在任何 1 次访问中走失。与日常功能、应激行为反应、步态和平衡以及尽责性的基线评分显著较低有关。
结论
这项新的研究评估了轻度痴呆社区居住退伍军人样本中的走失情况。走失与特定的人格特质、对压力的行为反应较差以及更大的功能和步态/平衡受损有关。这些发现可能有助于为照顾者制定基于社区的干预措施。
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