Johns Hopkins University, Baltimore, MD, USA.
University of Pennsylvania, Philadelphia, USA.
J Appl Gerontol. 2020 Jan;39(1):50-61. doi: 10.1177/0733464818756999. Epub 2018 Feb 19.
To describe caregiver challenges with and confidence managing three aggressive behavior types in persons with dementia: verbal aggression, destroying property, and threatening to hurt others. Secondary analysis of baseline data from the 2001-2004 Resources for Enhancing Alzheimer's Caregiver Health II (REACH II) initiative. One or more aggressive behaviors within 1 week were reported by more than a third of caregivers, with most expressing upset but fewer expressing confidence managing the behaviors. Caregiver distress and confidence differed by race/ethnicity in response to verbal aggression, with more White/Caucasian caregivers expressing upset than Hispanic/Latinos or Black/African Americans. Fewer Hispanic/Latinos expressed confidence managing verbal aggression, compared with White/Caucasians or Black/African Americans. Aggressive behaviors challenge caregivers, with reactions varying by behavior type and race/ethnicity. Cultural and contextual factors suggest the need to tailor interventions, especially skill-building interventions that increase confidence managing aggressive behaviors while decreasing upset.
描述照顾者在处理痴呆症患者三种攻击性行为类型（言语攻击、破坏财物和威胁伤害他人）方面的挑战和应对信心。对 2001-2004 年增强阿尔茨海默病照顾者健康资源二期（REACH II）倡议基线数据的二次分析。超过三分之一的照顾者报告在一周内出现一种或多种攻击性行为，大多数表示不安，但较少表示有信心应对这些行为。照顾者的痛苦和信心因种族/族裔而异，言语攻击的反应更为明显，与西班牙裔/拉丁裔或非裔美国人相比，更多的白种人/高加索人表示不安。与白种人/高加索人或非裔美国人相比，西班牙裔/拉丁美洲人表示有信心应对言语攻击的人数较少。攻击性行为对照顾者构成挑战，反应因行为类型和种族/族裔而异。文化和背景因素表明需要调整干预措施，特别是需要增强信心应对攻击性行为的技能建设干预措施，同时减少不安。
