Bayram Serap, Usta Esra, Altınbaş-Akkaş Özlem, Şık Tuğçe
Düzce Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Düzce, Türkiye.
Florence Nightingale Hemsire Derg. 2019 Jun 1;27(2):173-187. doi: 10.26650/FNJN18075. eCollection 2019 Jun.
Agitation is common among elderly people staying at nursing homes. It is a significant problem particularly for patients with dementia. This study aims to determine the agitation behaviors of elderly people receiving long-term institutional care in a city and influencing factors.
The population of this descriptive and analytical study consisted of elderly individuals in three institutional care centers. 178 elderly individuals aged 60 and above were taken into the sample group. Approval was taken from them and their relatives. The study data were collected between September-November 2018 using the socio-demographic question form, the Cohen-Mansfield Agitation Inventory (CMAI), the Mini-Cog Brief Cognitive Assessment Form, the Barthel Index for Activities of Daily Living (ADL) and the Lawton&Brody Instrumental Activities of Daily Living Scale (IADL).
The mean age of the participants was 75.58±8.77 and 56.7% were males. The duration of stay at the institution was 23.48±24.46 months. Although 50.6% of the participants had psychiatric diagnoses. The mean score for the CMAI for the patients with dementia was 46.26±15.10, which was significantly higher than those without dementia (Z=-2.132, p=0.033).
The results show agitation is high among patients with dementia and cognitive impairment affects agitation significantly.
躁动在入住养老院的老年人中很常见。这是一个重大问题，尤其是对痴呆症患者而言。本研究旨在确定该市接受长期机构护理的老年人的躁动行为及其影响因素。
这项描述性和分析性研究的对象包括三个机构护理中心的老年人。178名60岁及以上的老年人被纳入样本组。研究获得了他们及其亲属的同意。研究数据于2018年9月至11月期间收集，使用了社会人口学问题表格、科恩-曼斯菲尔德躁动量表（CMAI）、简易认知评估简短表格、日常生活活动能力巴氏指数（ADL）以及劳顿&布罗迪日常生活工具性活动量表（IADL）。
参与者的平均年龄为75.58±8.77岁，男性占56.7%。在机构的停留时间为23.48±24.46个月。尽管50.6%的参与者有精神科诊断。痴呆症患者的CMAI平均得分为46.26±15.10，显著高于无痴呆症患者（Z=-2.132，p=0.033）。
结果表明，痴呆症患者的躁动程度较高，认知障碍对躁动有显著影响。
