Very frequent physical aggression and vocalizations in nursing home residents with dementia
| العنوان: | Very frequent physical aggression and vocalizations in nursing home residents with dementia |
|---|---|
| المؤلفون: | Debby L. Gerritsen, Roland B Wetzels, Annelies E. Veldwijk-Rouwenhorst, Sytse U Zuidema, Raymond T.C.M. Koopmans, Hans Bor, Martin Smalbrugge |
| المساهمون: | Life Course Epidemiology (LCE), General practice, APH - Aging & Later Life, APH - Quality of Care |
| المصدر: | Veldwijk-Rouwenhorst, A E, Zuidema, S U, Smalbrugge, M, Bor, H, Wetzels, R, Gerritsen, D L & Koopmans, R T C M 2021, ' Very frequent physical aggression and vocalizations in nursing home residents with dementia ', Aging and Mental Health, vol. 25, no. 8, pp. 1442-1451 . https://doi.org/10.1080/13607863.2020.1786799Test Aging & Mental Health, 25, 1442-1451 Aging & Mental Health, 25, 8, pp. 1442-1451 AGING & MENTAL HEALTH, 25(8), 1442-1451. ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD Aging and Mental Health, 25(8), 1442-1451. Taylor and Francis Ltd. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1], SYMPTOMS, media_common.quotation_subject, Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18], Very frequent, 03 medical and health sciences, 0302 clinical medicine, very frequent, NEUROPSYCHIATRIC INVENTORY, PEOPLE, medicine, Dementia, Personality, Humans, physical, Depression (differential diagnoses), Psychomotor Agitation, media_common, vocalizations, PERSONALITY, 030214 geriatrics, Aggression, PSYCHOPATHOLOGY, MANSFIELD AGITATION INVENTORY, medicine.disease, Neuropsychiatric inventory, VOCALLY DISRUPTIVE BEHAVIOR, DEPRESSION, DYSFUNCTION, Nursing Homes, Psychiatry and Mental health, nursing home, STAFF, Cross-Sectional Studies, Quality of Life, Geriatrics and Gerontology, Pshychiatric Mental Health, medicine.symptom, Nursing homes, Psychology, Gerontology, 030217 neurology & neurosurgery, Clinical psychology, Psychopathology |
| الوصف: | Contains fulltext : 238112.pdf (Publisher’s version ) (Open Access) OBJECTIVES: We investigated the 2-week prevalence and correlates of very frequent physical aggression (PA) and vocalizations in nursing home (NH)-residents with dementia. METHOD/DESIGN: This cross-sectional study used combined data of 2074 NH-residents from four studies, collected from 119 dementia special care units in 26 Dutch NH. Very frequent PA was defined as scoring 6 or 7 on the items 'hitting', pushing', 'biting' and 'kicking' of the Cohen Mansfield Agitation Inventory; very frequent vocalizations as scoring 6 or 7 on 'screaming' and 'making strange noises'. We compared NH-residents with very frequent PA or vocalizations with residents with less frequent PA or vocalizations, assessing correlates using univariate and multivariate multilevel logistic regression analyses. RESULTS: We found a 2-week prevalence of 2.2% (95% confidence interval (CI): 1.63-2.89) of very frequent PA and 11.5% of very frequent vocalizations (95% CI: 10.23-12.98). Very frequent PA was only associated with apathy (odds ratio (OR)=1.93, 95% CI: 1.04-3.61). Correlates of very frequent vocalizations were age (OR = 0.97, 95% CI: 0.951-0.998), dementia severity (overall p-value 0.020), antipsychotic drug use (OR = 1.56, 95% CI: 1.08-2.26), antiepileptic drug use (OR = 2.75, 95% CI: 1.34-5.68) and euphoria (OR = 2.01, 95% CI: 1.22-3.31). CONCLUSION: Characteristics of NH-residents with very frequent PA or very frequent vocalizations differ from those of NH-residents with less frequent PA or vocalizations. Frontal lobe damage, boredom, pain and/or external factors may explain several of the found associations, but further research is necessary. Our findings may contribute to better care for these residents and thereby to improving their quality of life. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1360-7863 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::27caf1b7fea6e7f8f667992a2d132077Test https://doi.org/10.1080/13607863.2020.1786799Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....27caf1b7fea6e7f8f667992a2d132077 |
| قاعدة البيانات: | OpenAIRE |
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METHOD/DESIGN: This cross-sectional study used combined data of 2074 NH-residents from four studies, collected from 119 dementia special care units in 26 Dutch NH. Very frequent PA was defined as scoring 6 or 7 on the items 'hitting', pushing', 'biting' and 'kicking' of the Cohen Mansfield Agitation Inventory; very frequent vocalizations as scoring 6 or 7 on 'screaming' and 'making strange noises'. We compared NH-residents with very frequent PA or vocalizations with residents with less frequent PA or vocalizations, assessing correlates using univariate and multivariate multilevel logistic regression analyses. RESULTS: We found a 2-week prevalence of 2.2% (95% confidence interval (CI): 1.63-2.89) of very frequent PA and 11.5% of very frequent vocalizations (95% CI: 10.23-12.98). Very frequent PA was only associated with apathy (odds ratio (OR)=1.93, 95% CI: 1.04-3.61). 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