认知损害、破坏性行为和家庭护理保健
Disruptive behaviors by an elder with cognitive impairment, such as
violence, abrupt mood swings, and overt inappropriate sexual behaviors
have been known to create caregiver distress, but little is known about
how these behaviors may influence the use of home care services by that
elder or their informal caregiver. The purpose of this study is to explore
the associations between type of cognitive impairment (cognitive impairment
with no dementia, and dementia), selected disruptive behaviors, and the
use of four home care services (homemaking/cleaning, personal care, in-home
nursing, home-delivered meals). Secondary data analysis from the 1991-1992
Manitoba Study on Health and Aging data set was conducted, using a sample
of 124 community-dwelling elders and their unpaid caregivers. Multivariate
analysis revealed that disruptive behaviors were significantly associated
with the use of two services: personal care and home-delivered meals.
Being cognitively impaired with dementia was significant for only home-delivered
meals. Overall functional status of the elder emerged as a consistent
predictor. [引自West J Nurs Res 2001 Mar;23(2):148-62]
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