Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
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A Meta-Analysis of the Variables related to Agitation in Patients with Dementia

치매 환자의 초조행동 관련변인에 관한 메타분석

  • Park, Heeok (College of Nursing, Keimyung University.Research Institute of Nursing Science, Keimyung University) ;
  • Gang, Minsuk (Graduate School, Keimyung University) ;
  • Park, Eunsil (Department of Nursing, Hosan University)
  • 박희옥 (계명대학교 간호대학.간호과학연구소) ;
  • 강민숙 (계명대학교 일반대학원) ;
  • 박은실 (호산대학교 간호학과)
  • Received : 2016.02.29
  • Accepted : 2016.04.22
  • Published : 2016.04.30
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Abstract

Purpose: The purpose of this study was to provide basic data about agitation in patients with dementia by surveying the literature. Method: Key words used for search through hand-search and electronic database (CINHAL, Pubmed, Google scholar, Riss, Kiss, DBpia) included 'dementia', 'Alzheimer disease', 'agitation', 'aggression or aggressive behavior', 'problem or disruptive behavior', and 'abnormal behavior.' Seventeen studies met the inclusion criteria for the Meta-analysis and 'R' version 3.2.2 was used to analyze the correlated effect size. Results: Study results showed that variables related to agitation were identified as the demographic (age, gender), dementia-related (cognition, medication uses), physical (Activity of Daily Living [ADL], pain), psychological (depression, psychotic symptom, caregiver burden) and environmental (psychosocial environment) factors. The effect size between the correlated variables and agitation were low to moderate (caregiver burden .36; ADL -.24; psychotic symptom and depression .21; pain .19; cognition -.15; medication uses .12; and psychosocial environment -.12). Conclusion: Based on the findings of this study, strategies to improve patients' depressive and psychotic symptoms and ADL and to reduce caregivers' burden are needed for prevention and management of agitation in patients with dementia.

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References

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