The key relative of 417 nursing home residents was interviewed to determine reasons for admission and patient behaviour before admission using the Psychogeriatric Dependency Rating Scale (PGDRS).
Families stated that 25% of new nursing home admissions were due to disruptive behaviour but there were nearly always other reasons for admission as well.
A receiver operating characteristic curve and cluster analysis showed that a greater amount of generalized behaviour problems predicted admission in the 74% of new residents.
Admission because of disruptive behaviour was associated with greater cognitive impairment, possible Alzheimer's disease, delusions or hallucinations, a psychiatric diagnosis, admission from home, requiring help from others before admission and a permanent move to a nursing home.
Both psychiatric and social factors are important determinants of nursing home admission for disruptive behaviour.
Mots-clés Pascal : Trouble comportement social, Etablissement troisième âge, Vieillard, Homme, Admission, Démence sénile, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Maladie dégénérative
Mots-clés Pascal anglais : Social behavior disorder, Homes for the aged, Elderly, Human, Senile dementia, Nervous system diseases, Central nervous system disease, Cerebral disorder, Degenerative disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0187474
Code Inist : 002B18H05B. Création : 199608.