Behavioural problems in Sydney nursing homes.
The prevalence of significant behavioural disturbance in 46 Sydney nursing homes was examined.
All 2445 residents were rated on a brief screening questionnaire by senior nurses, who decided that 704 (29%) displayed at least one problem behaviour for much of the time.
Primary care nurses (PCNs) then rated these'screen-positive'residents using the Cohen-Mansfield Agitation Inventory (CMAI).
In one nursing home the PCNs rated all 100 residents on the CMAI and found that 24 of 58'screen-negative'residents displayed CMAI behaviours once daily or more.
Of CMAI behaviours rated as occurring daily or more often, 30% were manifested by'screen-negative'residents.
Prevalence figures based on'screen-positive'residents are underestimates.
Interrater reliability between PCNs was good.
We report that at least 3.3% of residents paced and 0.45% screamed several times an hour.
Each of the following behaviours was manifested daily or more often by 10-15% of the residents : restlessness, pacing, repetitive sentences, constant calls for help, cursing/verbal aggression and complaining.
Aggressive behaviours (eg hitting, kicking, biting) were less common, and a relationship to cognitive impairment was demonstrated.
Increased research on assessment and management of these behaviours is needed.
Mots-clés Pascal : Etablissement troisième âge, Trouble comportement social, Agitation, Cri, Prévalence, Epidémiologie, Australie, Océanie, Vieillard, Homme
Mots-clés Pascal anglais : Homes for the aged, Social behavior disorder, Agitation, Scream, Prevalence, Epidemiology, Australia, Oceania, Elderly, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0303786
Code Inist : 002B18E. Création : 10/04/1997.