Risk factors for agitation in home-cared older adults with dementia: evidence from 640 elders in East China
BackgroundAgitation is common among older adults with dementia, negatively affecting their quality of life and their caregivers’. Since home care remains the dominant approach for older adults, this study investigates the risk factors for agitation in older adults with dementia in China.MethodsWe pe...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-07-01
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| Series: | Frontiers in Neuroscience |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnins.2023.1189590/full |
| _version_ | 1797786917083807744 |
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| author | Jiaxin Liu Taoyu Lin Guanjun Liu Xiaoxin Dong Rui Min |
| author_facet | Jiaxin Liu Taoyu Lin Guanjun Liu Xiaoxin Dong Rui Min |
| author_sort | Jiaxin Liu |
| collection | DOAJ |
| description | BackgroundAgitation is common among older adults with dementia, negatively affecting their quality of life and their caregivers’. Since home care remains the dominant approach for older adults, this study investigates the risk factors for agitation in older adults with dementia in China.MethodsWe perform a cross-sectional study of home-cared older adults with dementia in Ningbo, China, using 2020 data. We use a self-made questionnaire to investigate the risks of agitated behavior and its related factors. We perform descriptive, univariate, and regression analyses.FindingsWe address 640 older Chinese adults; 42.8% of the sample exhibits one or more agitated behaviors. We find that basic health issues, such as activities of daily living (ADL), family support issues, such as Zarit Burden Interview (ZBI) scale and Family APGAR Questionnaire (APGAR), and behavioral awareness issues, such as fall and scald, significantly influence the occurrence of agitation behaviors (p < 0.05). Older adults with severe ADL disorder (b = 6.835, β = 0.196, p < 0.001), ZBI score of 67.00–88.0 (b = 10.212, β = 0.248, p = 0.005), severe APGAR disorder (b = 3.699, β = 0.100, p = 0.012) and a history of fall (b = 9.311, β = 0.199, P = <0.001) or scald (b = 9.288, β = 0.125, p = 0.002) are more likely to exhibit agitated behaviors.InterpretationAgitated behavior in home-cared older adults with dementia are diverse and related to mental state, family support, and behavioral awareness issues. Caregivers, often family members, should be attentive to the needs of dementia patients and take active and effective measures to improve their quality of life. They should be aware of the causes and triggers of agitated behavior and take steps to reduce its occurrence. |
| first_indexed | 2024-03-13T01:14:35Z |
| format | Article |
| id | doaj.art-63e56b74941c43b885f11705b65edf11 |
| institution | Directory Open Access Journal |
| issn | 1662-453X |
| language | English |
| last_indexed | 2024-03-13T01:14:35Z |
| publishDate | 2023-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neuroscience |
| spelling | doaj.art-63e56b74941c43b885f11705b65edf112023-07-05T12:10:33ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2023-07-011710.3389/fnins.2023.11895901189590Risk factors for agitation in home-cared older adults with dementia: evidence from 640 elders in East ChinaJiaxin Liu0Taoyu Lin1Guanjun Liu2Xiaoxin Dong3Rui Min4School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaThe People’s Hospital of Suzhou New District, Suzhou, ChinaSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaInstitute of Health Services, Ningbo College of Health Sciences, Ningbo, ChinaSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaBackgroundAgitation is common among older adults with dementia, negatively affecting their quality of life and their caregivers’. Since home care remains the dominant approach for older adults, this study investigates the risk factors for agitation in older adults with dementia in China.MethodsWe perform a cross-sectional study of home-cared older adults with dementia in Ningbo, China, using 2020 data. We use a self-made questionnaire to investigate the risks of agitated behavior and its related factors. We perform descriptive, univariate, and regression analyses.FindingsWe address 640 older Chinese adults; 42.8% of the sample exhibits one or more agitated behaviors. We find that basic health issues, such as activities of daily living (ADL), family support issues, such as Zarit Burden Interview (ZBI) scale and Family APGAR Questionnaire (APGAR), and behavioral awareness issues, such as fall and scald, significantly influence the occurrence of agitation behaviors (p < 0.05). Older adults with severe ADL disorder (b = 6.835, β = 0.196, p < 0.001), ZBI score of 67.00–88.0 (b = 10.212, β = 0.248, p = 0.005), severe APGAR disorder (b = 3.699, β = 0.100, p = 0.012) and a history of fall (b = 9.311, β = 0.199, P = <0.001) or scald (b = 9.288, β = 0.125, p = 0.002) are more likely to exhibit agitated behaviors.InterpretationAgitated behavior in home-cared older adults with dementia are diverse and related to mental state, family support, and behavioral awareness issues. Caregivers, often family members, should be attentive to the needs of dementia patients and take active and effective measures to improve their quality of life. They should be aware of the causes and triggers of agitated behavior and take steps to reduce its occurrence.https://www.frontiersin.org/articles/10.3389/fnins.2023.1189590/fullagitationelderly adultsdementiahome-caredCohen-Mansfield agitation inventory |
| spellingShingle | Jiaxin Liu Taoyu Lin Guanjun Liu Xiaoxin Dong Rui Min Risk factors for agitation in home-cared older adults with dementia: evidence from 640 elders in East China Frontiers in Neuroscience agitation elderly adults dementia home-cared Cohen-Mansfield agitation inventory |
| title | Risk factors for agitation in home-cared older adults with dementia: evidence from 640 elders in East China |
| title_full | Risk factors for agitation in home-cared older adults with dementia: evidence from 640 elders in East China |
| title_fullStr | Risk factors for agitation in home-cared older adults with dementia: evidence from 640 elders in East China |
| title_full_unstemmed | Risk factors for agitation in home-cared older adults with dementia: evidence from 640 elders in East China |
| title_short | Risk factors for agitation in home-cared older adults with dementia: evidence from 640 elders in East China |
| title_sort | risk factors for agitation in home cared older adults with dementia evidence from 640 elders in east china |
| topic | agitation elderly adults dementia home-cared Cohen-Mansfield agitation inventory |
| url | https://www.frontiersin.org/articles/10.3389/fnins.2023.1189590/full |
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