東華大學圖書館 |

Language: English

Help

回圖書館首頁

手機版館藏查詢

Back to Search results for [ null ]

Switch To: Labeled | MARC Mode | ISBD

A Model of Agitated Behavioral Sympt...

Kero, Katherine.

Linked to FindBook

Google Book

Amazon

博客來

A Model of Agitated Behavioral Symptoms in Persons with Alzheimer Disease.

Record Type:	Electronic resources : Monograph/item
Title/Author:	A Model of Agitated Behavioral Symptoms in Persons with Alzheimer Disease./
Author:	Kero, Katherine.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
Description:	200 p.
Notes:	Source: Dissertations Abstracts International, Volume: 82-04, Section: B.
Contained By:	Dissertations Abstracts International82-04B.
Subject:	Aging. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=27999747
ISBN:	9798678131270

A Model of Agitated Behavioral Symptoms in Persons with Alzheimer Disease.
Kero, Katherine.

A Model of Agitated Behavioral Symptoms in Persons with Alzheimer Disease. - Ann Arbor : ProQuest Dissertations & Theses, 2020 - 200 p.

Source: Dissertations Abstracts International, Volume: 82-04, Section: B.

Thesis (Ph.D.)--Wayne State University, 2020.

This item must not be sold to any third party vendors.

Background: Worldwide population trends are shifting with the population of Elders expected to dramatically increase in absolute and relative numbers in coming years. Alzheimer Disease (AD) is a common and costly disease of aging with agitation being the most poorly managed and detrimental behavioral symptom of the condition. The Nursing Theory of Unpleasant Symptoms provides a conceptual basis for understanding agitated behavioral symptoms associated with AD in the context of its antecedent causes and outcomes of the symptoms. Purpose: The purpose of this dissertation was to model the predictors and outcomes of agitated behavioral symptoms in persons with AD. The specific aims were: (1) Describe the phenomenon of agitated behavioral symptoms in persons with AD within the Theory of Unpleasant Symptoms; (2) Determine the effect of situational, psychological, and physiological factors on agitation in persons with AD; (3) Determine the effect of situational, psychological, and physical antecedent factors and agitation on performance outcomes. Methods: A descriptive, correlational, cross-sectional, secondary analysis research design will be employed. The original data were collected in communities and in Nursing Homes settings in the Midwestern US. A convenience sampling of facilities yielded 120 participants.Results: Exploratory factor analysis identified three antecedent factors to agitated behavioral symptoms: Situation-Caregiver, Psychological, and Physical-Cognitive. The path analysis model closely represented all variables and relationships predicted in the TOUS (χ2 = 1.049, df = 2, p = .592). Significant relationships between situation and agitation (B = 0.51, p < .001), psychological symptoms and agitation (B = 0.446, p < .001), and physical health on agitated behavioral symptoms (B = 0.58, p = .001) were found, and explained 63% of the variance in agitation. The model found no support for the effects of any measured factors on performance outcomes, except the effects of the Physical: Cognitive factor (B = 0.86, p < .001) which explained 66% of the variance in functional performance. Implications: The TOUS provides a good model to identify causes of agitated behaviors in AD. This study emphasizes the need for greater support of caregivers of persons with AD because caregiver burden is an important modifiable antecedent to agitated behavioral symptoms. Future research should investigate interventions to reduce professional and informal caregiver burnout and study the effects of reduced caregiver burnout on improvements in agitated behavioral symptoms in persons with AD. Future research should also evaluate quality of life outcomes to better determine if the relationships between symptoms and performance outcomes predicted in the TOUS remain valid in persons with AD.

ISBN: 9798678131270Subjects--Topical Terms:

543123
Aging.
Subjects--Index Terms:

Agitation

A Model of Agitated Behavioral Symptoms in Persons with Alzheimer Disease.
LDR:03953nmm a2200373 4500 001 2278900
005 20210712062649.5
008 220723s2020 ||||||||||||||||| ||eng d
020 $a 9798678131270
035 $a (MiAaPQ)AAI27999747
035 $a AAI27999747
040 $a MiAaPQ $c MiAaPQ
100 1 $a Kero, Katherine. $3 3557306
245 1 0 $a A Model of Agitated Behavioral Symptoms in Persons with Alzheimer Disease.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2020
300 $a 200 p.
500 $a Source: Dissertations Abstracts International, Volume: 82-04, Section: B.
500 $a Advisor: Schutte, Debra.
502 $a Thesis (Ph.D.)--Wayne State University, 2020.
506 $a This item must not be sold to any third party vendors.
520 $a Background: Worldwide population trends are shifting with the population of Elders expected to dramatically increase in absolute and relative numbers in coming years. Alzheimer Disease (AD) is a common and costly disease of aging with agitation being the most poorly managed and detrimental behavioral symptom of the condition. The Nursing Theory of Unpleasant Symptoms provides a conceptual basis for understanding agitated behavioral symptoms associated with AD in the context of its antecedent causes and outcomes of the symptoms. Purpose: The purpose of this dissertation was to model the predictors and outcomes of agitated behavioral symptoms in persons with AD. The specific aims were: (1) Describe the phenomenon of agitated behavioral symptoms in persons with AD within the Theory of Unpleasant Symptoms; (2) Determine the effect of situational, psychological, and physiological factors on agitation in persons with AD; (3) Determine the effect of situational, psychological, and physical antecedent factors and agitation on performance outcomes. Methods: A descriptive, correlational, cross-sectional, secondary analysis research design will be employed. The original data were collected in communities and in Nursing Homes settings in the Midwestern US. A convenience sampling of facilities yielded 120 participants.Results: Exploratory factor analysis identified three antecedent factors to agitated behavioral symptoms: Situation-Caregiver, Psychological, and Physical-Cognitive. The path analysis model closely represented all variables and relationships predicted in the TOUS (χ2 = 1.049, df = 2, p = .592). Significant relationships between situation and agitation (B = 0.51, p < .001), psychological symptoms and agitation (B = 0.446, p < .001), and physical health on agitated behavioral symptoms (B = 0.58, p = .001) were found, and explained 63% of the variance in agitation. The model found no support for the effects of any measured factors on performance outcomes, except the effects of the Physical: Cognitive factor (B = 0.86, p < .001) which explained 66% of the variance in functional performance. Implications: The TOUS provides a good model to identify causes of agitated behaviors in AD. This study emphasizes the need for greater support of caregivers of persons with AD because caregiver burden is an important modifiable antecedent to agitated behavioral symptoms. Future research should investigate interventions to reduce professional and informal caregiver burnout and study the effects of reduced caregiver burnout on improvements in agitated behavioral symptoms in persons with AD. Future research should also evaluate quality of life outcomes to better determine if the relationships between symptoms and performance outcomes predicted in the TOUS remain valid in persons with AD.
590 $a School code: 0254.
650 4 $a Aging. $3 543123
650 4 $a Nursing. $3 528444
650 4 $a Health sciences. $3 3168359
650 4 $a Neurosciences. $3 588700
650 4 $a Gerontology. $3 533633
653 $a Agitation
653 $a Alzheimer
653 $a Predictors
690 $a 0493
690 $a 0569
690 $a 0566
690 $a 0317
690 $a 0351
710 2 $a Wayne State University. $b Nursing. $3 2095817
773 0 $t Dissertations Abstracts International $g 82-04B.
790 $a 0254
791 $a Ph.D.
792 $a 2020
793 $a English
856 4 0 $u https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=27999747