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A mixed methods study on the manifestations of behavioural symptoms of dementia among veterans with and without posttraumatic stress disorder
DC Field | Value | Language |
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dc.contributor.author | 강바다 | - |
dc.date.accessioned | 2022-11-24T00:39:54Z | - |
dc.date.available | 2022-11-24T00:39:54Z | - |
dc.date.issued | 2021-07 | - |
dc.identifier.issn | 0309-2402 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/190871 | - |
dc.description.abstract | Aims: To explore how behavioural symptoms of dementia are manifested among veterans in residential long-term care settings, in the context of personal, interpersonal/social and environmental triggers and how the manifestations differ between veterans with and without posttraumatic stress disorder. Design: Secondary analysis using a mixed methods approach. Methods: We analysed text data from a stratified random sample of 66 cases derived from the programme evaluation dataset of the Staff Training in Assisted Living Residences-Veterans Health Administration (STAR-VA) intervention from 2013 to 2016, using framework analysis. The detailed behavioural assessment descriptions in this dataset are consistent with contemporary non-pharmacologic symptom management. Qualitative categories were converted to quantitative variables for two group comparisons. Results: Four patterns emerged linking specific types of triggers and behavioural symptoms: (1) unmet physical needs or emotional distress triggers non-aggressive behaviours; (2) unsolicited direct care approach triggers care refusal, resistance or combativeness; (3) interpersonal interactions interfering with self-direction trigger aggressive behaviours; and (4) uncontrolled stimulation from environments trigger non-aggressive behaviours. The organisational culture of care influenced how staff conceptualised behavioural symptoms. Veterans with co-existing posttraumatic stress disorder and dementia tended to exhibit rejection of care with aggression compared to those with dementia alone. Conclusion: Contextualised accounts of behavioural symptoms of dementia revealed symptom heterogeneity, with different clusters of multi-level triggers arising from specific personal, interpersonal and environmental circumstances. Distinct patterns of symptom manifestations between veterans with and without posttraumatic stress disorder suggest a tailored approach is required to meet each veteran's unique biopsychosocial needs. Impact: Classifying behavioural symptoms with their triggers rather than solely by behaviours provides important new information for developing person-centred, non-pharmacological interventions to improve outcomes for veterans with dementia. Multi-level interventions should be considered to meet veteran's needs that account for their earlier life history and current life circumstances. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Blackwell Scientific Publications | - |
dc.relation.isPartOf | JOURNAL OF ADVANCED NURSING | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Behavioral Symptoms | - |
dc.subject.MESH | Dementia* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Interpersonal Relations | - |
dc.subject.MESH | Stress Disorders, Post-Traumatic* | - |
dc.subject.MESH | Veterans* | - |
dc.title | A mixed methods study on the manifestations of behavioural symptoms of dementia among veterans with and without posttraumatic stress disorder | - |
dc.type | Article | - |
dc.contributor.college | College of Nursing (간호대학) | - |
dc.contributor.department | Dept. of Nursing (간호학과) | - |
dc.contributor.googleauthor | Bada Kang | - |
dc.contributor.googleauthor | Michele J Karel | - |
dc.contributor.googleauthor | Kirsten N Corazzini | - |
dc.contributor.googleauthor | Eleanor S McConnell | - |
dc.identifier.doi | 10.1111/jan.14864 | - |
dc.contributor.localId | A06199 | - |
dc.relation.journalcode | J01222 | - |
dc.identifier.eissn | 1365-2648 | - |
dc.identifier.pmid | 33969916 | - |
dc.identifier.url | https://onlinelibrary.wiley.com/doi/10.1111/jan.14864 | - |
dc.subject.keyword | behavioural symptoms | - |
dc.subject.keyword | dementia | - |
dc.subject.keyword | framework analysis | - |
dc.subject.keyword | nursing | - |
dc.subject.keyword | nursing homes | - |
dc.subject.keyword | qualitative | - |
dc.subject.keyword | veterans | - |
dc.contributor.alternativeName | Kang, Bada | - |
dc.contributor.affiliatedAuthor | 강바다 | - |
dc.citation.volume | 77 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 3176 | - |
dc.citation.endPage | 3188 | - |
dc.identifier.bibliographicCitation | JOURNAL OF ADVANCED NURSING, Vol.77(7) : 3176-3188, 2021-07 | - |
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