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Agitated behaviors among elderly people with dementia living in their home in Taiwan

Authors Huang HL, Shyu YIL, Hsu WC

Received 19 December 2017

Accepted for publication 18 April 2018

Published 29 June 2018 Volume 2018:13 Pages 1193—1199


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Prof. Dr. Zhi-Ying Wu

Huei-Ling Huang,1,2 Yea-Ing L Shyu,1,3–5 Wen-Chuin Hsu6

1Department of Gerontological Care and Management, Chang Gung University of Science and Technology, Taoyuan, Taiwan; 2Nursing Department, Taoyuan Chang Gung Memorial Hospital, Taoyuan, Taiwan; 3School of Nursing, College of Medicine & Healthy Aging Research Center, Chang Gung University, Taoyuan, Taiwan; 4Department of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan; 5Department of Nursing, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan; 6Chang Gung Dementia Center, Department of Neurology, Chang Gung University and Memorial Hospital, Taoyuan, Taiwan

Background/aims: Limited research has been conducted on agitated behavior in Taiwan and dementia among community-dwelling elderly. Therefore, this study focused on community elderly with dementia and a factor analysis of an inventory of their agitated behaviors was conducted.
Patients and methods: Participants (N=221) completed the Chinese Cohen-Mansfield Agitation Inventory, community form. Item analysis and exploratory factor analysis assessed reliability, validity, and the underlying factor structure.
Results: Five factors were extracted and accounted for 44.53% of the total variance. This study classified agitated behaviors into 5 main subtypes: physically agitated behaviors, destructive behaviors, verbally agitated behaviors, handling things behavior, and aggressive behaviors.
Conclusion: The results indicate that differences in the agitated behavior of elderly with dementia exist with respect to cultural background and setting. This novel research and its findings serve as a reference for assessing the agitated behaviors of elderly with dementia living in their homes. Applications may exist for other countries with Chinese/Taiwanese populations.

Keywords: agitation, aggressive behavior, behavioral problem, caregiver, factor analysis, dementia

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