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Wandering Behavior in Korean Elders with Dementia Residing in Nursing Homes

Journal of Korean Academy of Nursing 2008³â 38±Ç 1È£ p.29 ~ 38
KMID : 0806120080380010029
¼ÛÁؾƠ( Song Jun-Ah ) - °í·Á´ëÇб³ °£È£´ëÇÐ

ÀÓ¿µ¹Ì ( Lim Young-Mi ) - ¿¬¼¼´ëÇб³ ¿øÁÖÀÇ°ú´ëÇÐ °£È£Çаú
È«(¼Õ)±Í·É ( Hong Gwi-Ryung Son ) - ÇѾç´ëÇб³ °£È£Çаú

Abstract

Purpose: This study investigated various factors relatied to wandering behavior of Korean elders with dementia (KED).

Methods: A sample of 160 ambulatory residents with dementia from 14 long term care facilities was used to examine demographic, individual, cognitive, physical health, and environmental characteristics by comparing wanderers (N=108) to nonwanders (N=52). Subjects were evaluated by Korean versions of the Mini-mental State Exam (K-MMSE), the Physical and Instrumental Activities of Daily Living (K-PIADL), and the Revised Algase Wandering Scale Nursing Home version (KRAWS-NH) along its six dimensions. Demographic and environmental data were also obtained. Independent sample ttests, Chi-square test, Fisher¡¯s Exact tests, and ANCOVAs were used to examine differences between wanderers and nonwanders.

Results: Wanderers were significantly (p<.05) older and had more limitations in K-PADL and K-IADL. The degree of overall wandering and certain features of wandering were significantly different (p<.05) by total number of residents in the facility, type of bedroom (i.e., ¡®¡®Ondol¡¯¡¯), and color of bedroom and living-room walls (i.e., sky blue).

Conclusion: Findings of this study may be useful in understanding wandering behavior of KEDs and thus developing more culturally specific management strategies.
KeyWords
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Wandering, Elders, Dementia, Nursing home, Environment
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