Paper
Saturday, July 16, 2005
Predictors of Wandering Behavior in Nursing Home Population in Korea
Gwi-Ryung Son, PhD, RN, Nursing, University of Michigan, Ann Arbor, MI, USA, Young Mi Lim, PhD, RN, Department of Nursing, Yonsei Univeristy, Wonju College of Medicine, Wonju, Kangwon-do, South Korea, and Jun-Ah Song, PhD, RN, School of Nursing, Oregon Health & Science University, Portland, OR, USA.
The purpose of this study was to examine the predictive relationship of predictors [age, sex, cognitive impairment, dependency in physical activity of daily living (PADL), and fall history)] to wandering in Korean nursing home residing elders with dementia. The 59-item Revised Algase wandering scale-nursing home (RAWS-NH) was translated into Korean and established semantic equivalence. The RAWS-NH has six subscales including persistent walking (PW), specific pattern (SP), spatial disorientation (SD), eloping behavior (EB), attention shift (AS), negative outcome (NO). This study used a cross-sectional design with a non-probability dyads samples of PWDs and nursing staff solicited from local nursing homes in Korea. Data was collected by face-to-face interview by two trained research assistants. A convenience sample of 120 PWDs residing in nursing home was recruited, if they 1) were over the age of 60, 2) had medical diagnosis of dementia, 3) had Mini-Mental State Exam (MMSE) score less than 24/30, and 4) were able to walk independently. Mean age and MMSE score of PWDs were 79 years (SD=7.39), and 11.9 (SD=5.71), respectively. Seven simultaneous multiple regression analyses were conducted separately for six subscales and overall RAWS-NH scores. PWDs' dependency in PADL was the strongest predictor for the three subscales (except PW, EB, and NO) and overall scores of RAWS. PWDs' fall history was the strongest predictor, and age was the second strongest predictor for NO. Age and PADL were the significant predictors for spatial disorientation scale and overall scale. Using a larger random sample, replication of this study is necessary to confirm the findings obtained.