A Global Perspective on Alzheimer's Disease: Examining the Relationship between AD Stage and Behaviors in Individuals from Korea and the United States

2.50
Hdl Handle:
http://hdl.handle.net/10755/151848
Type:
Presentation
Title:
A Global Perspective on Alzheimer's Disease: Examining the Relationship between AD Stage and Behaviors in Individuals from Korea and the United States
Abstract:
A Global Perspective on Alzheimer's Disease: Examining the Relationship between AD Stage and Behaviors in Individuals from Korea and the United States
Conference Sponsor:Sigma Theta Tau International
Conference Year:2002
Conference Date:July, 2002
Author:Edwards, Nancy
P.I. Institution Name:Purdue University
Title:Assistant Professor
Objective: To compare the disruptive or need driven behaviors exhibited by individuals with Alzheimer's disease in the United States and Korea and to correlated the behaviors with the stage of their Alzheimer's disease. Design: A cross sectional designed was utilized. A researcher-developed instrument was completed by the nurses who serve as primary caregivers for individuals with Alzheimer's disease who reside in long-term care facilities in the United States and Korea. Population, Sample, Setting: The sample consisted of 55 Korean individuals and 64 American individuals diagnosed with Alzheimer's disease who resided in specialized Alzheimer's facilities in their respective countries. Concepts or Variables Studied: 41 disruptive behaviors such as pacing, yelling, hitting, were examined utilizing a researcher-designed instrument derived from literature review. The frequency of behaviors were analyzed by stage of Alzheimer's disease utilizing the Global Deterioration Scale (GDS). Methods: A list of behaviors exhibited by individuals with Alzheimer's disease was complied through a review of literature. The list was then examined by the Korean co-author for application to the Korean Alzheimer's individual. Additional behaviors exhibited by Korean individuals were added. The instrument was then piloted for readability and completeness. The revised Alzheimer's Behavior instrument was given to the nurse or caregiver who was responsible for the daily care of the Alzheimer's individual. The caregiver was asked to think of a typical pattern of behavior for the patient when completing the questionnaire. The data was then coded and entered for data analysis. The staging of AD was performed by the researcher utilizing the Global Deterioration Scale. Findings: The findings indicate that many behaviors exhibited by Alzheimer's individuals are similar for both Korean and American individuals. However some behaviors such as hoarding and suspiciousness are exhibited more by Korean individuals (p<.05) while pacing and disturbing others at night are exhibited significantly more frequently by American individuals (p< .05). In addition, behaviors are presently significantly more in specific stages (Global Deterioration Scale). Analysis is continuing and additional significant findings will be presented. Conclusions: Although Alzheimer's individuals exhibit many similar behaviors, there are distinct behaviors that are exhibited more frequently by Korean individuals and behaviors for American individuals. Identification of these behaviors will help to anticipated the specific needs of the populations so that interventions can be taken to prevent the occurrence of disruptive of behaviors. Anticipation of frequent behaviors noted in specific stages of the disease may decrease or at least facilitate the management of these behaviors. Implications: With the increase in Alzheimer's disease, and the international movement of individuals, nurses need to be sensitive to the specialized needs of individuals with Alzheimer's disease. Nursing interventions for disruptive behaviors need to be individualized for the specific behaviors exhibited and the clientele served.

Repository Posting Date:
26-Oct-2011
Date of Publication:
Jul-2002
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Global Perspective on Alzheimer's Disease: Examining the Relationship between AD Stage and Behaviors in Individuals from Korea and the United Statesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151848-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Global Perspective on Alzheimer's Disease: Examining the Relationship between AD Stage and Behaviors in Individuals from Korea and the United States</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July, 2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Edwards, Nancy</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Purdue University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">nedwards@nursing.purdue.edu</td></tr><tr><td colspan="2" class="item-abstract">Objective: To compare the disruptive or need driven behaviors exhibited by individuals with Alzheimer's disease in the United States and Korea and to correlated the behaviors with the stage of their Alzheimer's disease. Design: A cross sectional designed was utilized. A researcher-developed instrument was completed by the nurses who serve as primary caregivers for individuals with Alzheimer's disease who reside in long-term care facilities in the United States and Korea. Population, Sample, Setting: The sample consisted of 55 Korean individuals and 64 American individuals diagnosed with Alzheimer's disease who resided in specialized Alzheimer's facilities in their respective countries. Concepts or Variables Studied: 41 disruptive behaviors such as pacing, yelling, hitting, were examined utilizing a researcher-designed instrument derived from literature review. The frequency of behaviors were analyzed by stage of Alzheimer's disease utilizing the Global Deterioration Scale (GDS). Methods: A list of behaviors exhibited by individuals with Alzheimer's disease was complied through a review of literature. The list was then examined by the Korean co-author for application to the Korean Alzheimer's individual. Additional behaviors exhibited by Korean individuals were added. The instrument was then piloted for readability and completeness. The revised Alzheimer's Behavior instrument was given to the nurse or caregiver who was responsible for the daily care of the Alzheimer's individual. The caregiver was asked to think of a typical pattern of behavior for the patient when completing the questionnaire. The data was then coded and entered for data analysis. The staging of AD was performed by the researcher utilizing the Global Deterioration Scale. Findings: The findings indicate that many behaviors exhibited by Alzheimer's individuals are similar for both Korean and American individuals. However some behaviors such as hoarding and suspiciousness are exhibited more by Korean individuals (p<.05) while pacing and disturbing others at night are exhibited significantly more frequently by American individuals (p< .05). In addition, behaviors are presently significantly more in specific stages (Global Deterioration Scale). Analysis is continuing and additional significant findings will be presented. Conclusions: Although Alzheimer's individuals exhibit many similar behaviors, there are distinct behaviors that are exhibited more frequently by Korean individuals and behaviors for American individuals. Identification of these behaviors will help to anticipated the specific needs of the populations so that interventions can be taken to prevent the occurrence of disruptive of behaviors. Anticipation of frequent behaviors noted in specific stages of the disease may decrease or at least facilitate the management of these behaviors. Implications: With the increase in Alzheimer's disease, and the international movement of individuals, nurses need to be sensitive to the specialized needs of individuals with Alzheimer's disease. Nursing interventions for disruptive behaviors need to be individualized for the specific behaviors exhibited and the clientele served.<br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T11:15:43Z-
dc.date.issued2002-07en_GB
dc.date.accessioned2011-10-26T11:15:43Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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