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Characteristics of Eating Behavior in Elders with Dementia residing in Long-Term Care Facilities
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Kyoung Min Lee, Jun-Ah Song
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J Korean Acad Nurs 2012;42(4):466-476. Published online August 31, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.4.466
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 Abstract
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Purpose
The purpose of this study was to explore characteristics of eating behavior according to level of functional status of elders with dementia (EWD), and to examine feeding time, change in food intake and body mass index (BMI) according to eating behavior.
Methods
Participants were 149 EWD residing in long-term care facilities located in Seoul or Gyeonggi province and evaluated using the Mini-Mental State Exam-Korean version, Korean version-Activities of Daily Living, and Eating Behavior Scale (EBS). Feeding time, change in food intake, and BMI were also measured. Data were analyzed using SPSS 17.0, specifically descriptive statistics, ANOVA, and Chi-square test.
Results
Participants' mean EBS score was 10.43±6.01 and half of them (54.4%) needed moderate or total assistance while eating. The EBS score was significantly lower for elders with severe dementia compared to those with mild or moderate dementia; and elders with severe ADL dependence compared to those with mild or moderate ADL dependence. Lower EBS scores were related to longer feeding time, a greater the rate of participants with decreased food intake and 'underweight' BMI.
Conclusion
Nursing intervention programs which are designed for EWD are needed to maintain functional eating skills and prevent negative consequences in this population.
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Wandering Behavior in Korean Elders with Dementia Residing in Nursing Homes
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Jun-Ah Song, Young Mi Lim, Gwi-Ryung Son Hong
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Journal of Korean Academy of Nursing 2008;38(1):29-28. Published online February 28, 2008
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DOI: https://doi.org/10.4040/jkan.2008.38.1.29
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Abstract
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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 t-tests, 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.
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Citations
Citations to this article as recorded by - Risk Factors Associated with Missing Incidents among Persons Living with Dementia: A Scoping Review
Hector Perez, Antonio Miguel Cruz, Noelannah Neubauer, Christine Daum, Aidan K. Comeau, Samantha Dawn Marshall, Elyse Letts, Lili Liu
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Journal of Korean Gerontological Nursing.2022; 24(3): 321. CrossRef - A Relationship between Depression and Wandering in Community-Dwelling Elders with Dementia
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Korean Journal of Gerontological Social Welfare.2015; null(70): 197. CrossRef - The Long-term Care Utilization of the Elderly with Dementia, Stroke, and Multimorbidity in Korea
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Health Policy and Management.2013; 23(1): 90. CrossRef - Development and Evaluation of a Dysphagia Assessment Tool and an Intervention Program for the Elderly in the Long-Term Care Facilities
Chi-Young Kim, Young-Mi Lee, Eun-Ho Ha
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(2): 685. CrossRef - Relationship between familiar environment and wandering behaviour among Korean elders with dementia
Gwi‐Ryung Son Hong, Jun‐Ah Song
Journal of Clinical Nursing.2009; 18(9): 1365. CrossRef - Validity and Reliability of the Korean Version of the Observable Indicators of Nursing Home Care Quality Evaluation Instrument
Jia Lee
Journal of Korean Academy of Nursing.2008; 38(3): 474. CrossRef
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