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Original Article
Wandering Behavior in Korean Elders with Dementia Residing in Nursing Homes
Jun-Ah Song, Young Mi Lim, Gwi-Ryung Son Hong
Journal of Korean Academy of Nursing 2008;38(1):29-28.
DOI: https://doi.org/10.4040/jkan.2008.38.1.29
Published online: February 28, 2008

1Assistant Professor, College of Nursing, Korea University, Seoul, Korea.

2Associate Professor, Department of Nursing, Wonju College of Medicine, Yonsei University, Wonju, Korea.

3Associate Professor, Department of Nursing, Hanyang University, Seoul, Korea.

Address reprint requests to: Lim, Young Mi. Department of Nursing, Wonju College of Medicine, Yonsei University, 162 Ilsan-dong, Wonju 220-701, Korea. Tel: 82-33-741-0386, Fax: 82-33-743-9490, youngmi@yonsei.ac.kr
• Received: July 24, 2007   • Accepted: October 21, 2007

Copyright © 2008 Korean Society of Nursing Science

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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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Table 1
Demographic, Personal, Cognitive, and Physical Characteristics and Wandering Behavior in Elders with Dementia residing in Nursing Homes (N=160)
jkan-38-29-i001.jpg

MMSE=Mini-mental State Exam; PADL=Physical Activities of Daily Living; IADL=Instrumental Activities of Daily Living; KRAWS-NH=Korean version of the Revised Algase Wandering Scale Nursing Home version.

Table 2
Comparison of Demographic, and Personal Characteristics between Wanderers (N=108) and Nonwanderers (N=52)
jkan-38-29-i002.jpg

missing data excluded. *p<.05.

Table 3
Comparison of Cognitive and Physical functions between Wanderers and Nonwanderers
jkan-38-29-i003.jpg

missing data excluded. *p<.05; p<.01; p<.001. MMSE=Mini-mental State Exam; PADL=Physical Activities of Daily Living; IADL=Instrumental Activities of Daily Living.

Table 4
Comparison of Environmental Characteristics between Wanderers (N=108) and Nonwanderers (N=52)
jkan-38-29-i004.jpg

missing data excluded. *p<.05; p<.01; p<.001.

Table 5
Comparison of KRAWS-NH Overall and Subscale Scores by Environmental Characteristics, Controlling for Subject's Age, Physical ADL, and Instrumental ADL
jkan-38-29-i005.jpg

missing data excluded. *p<.05; p<.01; p<.001. KRAWS-NH=Korean version of the Revised Algase Wandering Scale Nursing Home version; ADL=Activities of Daily Living.

Figure & Data

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        Wandering Behavior in Korean Elders with Dementia Residing in Nursing Homes
        Journal of Korean Academy of Nursing. 2008;38(1):29-28.   Published online February 28, 2008
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      Wandering Behavior in Korean Elders with Dementia Residing in Nursing Homes
      Wandering Behavior in Korean Elders with Dementia Residing in Nursing Homes

      Demographic, Personal, Cognitive, and Physical Characteristics and Wandering Behavior in Elders with Dementia residing in Nursing Homes (N=160)

      MMSE=Mini-mental State Exam; PADL=Physical Activities of Daily Living; IADL=Instrumental Activities of Daily Living; KRAWS-NH=Korean version of the Revised Algase Wandering Scale Nursing Home version.

      Comparison of Demographic, and Personal Characteristics between Wanderers (N=108) and Nonwanderers (N=52)

      missing data excluded. *p<.05.

      Comparison of Cognitive and Physical functions between Wanderers and Nonwanderers

      missing data excluded. *p<.05; p<.01; p<.001. MMSE=Mini-mental State Exam; PADL=Physical Activities of Daily Living; IADL=Instrumental Activities of Daily Living.

      Comparison of Environmental Characteristics between Wanderers (N=108) and Nonwanderers (N=52)

      missing data excluded. *p<.05; p<.01; p<.001.

      Comparison of KRAWS-NH Overall and Subscale Scores by Environmental Characteristics, Controlling for Subject's Age, Physical ADL, and Instrumental ADL

      missing data excluded. *p<.05; p<.01; p<.001. KRAWS-NH=Korean version of the Revised Algase Wandering Scale Nursing Home version; ADL=Activities of Daily Living.

      Table 1 Demographic, Personal, Cognitive, and Physical Characteristics and Wandering Behavior in Elders with Dementia residing in Nursing Homes (N=160)

      MMSE=Mini-mental State Exam; PADL=Physical Activities of Daily Living; IADL=Instrumental Activities of Daily Living; KRAWS-NH=Korean version of the Revised Algase Wandering Scale Nursing Home version.

      Table 2 Comparison of Demographic, and Personal Characteristics between Wanderers (N=108) and Nonwanderers (N=52)

      missing data excluded. *p<.05.

      Table 3 Comparison of Cognitive and Physical functions between Wanderers and Nonwanderers

      missing data excluded. *p<.05; p<.01; p<.001. MMSE=Mini-mental State Exam; PADL=Physical Activities of Daily Living; IADL=Instrumental Activities of Daily Living.

      Table 4 Comparison of Environmental Characteristics between Wanderers (N=108) and Nonwanderers (N=52)

      missing data excluded. *p<.05; p<.01; p<.001.

      Table 5 Comparison of KRAWS-NH Overall and Subscale Scores by Environmental Characteristics, Controlling for Subject's Age, Physical ADL, and Instrumental ADL

      missing data excluded. *p<.05; p<.01; p<.001. KRAWS-NH=Korean version of the Revised Algase Wandering Scale Nursing Home version; ADL=Activities of Daily Living.


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