The investigation and comparison of the underlying needs of common disruptive behaviours in
patients with Alzheimer's disease
Engelsk titel: The investigation and comparison of the underlying needs of common disruptive behaviours in
patients with Alzheimer's disease
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Författare:
Wang, Chi-Jane
;
Pai, Ming-Chyi
;
Hsiao, Hua-Shan
;
Wang, Jing-Jy
Email: ns127@mail.ncku.edu.tw
Språk: Eng
Antal referenser: 23
Dokumenttyp:
Artikel
UI-nummer: 15123803
Sammanfattning
Background:
Management of the disruptive behaviours is one of the most challenging aspects of caring for
patients with Alzheimer's dementia (PwAD). The underlying needs of disruptive behaviours in PwAD
had rarely been studied, especially the comparison of the underlying needs of disruptive behaviours
in PwAD have never been mentioned.
Aims and Objectives:
The purpose of this study was to investigate and compare the underlying needs of five common
disruptive behaviours including hoarding, aggressive behaviour, repetitive behaviour, altered eating
behaviour and delusion in PwAD, as perceived by family caregivers, and to relate these needs from
the perspective of Maslow's hierarchy.
Methods:
An exploratory research design with qualitative data collection techniques was employed. Informed
consent was obtained from each participant prior to the data collection. A total of 65 pairs of
caregiver-patient with Alzheimer's disease participated in the study. A semi-structured interview
guide was used during the interview, and the directed content analysis method was conducted to
analyse data.
Results:
Four themes related to the underlying needs of the five selected disruptive behaviours emerged from
the data, and these included a desire for comfort (physical and psychological), a desire for security
(psychological and economic), a need for a sense of belonging (including a need to connect with the
outside world and a need for attention) and a need for self-control. These behaviour features were
found closely related to Maslow's hierarchy model of human needs.
Conclusion:
Although the data were gathered from the caregivers, and the views of the patients were thus not
included in the analysis, the findings provide information for health providers that can enable them to
better understand the underlying needs of common disruptive behaviours in patients with
Alzheimer's disease and thus help develop better patient-centred care plans.