@article{ref1,
title="Factors related to aggressive behaviors among older adults in nursing homes of Korea: a cross-sectional survey study",
journal="International journal of nursing studies",
year="2018",
author="Choi, Hyoungshim and Jung, Young-Il and Kim, Hongsoo",
volume="88",
number="",
pages="9-15",
abstract="BACKGROUND: Aggressive behavior is one of the most challenging behavioral psychological symptoms for older adults and their caregivers in nursing homes. <br><br>OBJECTIVES: The purpose of this study was to examine and identify contributing factors of aggressive behaviors among older adults in nursing homes in South Korea. <br><br>DESIGN: This is a secondary analysis of a national survey on health and functional status among older nursing home residents. SETTINGS: Participants were recruited from 91 nursing homes. PARTICIPANTS: A total of 1447 older adults were included for final analysis and they were randomly selected from a nationally representative sample of people 65 years and older at the sampled nursing homes. <br><br>METHODS: Presence of aggressive behaviors was identified when participants showed at least one of the five symptoms in the Korean interRAI Long-Term Care Facility Assessment Tool such as physical abuse, verbal abuse, socially inappropriate or destructive behaviors, and resistance to care. Theory-based contributing factors were selected and examined. Multivariate logistic regression analyses were performed. <br><br>RESULTS: About 19% of older nursing homes residents had aggressive behaviors, and several health and social factors including social engagement are associated with aggressive behaviors. <br><br>CONCLUSIONS: Aggressive behavior is prevalent in older nursing home residents with and without dementia in South Korea and individual and institutional level interventions are necessary.<br><br>Copyright © 2018 Elsevier Ltd. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0020-7489",
doi="10.1016/j.ijnurstu.2018.07.014",
url="http://dx.doi.org/10.1016/j.ijnurstu.2018.07.014"
}