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The investigation and comparison of the underlying needs of common disruptive behaviours in patients with Alzheimer's disease
Author(s) -
Wang ChiJane,
Pai MingChyi,
Hsiao HuaShan,
Wang JingJy
Publication year - 2015
Publication title -
scandinavian journal of caring sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.678
H-Index - 66
eISSN - 1471-6712
pISSN - 0283-9318
DOI - 10.1111/scs.12208
Subject(s) - maslow's hierarchy of needs , psychology , perspective (graphical) , need theory , exploratory research , data collection , qualitative research , clinical psychology , developmental psychology , social psychology , social science , statistics , mathematics , artificial intelligence , sociology , computer science , anthropology
Background Management of the disruptive behaviours is one of the most challenging aspects of caring for patients with Alzheimer's dementia (Pw AD ). The underlying needs of disruptive behaviours in Pw AD had rarely been studied, especially the comparison of the underlying needs of disruptive behaviours in Pw AD 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 Pw AD , 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.