TY - JOUR
T1 - Nursing Staff Distress Associated With Neuropsychiatric Symptoms in Young-Onset Dementia and Late-Onset Dementia
AU - van Duinen-van den IJssel, Jeannette C. L.
AU - Mulders, Ans J. M. J.
AU - Smalbrugge, Martin
AU - Zwijsen, Sandra A.
AU - Appelhof, Britt
AU - Zuidema, Sytse U.
AU - de Vugt, Marjolein E.
AU - Verhey, Frans R. J.
AU - Bakker, Christian
AU - Koopmans, Raymond T. C. M.
PY - 2018/7/1
Y1 - 2018/7/1
N2 - Objective: The aims of this study were (1) to investigate the relationship between different neuropsychiatric symptoms (NPS) and the level of distress experienced by nurses caring for residents with young-onset dementia (YOD) and (2) to compare these findings with those for nurses caring for residents with late-onset dementia (LOD). Design/Setting: This is a retrospective study conducted in Dutch long-term care facilities. Data were used from the Behavior and Evolution of Young-ONset Dementia studies (BEYOND) Parts I and II and the WAAL Behavior in Dementia-II (Waalbed-II) study. Participants: A total of 382 nursing home residents with YOD and 261 nursing home residents with LOD were included. Measurements: The Neuropsychiatric Inventory, nursing home version, was used to assess nursing staff distress and the frequency (F) and severity (S) of NPS. Multilevel logistic regression analysis was used to investigate the relationships between nursing staff distress related to NPS and YOD and LOD care units, the F x S score per symptom, gender, dementia subtype, and dementia severity. Results: Nurses working in YOD care units rated sleep and nighttime behavior disorders, delusions, and agitation/aggression most often as highly distressing and euphoria most often as not distressing. Multivariate analyses indicated that the frequency and severity of NPS were significantly associated with staff distress in all symptoms, except for apathy. Comparison of the 2 groups of nurses demonstrated that the odds for distress related to sleep and nighttime behavior disorders were higher for nurses in YOD care units than for nurses in LOD units. For both the YOD and LOD nurses, irritability in male residents had higher impact than similar behavior in female residents. Conclusion: This study provides important insight into distress related to individual NPS and the interaction with residents' characteristics. All NPS result in distress. The frequency and severity of the behavior is an important predictor. Sleep and nighttime behavior disorders are more likely to result in distress in YOD nurses than in LOD nurses. The amount of distress related to NPS emphasizes the urgent need for adequate management of NPS and the support of professional caregivers. (C) 2017 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
AB - Objective: The aims of this study were (1) to investigate the relationship between different neuropsychiatric symptoms (NPS) and the level of distress experienced by nurses caring for residents with young-onset dementia (YOD) and (2) to compare these findings with those for nurses caring for residents with late-onset dementia (LOD). Design/Setting: This is a retrospective study conducted in Dutch long-term care facilities. Data were used from the Behavior and Evolution of Young-ONset Dementia studies (BEYOND) Parts I and II and the WAAL Behavior in Dementia-II (Waalbed-II) study. Participants: A total of 382 nursing home residents with YOD and 261 nursing home residents with LOD were included. Measurements: The Neuropsychiatric Inventory, nursing home version, was used to assess nursing staff distress and the frequency (F) and severity (S) of NPS. Multilevel logistic regression analysis was used to investigate the relationships between nursing staff distress related to NPS and YOD and LOD care units, the F x S score per symptom, gender, dementia subtype, and dementia severity. Results: Nurses working in YOD care units rated sleep and nighttime behavior disorders, delusions, and agitation/aggression most often as highly distressing and euphoria most often as not distressing. Multivariate analyses indicated that the frequency and severity of NPS were significantly associated with staff distress in all symptoms, except for apathy. Comparison of the 2 groups of nurses demonstrated that the odds for distress related to sleep and nighttime behavior disorders were higher for nurses in YOD care units than for nurses in LOD units. For both the YOD and LOD nurses, irritability in male residents had higher impact than similar behavior in female residents. Conclusion: This study provides important insight into distress related to individual NPS and the interaction with residents' characteristics. All NPS result in distress. The frequency and severity of the behavior is an important predictor. Sleep and nighttime behavior disorders are more likely to result in distress in YOD nurses than in LOD nurses. The amount of distress related to NPS emphasizes the urgent need for adequate management of NPS and the support of professional caregivers. (C) 2017 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
KW - Nursing staff
KW - distress
KW - young-onset dementia
KW - neuropsychiatric symptoms
KW - long-term care
KW - QUALITY-OF-LIFE
KW - PSYCHOLOGICAL SYMPTOMS
KW - ALZHEIMERS-DISEASE
KW - HOME RESIDENTS
KW - FRONTOTEMPORAL DEMENTIA
KW - CHALLENGING BEHAVIOR
KW - DIAGNOSTIC-CRITERIA
KW - VASCULAR DEMENTIA
KW - INVENTORY
KW - STRESS
U2 - 10.1016/j.jamda.2017.10.004
DO - 10.1016/j.jamda.2017.10.004
M3 - Article
C2 - 29146222
SN - 1525-8610
VL - 19
SP - 627
EP - 632
JO - Journal of the American Medical Directors Association
JF - Journal of the American Medical Directors Association
IS - 7
ER -