Factors Related to Aggressive Behaviors among Older Adults in Nursing Homes of Korea: A Cross-Sectional Survey Study.

BACKGROUND:Aggressive behavior is one of the most challenging behavioral psychological symptoms for older adults and their caregivers in nursing homes.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.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.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.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.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.