認知障礙老人遊走行爲的照護

Caring for the Cognitive Impairment Elderly with Wandering Behavior

白玉玲(Yu-Ling Pai) ； 李小璐(Hsiao-Lu Lee) ； 藺寶珍(Pao-Chen Lin)

《長期照護雜誌》 13卷2期 (2009/09) Pp. 221-229

https://doi.org/10.6317/LTC.200909_13(2).0008

摘要

遊走行為是認知障礙的老人不論在家中或機構中普遍可見的問題，倘若未能執行適當的管理，不但會增加老人的挫折與安全上的疑慮，同時也將會增加照顧者的挫折與負擔。本文主要介紹機構住民的遊走行為、造成遊走的原因、以及遊走行為可能帶來的負面影響，並提出相關遊走行為的照護措施，如：評估、環境管理、身心方面的照護及照顧者教育訓練，以提供照護人員在機構中對於有遊走行為的住民能有更敏銳的察覺力，並加以預防或控制遊走行為所帶來的負面影響，以使遊走者能獲得適切的照顧，提高其生活品質。

關鍵字

機構住民 ； 老人 ； 遊走行爲 ； 認知障礙

並列摘要

Wandering is a common problem for elders with cognitive impairment, whether they are at home or in long-term care facilities. Improper care and management may worsen the elders' frustration and raise safety concern, as well as increase frustration and burdens of the caregivers. This article mainly introduces the wandering behaviors of long-term care residents, their causes and the possible negative impacts. This article also discusses some interventions, including assessment, environmental management, physical and psychological interventions, as well as caregiver's educational training. These interventions are expected to reinforce the observatory ability of the nursing aides in the institutions to prevent or deal with the negative impacts of wandering behaviors. The article also discusses strategies to prevent the elders from wandering and gives suggestions on improving their quality of life.

並列關鍵字

institution residents ； the elderly ； wandering behavior ； cognitive impairment