- 期刊
照護一位有漫遊行爲之失智長者的護理經驗
Nursing Experience of Caring for a Demented Elder with Wandering Behavior
摘要
本文旨在探討一位72歲失智症女性長者，因日夜顛倒、走失、不斷求醫(doctor shopping)等問題及對某機構照護適應不良，轉至本失智照護護理之家後的照護過程。在照顧期間以Beck及Heacock(1988)所提出之失智患者護理評估照護模式，運用觀察、會談、身體評估等方法進行資料收集，結果發現個案有五個健康問題：(1)漫遊；(2)沐浴或衛生自我照顧能力缺失；(3)潛在危險性跌倒；(4)記憶功能障礙；(5)睡眠型態混亂。在使用溝通、陪伴並建立信任關係，環境治療及現實導向的措施後，個案的定向感及記憶獲得提升，並減少漫遊行為發生的頻率。經由日常生活技巧訓練，提升個案自我照顧能力。期望本文之護理經驗能作為照護失智長者之參考。
並列摘要
The purpose of this article was to describe a nursing care of a 72-year-old female elder with dementia who had behavioral problems including sleep-wake cycle disturbances, getting lost and doctor shopping. She was referred from another institution because she had not adapted to the care in the institution. A Dementia Care Model proposed by Beck and Heacock (1988) was applied as an assessment framework. Data were collected by observation, interview and physical examination. Five health problems of the case were identified: (1) wandering; (2) bathing/hygiene self-care deficit; (3) risk for fall; (4) impaired memory; (5) disturbed sleep pattern. After interventions of communication, accompanying and establishment of trust relationship were implemented, environmental therapy and reality orientation therapy, orientation and memory of the case improved and the frequency of wandering decreased. After training of daily living skills, self-care ability of the case improved. We hope this case report can serve as a reference in caring for demented elders.
延伸閱讀
- 胡春敏、劉諺羲、陳玉夏（2014）。照護一位失智症合併精神行為症狀患者之經驗。領導護理，15(2)，47-60。https://doi.org/10.29494/LN.201406_15(2).0006
- 黃依婷、蘇千玲（2020）。運用行為治療照護措施於一位失智症合併自傷個案之護理經驗。高雄護理雜誌，37(2)，106-119。https://doi.org/10.6692/KJN.202008_37(2).0010
- 王繼愛（2000）。照顧一位慢性精神分裂症併有輕度智能不足患者的護理經驗。長庚護理，11(4)，63-69。https://doi.org/10.6386/CGN.200012_11(4).0007
- 顧雅利（2013）。失智老人漫遊的護理過程。榮總護理，30(1)，59-65。https://doi.org/10.6142/VGHN.30.1.59
- 廖千惠（2003）。Nursing Care of a Dementia Resident with Chronic Confusion。長期照護雜誌，7(1)，61-72。https://doi.org/10.6317/LTC.200305_7(1).0007