日落症候群及其護理措施

Introduction to Sundown Syndrome and Nursing Intervention

莊宇慧(Yeu-Hui Chuang)

《志為護理-慈濟護理雜誌》 1卷3期 (2002/09) Pp. 28-33

https://doi.org/10.6974/TCNJ.200209.0028

摘要

在台灣，日落症候群於文獻及研究上並未被廣泛探討，但臨床護理人員或是照顧者(caregivers)可能曾經面臨失智老人在傍晚或黃昏來臨時出現躁動行為或意識上的混亂，這些現家經常困擾著護理人員及照顧者，病患的安危同樣面臨挑戰，該如何介入及提供照護，實在是一個值得探討及研究的議題。本文將針對日落症候群的定義以及可能引發此症候群的相關因素做一簡介，並根據相關文獻歸納出適當的護理措施，包括：護理評估、光線、活動、午休、藥物、環境、降低咖啡因的攝取及照顧方式數個方面做一歸納介紹，以期對臨床護理人員或是照顧者提供相關且實際的資訊。

關鍵字

日落症候群 ； 失智者 ； 護理措施

並列摘要

Few articles and studies explore the sundown syndrome in Taiwan. However, the nurses and the caregivers may find the increased confusion and agitation among demented elderly during the late afternoon and the early evening hours, but most of them do not know how to deal with these problems. This article reviews the definition of the sundown syndrome, possible causes, and the nursing interventions based on the related studies. The nursing interventions include nursing assessment, light, activity, daytime nap, medication, environment, limited caffeine beverage, and careing methods. This article provides nurses and caregivers the needed practical information for taking care of the patients with sundown syndrome.

並列關鍵字

sundown syndrome ； demented individuals ； nursing intervention