失智老人漫遊的護理過程

漫遊為失智老人的問題行為之一，嚴重時會導致其跌倒、骨折、走失，甚至死亡，本篇文章即介紹失智老人漫遊的評估架構圖，包括漫遊的型態、方式、目的、休息、危險性等症狀，和相關因素的評估。再者，加上漫遊的護理原則，包括未走失和走失的情況、護理目標和措施及預期成效。最後，筆者介紹一位失智老人漫遊案例，並運用引導問題與護生共同討論此案例。期許此篇文獻於護理教育的層面上，能夠成為護理教師於教授護生照護失智老人漫遊護理過程的指引，於長期照護工作者的應用層面上，能夠提供其照顧失智老人漫遊之參考。

關鍵字

失智；漫遊；護理過程

並列摘要

Wandering is one of the problem behaviors among elders with dementia and if serious, it might cause falls, fractures, lost of direction, and even death. This paper is to introduce the result of assessment framework on the wandering behavior of the demented elders, including the assessment of wandering patterns, ways, purposes, rest, risk symptoms and related factors. Additionally, the nursing principles of wandering situations with the lost elders and the not lost, nursing goals with interventions, and expected outcomes are presented. Finally, the author introduces a wandering behavior case and applies the probing questions to discuss this case with nursing students. It is expected that this article could provide a protocol for nursing teachers to teach students the nursing process of wandering behavior among elders with dementia, as well as be a reference for long-term care workers in the application of care for wandering behavior among elders with dementia.

並列關鍵字

dementia ； wandering ； nursing process

參考文獻

高潔純、林麗嬋 (2005)‧ 從安全概念探討失智症遊走行為的處置 ‧ 長期照護雜誌， 9(3)，223-232。

邱逸榛、黃舒萱、徐亞瑛 (2004)‧ 阿茲海默氏症患者照顧者之疲憊、負荷與憂鬱之間的關係 ‧ 長期照護雜誌，7(4)，338- 351。

邱逸榛、何玉婷、陳婉庭、徐亞瑛 (2003)‧ 簡介阿茲海默式症與其照護 ‧ 長期照護雜誌，7(4)，289-304。

Algase, D. L. (2006). What's new about wandering behavior? An assessment of recent studies. Journal Compilation (p. 226- 234). Blackwell Publishing.

Algase, D. L., Antonakos, C. L., Beattie, E. R. A., Beel-Bates, C. A., & Yao, L. (2009b).Empirical derivation and validation of a wandering typology. Journal of American Geriatric Society, 57(11), 2037-2045. doi:10.1111/j.1532-5415.2009.02491.x

國際替代計量

失智老人漫遊的護理過程

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