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中国护理管理 ›› 2025, Vol. 25 ›› Issue (7): 1001-1006.doi: 10.3969/j.issn.1672-1756.2025.07.008

• 论著 • 上一篇    下一篇

养老机构痴呆老年人异常动作行为及影响因素分析

杨春晓 马秋平 钟名阳 李璠璠   

  1. 广西中医药大学护理学院,530000 南宁市(杨春晓,钟名阳,李璠璠);高等职业技术学院(马秋平)
  • 出版日期:2025-07-15 发布日期:2025-07-15
  • 通讯作者: 马秋平,博士,教授,院长,E-mail:396793934@qq.com
  • 作者简介:杨春晓,硕士在读,护师
  • 基金资助:
    广西中医药大学博士科研启动基金项目(2023BS055);广西中医药大学A类“高层次人才培育创新团队”(2022A010);广西研究生教育创新计划项目(YCSW2024399)

Incidence and influencing factors of aberrant motor behavior among the elderly with dementia in nursing homes

YANG Chunxiao, MA Qiuping, ZHONG Mingyang, LI Fanfan   

  1. Faculty of Nursing, Guangxi University of Chinese Medicine, Nanning, 530000, China
  • Online:2025-07-15 Published:2025-07-15
  • Contact: E-mail:396793934@qq.com

摘要: 目的:探究养老机构痴呆老年人异常动作行为发生情况及影响因素,为制定有效干预措施提供科学依据。方法:2023年12月至2024年5月,采用便利抽样法选取南宁市5家养老机构的痴呆老年人248例,采用一般资料问卷、神经精神症状问卷-异常动作行为症状分量表、简易精神状态检查量表收集相关资料。采用卡方检验和二分类Logistic回归分析进行单因素和多因素分析。结果:该人群中异常动作行为发生率为58.87%,异常动作行为严重程度得分为6.00(4.00,12.00)分。二分类Logistic回归分析结果显示,丧偶、血管性痴呆、护理员未接受过异常动作行为识别及应对知识培训、环境中无易于理解的日历/日程表/定向标识是养老机构痴呆老年人发生异常动作行为的影响因素(均P<0.05)。结论:养老机构痴呆老年人异常动作行为发生占比及严重程度水平较高。未来应加强重点人群评估,并制定视觉标识环境干预策略,降低异常动作行为发生风险。

关键词: 养老机构;痴呆;异常动作行为;影响因素

Abstract: Objective: To explore the incidence of aberrant motor behavior and its influencing factors among the elderly with dementia in nursing homes, providing a scientific foundation for formulating effective intervention measures. Methods: From December 2023 to May 2024, 248 cases of senior dementia patients in 5 nursing homes in Nanning were selected by convenience sampling method to collect the general information questionnaire, Aberrant Motor Behavior Subscale of the Neuropsychiatric Inventory and the Mini-Mental State Examination. Univariate and multivariate analysis were performed using chi-square tests and binary Logistic regression analysis. Results: The incidence of aberrant motor behavior in this population was 58.87%, and the overall severity score of aberrant motor behavior was 6.00 (4.00, 12.00). Logistic regression analysis results showed that being widowed, vascular dementia, caregivers having not received relevant training and no easily understandable calendars, schedules, or directional signs in the environment were the risk factors of aberrant motor behavior (P<0.05). Conclusion: The incidence and overall severity of aberrant motor behavior among the elderly with dementia in nursing homes are relatively high. Thus in the future, it is imperative to strengthen the assessment of this high-risk population and formulate visual signs-related environmental intervention strategies to mitigate the risk of aberrant motor behavior.

Key words: nursing home; dementia; aberrant motor behavior; influence factor

中图分类号:  R47;R197