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• 特别策划·痴呆护理管理 • 上一篇    下一篇

北京市城区痴呆老年人照顾环境调查

李小卫 郝薇 王志稳   

  1. 北京大学第三医院护理部
  • 出版日期:2015-11-25 发布日期:2015-11-25
  • 基金资助:
    教育部人文社会科学研究青年基金项目(13YJCZH190)

The caring environment of dementia patients in Beijing urban areas

  • Online:2015-11-25 Published:2015-11-25

摘要: 目的:调查北京市城区居家和机构痴呆老年人照顾环境的现状,分析存在的问题,提出针对性改进措施。方法:选取北京市城区三种不同照顾场所(居家、养老院及医院)痴呆老年人131 例,运用一般资料调查表、自设痴呆老年人照顾环境调查问卷进行调查,并调查老年人近3 个月不良事件的发生情况。结果:居家及养老院照顾环境整体上优于医院环境,但各场所均存在需改进和完善的地方。居家及养老院老年人整体不良事件发生率较高,居家老年人跌倒(P =0.003)、坠床(P =0.033)发生率高于医院老年人,养老院老年人跌倒发生率高于医院老年人(P =0.021)。结论:北京市城区不同场所的痴呆老年人照顾环境均存在一定不足,建议相关部门尽快制定痴呆老年人照顾环境的相关标准,同时加强对照顾者的培训和指导,以利于痴呆老年人照顾环境的改善,促进其照护质量的提高。

Abstract: Objective: To investigate the caring environment of dementia patients in Beijing, and to analyze the existing problems, so as to provide targeted countermeasures. Methods: A total of 131 patients from three caring settings (home,elderly home and hospital) in urban areas of Beijing were recruited and investigated using a self-designed caring environment questionnaire and an adverse events list during last three months. Results: The caring environment in homes and elderly homes was better than hospital on the whole, while all the three settings had something to be improved in the environment. The incidences of adverse events of patients in homes and elderly home were higher than those of the hospital. Among which, the incidences of falls and falling from bed in homes and falls in elderly home were higher than those of the hospital.Conclusion: The caring environment in different settings in urban of Beijing needs to be improved. It is suggested to set up caring environment standards for dementia patients, provide training and instruction for the caregivers, in order to improve the caring environment of dementia patients.