【摘要】 目的:探究失智老人的护理风险及照护策略。方法:选择在我院进行治疗的失智老人实施调查,此次调查选取例数为54例,选取时间为2018年1月—2019年2月。对参与此次调查病人实施智力评估及护理风险评估,并根据评估结果制定防范对策以及照护策略,对护理前后的护理效果进行对比分析。结果:轻度痴呆构成比为14.81%,中度痴呆构成比为18.52%,重度痴呆构成比为66.67%,其中重度痴呆构成比和其他两组相比差异明显,P<0.05,此对比有统计学意义。通过护理风险评估发现,走失风险构成比最高,为94.44%;压疮风险构成比最低,为46.30%,两组之间的差异明显,P<0.05;伤人风险构成比为42.59%,噎食/误吸风险构成比为59.26%,跌倒/坠床风险构成比为77.78%,攻击风险构成比为83.33%,自杀/自伤风险构成比为90.74%,相对比组间差异较小,P>0.05。结论:在日常护理工作中,梳理出失智老人以及失能老人在照护中的高危风险,并根据风险评分结果制定有效的防范对策以及照护策略,能够降低失智老人以及失能老人在护理中意外风险发生几率,提高护理效果,值得临床广泛运用以及普及。更多还原

【Abstract】 Objective To explore the nursing risk assessment and nursing strategies for the mentally retarded elderly. Methods A survey was conducted among the mentally retarded elderly who were treated in our department. The number of cases selected in this survey was 54, and the selection time was 2018.1-2019.2. Nursing risk assessment was carried out for the patients who participated in the survey, and nursing strategies were formulated according to the assessment results. The nursing effect was compared with that before nursing. Results The composition ratio of mild dementia is 14.81%, the composition ratio of moderate dementia is 18.52%, and the composition ratio of severe dementia is 66.67%. Among them, the composition ratio of severe dementia is significantly different from the other two groups, P<0.05. This comparison is statistically significant. Through the nursing risk assessment, it was found that the component ratio of risk of loss was the highest at 94.44%; the component ratio of risk of pressure ulcer was the lowest at 46.30%. The difference between the two groups was significant, P<0.05; the component ratio of the risk of injury was 42.59%. The risk ratio of ingestion/aspiration is 59.26%, the fall/fall bed risk composition ratio was 77.78%, the attack risk composition ratio was 83.33%, and the suicide/self-injury risk composition ratio was 90.74%. The difference between the groups was small, P>0.05. Conclusion In daily nursing care, combing out the high risk of mentally retarded elderly and disabled elderly in care, and formulating effective preventive measures and nursing programs according to the results of risk scorescan reduce the probability of occurrence of accident risk of mentally retarded elderly and disabled elderly in care and improve the nursing effect. It is worthy of widespread clinical application and popularization.更多还原