急诊老年期痴呆患者的主要家庭照顾者对老年期痴呆安全的认知调查

发布时间：2019-03-25 06:41

【摘要】：目的探讨急诊老年期痴呆患者的主要家庭照顾者对老年期痴呆安全的认知情况,并提出相应的解决措施。方法选取2011年1月—2013年6月来我院急诊科就诊的老年期痴呆患者84例及其主要家庭照顾者84例。分析患者急诊就诊原因,并采用自行设计的调查问卷对主要照顾者就老年期痴呆安全的认知情况进行调查。结果 84例老年期痴呆患者急诊就诊原因:跌倒与坠床22例(26.2%),误吸和误食14例(16.7%),自伤自杀9例(10.7%),烧烫伤4例(4.8%),其他疾病35例(41.6%)。主要家庭照顾者对家中物品放置〔条目1和条目2回答正确率分别为97.6%(82/84)和94.0%(79/84)〕、病情观察〔条目11回答正确率为90.5%(76/84)〕、物理约束〔条目15回答正确率为89.3%(75/84)〕的认知率高;而对于外出〔条目3的回答正确率为27.4%(23/84)〕、水温〔条目7的回答正确率为23.8%(20/84)〕、痴呆患者疼痛感受〔条目9的回答正确率为21.4%(18/84)〕的认知率低;而条目12仅有11.9%(10/84)的家庭照顾者回答正确。大专及以上文化程度的家庭照顾者对老年期痴呆安全保障方面的照顾性行为得分均高于其他文化程度者,高中及中专、大专及以上文化程度者总分均高于小学及以下文化程度者,且大专及以上文化程度者总分高于初中文化程度者(P0.05)。照顾时间10年的家庭照顾者对老年期痴呆安全保障方面的照顾性行为得分及总分均高于其他照顾时间者,照顾时间1年者协助康复得分均低于其他照顾时间者,照顾时间1~5年者协助康复得分及总分均高于照顾时间1年者及5~10年者(P0.05)。结论急诊老年期痴呆患者的主要家庭照顾者对老年期痴呆的安全认知水平较低,故应加强其老年专科知识培训和高危行为的风险知识教育。主要家庭照顾者的文化程度及照顾时间与其对老年期痴呆的安全认知水平有关。
[Abstract]:Objective to explore the cognition of the safety of senile dementia among the main family caregivers of emergency senile dementia patients, and to put forward the corresponding measures. Methods from January 2011 to June 2013, 84 senile dementia patients and 84 main family caregivers were selected from the emergency department of our hospital. The causes of emergency treatment were analyzed and the main caregivers' cognition about the safety of senile dementia was investigated by self-designed questionnaire. Results in 84 cases of senile dementia, 22 cases (26.2%) fell and fell from bed, 14 cases (16.7%) were misinhaled and misfed, 9 cases (10.7%) committed suicide by self-injury, 4 cases (4.8%) were burned and scalded, 4 cases (4.8%) were burned and scalded, and 9 cases (10.7%) were killed by self-injury. Other diseases were 35 cases (41.6%). The correct answers of the main family caregivers to the items placed in the home (item 1 and item 2) were 97.6% (82),) and 94.0% (79 / 84),) respectively (item 11 was 90.5% (76 / 84),). Physical constraints (the correct answer rate of item 15 is 89.3% (75 / 84) have a high recognition rate; When it comes to going out (item 3), the correct answer is 27.4% (23-84), water temperature) (item 7 is 23. 8% (20-84),). The cognitive rate of pain perception in dementia patients (21.4% (18 / 84) was lower than that in item 9 (21.4% (18 / 84). Only 11.9% (10 / 84) of the family caregivers answered correctly in item 12. The scores of family caregivers at or above junior college level on the safety and security of senile dementia were higher than those of other education level, senior high school and technical secondary school. The total score of college students with higher education level was higher than that of junior high school students, and the total score of college students with higher education level was higher than that of junior middle school students (P0.05). The scores and total scores of caring behaviors and total scores of family caregivers with 10 years of care were higher than those of other caregivers, and the scores of one-year caregivers were lower than those of other caregivers. The scores and total scores of assisted rehabilitation in patients with care time of 1 ~ 5 years were higher than those in patients with care time of 1 year and 5 ~ 10 years (P0.05). Conclusion the main family caregivers of emergency senile dementia have a low level of safety cognition to senile dementia, so it is necessary to strengthen the training of geriatric specialty knowledge and the risk knowledge education of high risk behavior. The main family caregivers' educational level and care time were related to their safety cognition level of senile dementia.
【作者单位】：南华大学附属第二医院急诊科;
【分类号】：R749.16

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