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目的:探究老年痴呆患者高危行为的影响因素与临床防范措施。方法:以浙江中医药大学附属杭州西溪医院2013年9月~2014年9月期间收治的180例老年痴呆患者为研究对象,将其按照时间先后顺序分为对照组和干预组。对照组患者采用常规的方法对患者进行管理,干预组患者采取护理干预措施。比较分析两组患者坠床、跌倒、伤人、自伤、走失等不良事件发生情况。结果:干预组患者坠床、跌倒、伤人、自伤、走失等不良事件发生率明显低于对照组患者,差异显著具有统计学意义(P<0.05)。结论:老年痴呆患者受到多种因素的影响容易产生各种高危行为,加强对护理人员的培训和教育,增强护理人员责任意识和安全意识,改善患者病区环境、布局,加强患者的健康教育,通过采取高效的安全防范措施,能够有效地减少各种不良发事件的发生,确保老年痴呆患者住院期间的安全。
Objective: To explore the influential factors and clinical preventive measures of high-risk behaviors in patients with senile dementia. Methods: A total of 180 Alzheimer’s patients admitted from September 2013 to September 2014 in Hangzhou Xixi Hospital affiliated to Zhejiang University of Chinese Medicine were divided into control group and intervention group according to time sequence. Patients in the control group were managed by conventional methods and nursing interventions were performed in the intervention group. Comparative analysis of two groups of patients falling, falling, wounding, self-injury, loss and other adverse events. Results: The incidences of falling, falling, wounding, self-injury and loss of patients in the intervention group were significantly lower than those in the control group (P <0.05). Conclusion: Patients with Alzheimer’s disease are prone to various high-risk behaviors due to many factors, to strengthen the training and education for nursing staff, to enhance their awareness of responsibility and safety, to improve the ward environment and layout of patients, to enhance their health education, By taking effective safety precautions, it can effectively reduce the incidence of various adverse events and ensure the safety of patients with Alzheimer’s disease during their hospitalization.