Analysis on Stray Factors of Patients in Neurological Ward and the Countermeasures of Nursing_West China Medical Journal

Authors：

CHEN Dezhi

Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R.China;

Corresponding?author：

Keywords：

護理; 神經科; 走失; 對策

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【摘要】目的探討神經科住院患者發生走失行為的相關因素，并制定相應的護理干預措施。方法采用回顧性調查，對2004年1月-2007年7月發生的8例走失神經系統疾患者，從護理角度對年齡、性別、文化程度、診斷、意識狀態、精神狀態等資料進行評估，分析影響因素與走失行為之間的相關性。結果影響自知力和易致患者產生幻覺妄想及定向力障礙的疾病更容易導致患者走失，走失行為多發生在夜間，且以男性、老年和低文化水平患者較多。結論針對神經科住院患者走失行為的危險因素，應根據具體情況，采取積極的綜合預防及個體化的護理對策。
【Abstract】 Objective To investigate the countermeasure of nursing towards patients straying from neurological ward by analyzing the associated stray factors. Methods The medical records of 8 patients that went astray from our neurological ward between January 2004 to July 2007 were retrospectively analyzed.The patients’ age, sex, educational level, clinical diagnosis, state of consciousness, and mental status were evaluated and analyzed to determine their correlation with the patients’ straying behavior. Results Patients with self-cognitive disorders, hallucination, delusion and disorientation were more likely to go astray. Male, senior age, and low education level patients were the dominant population engaging in the straying behavior, which mostly happened at night time. Conclusion Preventative nursing measures should be individualized to specific patients with special risky factors of straying in neurological ward.

Citation： CHEN Dezhi. Analysis on Stray Factors of Patients in Neurological Ward and the Countermeasures of Nursing. West China Medical Journal, 2010, 25(7): 1360-1362. doi: Copy

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1. 沈漁邨. 精神病學[M]. 4版. 北京: 人民衛生出版社, 2001: 751-752.
2. Mary A, Una M. Aging persons with Alzheimer’s and dementia increase missing person statistics[J]. J Dementia Care, 2005, 50: 237.
3. Gordon RE, Webb S. The orbiting psychiatric patient[J]. J Fla Med Assoc, 1975, 62(4): 21-25.
4. 李水英. 住院精神病人外走行為分析及護理干預[J]. 中國民康醫學, 2007, 19(3): 39.
5. 陳彥方. CCMD-3相關精神障礙的治療與護理[M]. 濟南: 山東科學技術出版社, 2001: 240.
6. 植秋嬋, 潘金娥, 關素芳, 等. 精神科外走行為相關因素分析與護理干預[J]. 國際醫藥衛生導報, 2006, 12(2): 126-127.
7. 苗夕枝, 李秋軍. 156例住院精神病人攻擊行為的觀察及護理措施[J]. 中國民康醫學, 2005, 17(3): 188. .

West China Medical Journal

Analysis on Stray Factors of Patients in Neurological Ward and the Countermeasures of Nursing

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