阿尔茨海默病患者排泄行为的干预方式:1例报告

Intervention of excretory behavior of patients with Alzheimer disease: one report

目的:采取“现实定向”措施,诱导阿尔茨海默病老人识别排泄场所,协助控制排泄行为,以期减轻家庭护理负担。方法:对1例75岁阿尔茨海默病患者的排便进行干预,社区护士定期家庭访视,根据制定的家庭护理计划,使用诱导排泄表,增加主动诱导排泄次数,掌握排泄规律。结果:12个月后患者诱导排尿、排便与实际排尿、排便的一致率由最初第1个月的60.40%和55.60%提高到95.50%和90.10%,家庭照护负担明显减轻。结论:合理的家庭护理,可以提高痴呆老人的日常生活舒适度。

AIM:To help the elderly patients with Alzheimer disease recognizethe place for evacuating and control the excretory behavior with reality orientation method to reduce the burden of the home caregivers. METHODS:The excretion of one 75 year old patient with Alzheimer disease was intervened.Community nurses set up nursing care plan,visited patient's family regularly,and instructed the caregivers to increase the times of inducing excretion following the time table in order to master the orderliness of excretion. RESULTS:After 12 months,coherence rate of miction and defecation increased from 60.40%and 55.60%to 95.50%and 90.10%,and the burden of home caregivers decreased obviously. CONCLUSION:Reasonable home nursing can improve the comfort and quality of the patient's life.