痴呆患者院内走失事件原因分析

Analysis of the Wandering Incidence in Hospitalized Older Patients with Dementia

目的：分析痴呆患者住院期间发生走失的原因。方法：对在我科住院期间发生走失事件的痴呆患者20例的临床资料进行回顾性分析，对其病因、走失前因、时间、寻获地点及结局进行分析。结果：本组75%的患者为血管性痴呆或老年痴呆；75%的患者走失的前因为照料者不在现场或医生（护士）未宣教；70%的走失时间发生于12：00～18：00；所有走失患者均被寻获，75%的寻获地点位于院内；本组走失事件均导致不同程度伤害。结论：痴呆的病理生理特点、护士对痴呆认知程度的不足及医院管理方面的不足是住院痴呆患者发生走失事件的主要原因。

Objective：To analyze the cause of wandering incidence in hospitalized older patients with dementia and provide precautionary methods to reduce the incidence of the wandering events. Methods：The clinical data of 20 patients with dementia who wandered in hospital were analyzed. Results：In this study, 75%cases were diag-nosed as vascular dementia or Alzheimer＇s disease. The main causes for wandering were care workers＇ off-site or lack of warning or instruction to prevent patients＇ lost from doctors or nurses. 70% cases wandered at the time within 12：00~18：00. All the patients were found and 75%cases were found in hospital. All the patients suffered varying degree of damage. Conclusion：The clinical characteristic of dementia, nurses＇ lacking of awareness of dementia and deficiencies of hospital management are the main causes of wandering in hospitalized older patients with dementia.