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目的:探讨老年痴呆患者高危行为的影响因素及预防干预管理措施。方法:选取2014年1~6月期间收治的老年痴呆患者177例作为研究对象,对其基本资料进行统计,分析高危行为影响因素。另外选取2014年7月~2016年6月期间浙江衢化医院收治的老年痴呆患者604例随机分为两组,使其有可比性。对照组患者实施常规护理,观察组患者给予干预措施预防高危行为发生。结果:177例患者中72例出现高危行为,高危行为发生率为40.68%,不同年龄和病程的患者高危行为发生率并无明显差异(P>0.05),伴有合并者及服用两种以上药物者发生高危行为的概率明显高于无合并症者和服用单一药物者(P<0.05)。实施护理干预后观察组患者高危行为发生率明显低于对照组(P<0.05)。结论:老年痴呆患者高危行为受到多方面因素的影响,采取适当干预管理措施可以有效降低高危行为的发生概率。
Objective: To explore the influencing factors of high-risk behaviors in patients with senile dementia and preventive management measures. Methods: A total of 177 patients with Alzheimer’s disease were enrolled in this study from January to June 2014. The basic data were statistically analyzed and the influencing factors of high-risk behaviors were analyzed. In addition, from July 2014 to June 2016, 604 patients with senile dementia admitted to Zhejiang Quhua Hospital were randomly divided into two groups, making it comparable. Patients in the control group were given routine care and patients in the observation group were given interventions to prevent the occurrence of high-risk behaviors. Results: Of the 177 patients, 72 cases showed high-risk behavior, the incidence of high-risk behavior was 40.68%. There was no significant difference in the incidence of high-risk behaviors among patients with different age and duration (P> 0.05) The risk of high-risk behavior was significantly higher than those without complications and taking a single drug were (P <0.05). After nursing intervention, the incidence of high-risk behaviors in observation group was significantly lower than that in control group (P <0.05). Conclusion: The high risk behavior of patients with Alzheimer’s disease is affected by many factors. Proper management intervention can effectively reduce the risk of high-risk behaviors.