本文選題：老年性癡呆 + 異常進(jìn)食行為��； 參考：《中華護(hù)理雜志》2017年11期

【摘要】：目的調(diào)查老年癡呆患者的異常進(jìn)食行為特征,探究其所表達(dá)的潛在需求。方法以癡呆需求代償行為模式為理論依據(jù),采用老年癡呆進(jìn)食行為清單,觀察并記錄120例老年癡呆患者的進(jìn)食行為,篩選異常進(jìn)食行為;選取12名照護(hù)者進(jìn)行一對(duì)一半結(jié)構(gòu)式訪談,選取5名照護(hù)者參加焦點(diǎn)團(tuán)體訪談,采用內(nèi)容分析法分析資料。結(jié)果 57例(47.5%)老年癡呆患者出現(xiàn)異常進(jìn)食行為;異常進(jìn)食行為出現(xiàn)頻率第1位的條目是口頭拒絕進(jìn)食陳述說(shuō)"不吃""不餓""已經(jīng)飽了"(64.9%),第2位的條目是吐出食物(63.2%),并列第3位的條目是進(jìn)餐前或進(jìn)餐時(shí)出現(xiàn)不耐煩的行為(38.6%)、進(jìn)餐時(shí)注意力不集中(38.6%)、拒絕協(xié)助進(jìn)餐(38.6%)、拒絕張嘴(38.6%)。提取異常進(jìn)食行為的4個(gè)潛在需求主題為:渴望親情、渴望陪伴、渴望尊嚴(yán)、渴望安全感。結(jié)論老年癡呆患者異常進(jìn)食行為發(fā)生較為普遍,其反映了老年癡呆患者的潛在需求,應(yīng)對(duì)照護(hù)者進(jìn)行培訓(xùn),識(shí)別老年癡呆患者異常進(jìn)食行為及其反映的潛在需求,并盡量滿足潛在需求,提高老年癡呆患者的照護(hù)質(zhì)量,減輕照護(hù)者負(fù)擔(dān)。
[Abstract]:Objective to investigate the characteristics of abnormal eating behavior in patients with Alzheimer's disease (AD) and explore the potential needs expressed. Methods based on the demand compensation behavior model of dementia, the eating behavior of 120 patients with Alzheimer's disease was observed and recorded, and abnormal eating behavior was screened by the list of eating behaviors of Alzheimer's disease. Twelve caregivers were selected for a pair of half-structured interviews and five caregivers were selected to participate in focus group interviews. The data were analyzed by content analysis method. Results 57 patients with Alzheimer's disease had abnormal eating behavior. The first item in the frequency of abnormal eating behavior is the oral refusal to eat the statement that "not eating" and "not hungry" are already full, the second item is to spit out the food and the third item is the intolerable before or during the meal. When you eat, your attention is not focused on 38.6, and you refuse to help with your meal, and you refuse to open your mouth and keep your mouth open. The four potential demand topics for abnormal eating behavior were: longing for affection, companionship, dignity, and security. Conclusion abnormal eating behavior in senile dementia patients is common, which reflects the potential demand of senile dementia patients. It should be trained by caregivers to identify abnormal eating behavior and its potential needs of senile dementia patients. And to meet the potential needs, improve the care quality of dementia patients, reduce the burden of caregivers.
【作者單位】： 福建醫(yī)科大學(xué)省立臨床醫(yī)學(xué)院福建省立醫(yī)院護(hù)理部;
【基金】：福建省醫(yī)學(xué)創(chuàng)新課題資助項(xiàng)目(2015-CX-3) 國(guó)家自然科學(xué)基金(81571379)
【分類號(hào)】：R473.74
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本文編號(hào)：1891732