神经科住院患者走失原因分析及护理对策

【】目的探讨神经科住院患者发生走失行为的相关因素，并制定相应的护理干预措施。方法采用回顾性调查，对2004年1月-2007年7月发生的8例走失神经系统疾患者，从护理角度对年龄、性别、文化程度、诊断、意识状态、精神状态等资料进行评估，分析影响因素与走失行为之间的相关性。结果影响自知力和易致患者产生幻觉妄想及定向力障碍的疾病更容易导致患者走失，走失行为多发生在夜间，且以男性、老年和低文化水平患者较多。结论针对神经科住院患者走失行为的危险因素，应根据具体情况，采取积极的综合预防及个体化的护理对策。【Abstract】ObjectiveToinvestigatethecountermeasureofnursingtowardspatientsstrayingfromneurologicalwardbyanalyzingtheassociatedstrayfactors.MethodsThemedicalrecordsof8patientsthatwentastrayfromourneurologicalwardbetweenJanuary2004toJuly2007wereretrospectivelyanalyzed.Thepatients’age,sex,educationallevel,clinicaldiagnosis,stateofconsciousness,andmentalstatuswereevaluatedandanalyzedtodeterminetheircorrelationwiththepatients’strayingbehavior.ResultsPatientswithself-cognitivedisorders,hallucination,delusionanddisorientationweremorelikelytogoastray.Male,seniorage,andloweducationlevelpatientswerethedominantpopulationengaginginthestrayingbehavior,whichmostlyhappenedatnighttime.ConclusionPreventativenursingmeasuresshouldbeindividualizedtospecificpatientswithspecialriskyfactorsofstrayinginneurologicalward.