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| 題 名 | 運用周全性老人評估於失智症病人之護理經驗=Comprehensive Geriatric Assessment in Patients with Dementia: A Nursing Experience |
|---|---|
| 作 者 | 孫靜芸; 黃淑玲; | 書刊名 | 精神衛生護理雜誌 |
| 卷 期 | 20:3 2025.12[民114.12] |
| 頁 次 | 頁43-48 |
| 分類號 | 419.85 |
| 關鍵詞 | 周全性老人評估; 失智症; Comprehensive geriatric assessment; Dementia; |
| 語 文 | 中文(Chinese) |
| DOI | 10.6847/TJPMHN.202512_20(3).06 |
| 中文摘要 | 失智症已經是全球化的議題,台灣地區65歲以上長者平均每8位就有1位罹患失智症,由於失智症的退化行為會造成家庭及社會沉重的負擔,如何減少個案精神及行為症狀造成的困擾就顯得格外重要。本文運用護理衛教介入協助一位因失智症導致輕度認知功能障礙之個案解決健康問題,照護期間為2024年7月15日至11月10日,於病人回診時會談4次、家訪1次及電訪4次時,使用周全性老人評估收集個案資料,並評估主要照顧者對於失智症長者症狀困擾項目及程度。確立護理問題為:(1)慢性混亂;(2)睡眠型態混亂;(3)照顧者角色緊張,藉由衛教主要照顧者了解失智症的症狀並介入有效的照護策略,有助於解緩失智症長者的精神行為症狀及減輕照顧者壓力。結果顯示個案MMSE分數由11分提升至15分,主要照顧者對個案精神及行為困擾指數由5分降為2分,個案每日均能夜眠達7小時。期望筆者照護經驗,能提供護理人員日後執行整體性全人照護之參考。 |
| 英文摘要 | Dementia has become a global concern. In Taiwan, one in eight individuals aged 65 years or older has dementia. Degenerative changes associated with dementia place a burden on families and society. This article presents a nursing experience involving health education interventions for the primary caregiver of a patient with dementia-related cognitive impairment. The care period was from July 15 to November 10, 2024. Data were collected through four outpatient visits, one home visit, and four telephone follow-ups. A comprehensive geriatric assessment (CGA) was used to collect case data and assess the primary caregiver's perceived symptoms and degree of distress. The following nursing problems were identified: (1) chronic confusion, (2) disturbed sleep pattern, and (3) caregiver role strain. In this case, educating the primary caregiver about the symptoms of dementia and implementing effective care strategies helped alleviate the patient's behavioral and psychological symptoms(BPSD) and reduced caregiver stress. Results showed that the patient's Mini-Mental State Examination (MMSE) score increased from 11 to 15, and the caregiver's mental and behavioral distress index decreased from 5 to 2. Additionally, the patient was able to sleep for seven hours per night. This case may serve as a reference for nursing staff providing holistic care in similar clinical setting. |
本系統中英文摘要資訊取自各篇刊載內容。