阿尔茨海默病患者高处坠落引发激越行为的护理  

Nursing care of agitated behavior caused by falling from height in a patient with Alzheimer’s disease

作　　者：姚晓月 卢伟松 张兰兰 潘银芝 沈卫娣[1] 沈安妮 杨旻斐[1] YAO Xiaoyue;LU Weisong;ZHANG Lanlan;PAN Yinzhi;SHEN Weidi;SHEN Anni;YANG Minfei

机构地区：[1]浙江大学医学院附属第二医院护理部,杭州市310000 [2]杭州市富阳阳光老年病医院护理部

出　　处：《中华急危重症护理杂志》2025年第4期459-461,共3页Chinese Journal of Emergency and Critical Care Nursing

基　　金：浙江大学医学院附属第二医院护理部科研基金项目(N202201)。

摘　　要：总结1例阿尔茨海默病患者高处坠落后并发激越行为的护理体会。护理要点:加强患者自伤及伤人现象的预防与管理,认可疗法满足患者需求,模拟家人在场进行情感支持,借助抚触疗法缓解患者紧张情绪,完善多学科会诊寻找有效治疗方案。经过72 h精心急诊护理,患者恢复良好,意识转清,顺利出院。出院1年后电话随访,患者激越行为偶有出现,指导家属关注患者安全,陪同患者神经内科门诊定期就诊。To summarize the nursing experience of agitated behavior after falling from height in a patient with Alzheimer’s disease.Nursing points included strengthening the prevention and management of self-injury and injury,recognition therapy to meet the needs of the patient,emotional support by simulating the presence of family members,touch therapy to relieve patients’tension,improving multidisciplinary consultation to find effective treatment plans.After 72 hours of careful emergency nursing,the patient recovered well and became awake,and was discharged successfully.During the telephone follow-up one year after discharge,the agitated behavior of the patient occasionally appeared,and the caregiver was instructed to pay attention to the safety of the patient and accompany the patients for regular visits to the neurology clinic.

关 键 词：阿尔茨海默病 坠落 激越行为 急症护理 

分 类 号：R473.74[医药卫生—护理学]