Zieschang Tania, Dutzi Ilona, Müller Elke, Hestermann Ute, Specht-Leible Norbert, Grünendahl Katinka, Braun Anke, Hüger Daniel, Oster Peter
Bethanien Krankenhaus, Geriatrisches Zentrum an der Universität Heidelberg, Rohrbacher Strasse 149, 69126, Heidelberg, Germany.
Z Gerontol Geriatr. 2008 Dec;41(6):453-9. doi: 10.1007/s00391-008-0023-3. Epub 2008 Oct 30.
This paper describes the development and management of a new model of care for hospitalized patients with challenging behaviour evoked by dementia and/or delirium. To ameliorate care for patients with dementia in a geriatric acute care hospital a segregated Special Care Unit for patients with challenging behaviour was created. Environmental features allow for safe and unrestricted ambulation within the unit and create a home-like atmosphere. Day-time activities structure the day and assure additional professional presence in the unit. An intensive training program for the staff was provided. The SCU has been well accepted by the staff and is considered to be an improvement in care. Psychological burden of the nurses did not increase over a time period of one year in caring for these difficult patients.
本文描述了一种针对因痴呆和/或谵妄引发具有挑战性行为的住院患者的新型护理模式的开发与管理。为改善老年急性护理医院中痴呆患者的护理，设立了一个针对具有挑战性行为患者的隔离特殊护理单元。其环境特点使患者能在单元内安全且不受限制地行走，并营造出类似家的氛围。日间活动安排了一天的日程，并确保单元内有更多专业人员在场。为工作人员提供了强化培训项目。该特殊护理单元受到了工作人员的广泛认可，并被认为是护理方面的一项改进。在一年的时间里，护士在护理这些困难患者时的心理负担并未增加。
