Wingenfeld K, Seidl N, Ammann A
Institut für Pflegewissenschaft, Universität Bielefeld, Universitätsstr 25, 33615 Bielefeld, Deutschland.
Z Gerontol Geriatr. 2011 Feb;44(1):27-32. doi: 10.1007/s00391-010-0154-1.
Disruptive behavior is an increasing challenge for professional care in nursing homes. It frequently accompanies dementia, which is one of the most common chronic illnesses among the residents. Nursing homes are, therefore, subject to a high accumulation of problems due to behavior with risk potential. However, usual nursing interventions are often limited to restrictions in activities, which reduce the residents' quality of life. Within a study of the University of Bielefeld, a complex intervention program was developed to prevent disruptive behavior without using restrictive means. To test this program, a prospective controlled study was performed in six nursing homes. During a follow-up period of 6 months, data were recorded to analyze changes of behavior profiles, medications, applying restraints, and functional abilities of residents. This report describes the intervention program and gives an overview on the results of the trial and other experiences with its implementation and utilization.
破坏性行为对养老院的专业护理来说是一个日益严峻的挑战。它常常伴随着痴呆症，而痴呆症是养老院居民中最常见的慢性病之一。因此，由于存在潜在风险行为，养老院面临着大量问题的累积。然而，常规的护理干预措施往往仅限于限制活动，这会降低居民的生活质量。在比勒费尔德大学的一项研究中，开发了一个复杂的干预项目，以在不使用限制性手段的情况下预防破坏性行为。为了测试该项目，在六家养老院进行了一项前瞻性对照研究。在为期6个月的随访期内，记录数据以分析居民行为特征、用药情况、使用约束措施以及功能能力的变化。本报告描述了干预项目，并概述了试验结果以及实施和应用该项目的其他经验。
