University of South Florida USF, College of Nursing, Tampa, USA.
Am J Nurs. 2012 Dec;112(12):30-5, discussion 36-7. doi: 10.1097/01.NAJ.0000423503.53640.32.
At every stage of dementia, people with the condition are at risk for both missing incidents, in which they are unattended and unable to navigate a safe return to their caregiver, and "wandering," a term often used to describe repetitive locomotion with patterns such as lapping or pacing. By understanding the differences between these two phenomena, nurses can teach caregivers how to anticipate and prevent missing incidents, which are not necessarily related to wandering. The authors differentiate missing incidents from wandering, describe personal characteristics that may influence the outcomes in missing incidents, and suggest strategies for preventing and responding to missing incidents.
在痴呆症的各个阶段,患者都有可能发生两种情况:一是走失,即无人照看,无法安全返回照顾者身边;二是“徘徊”,这一术语通常用于描述具有重复运动模式的行为,如踱步或绕圈。通过了解这两种现象的区别,护士可以教导照顾者如何预测和预防走失事件,这些事件不一定与徘徊有关。作者区分了走失事件和徘徊,描述了可能影响走失事件结果的个人特征,并提出了预防和应对走失事件的策略。