Hamdy R C, Lewis J V, Copeland R, Depelteau A, Kinser A, Kendall-Wilson T, Whalen K
East Tennessee State University, Johnson City, USA.
Alzheimer's Tennessee, Knoxville, TN, USA.
Gerontol Geriatr Med. 2018 Jan 9;4:2333721417738915. doi: 10.1177/2333721417738915. eCollection 2018 Jan-Dec.
Repetitive questioning is due to an impaired episodic memory and is a frequent, often presenting, problem in patients with Alzheimer's disease (amnestic type). It is due to the patients' difficulties learning new information, retaining it, and recalling it, and is often aggravated by a poor attention span and easy distractibility. A number of factors may trigger and maintain repetitive questioning. Caregivers should try to identify and address these triggers. In the case discussion presented, it is due to the patient's concerns about her and her family's safety triggered by watching a particularly violent movie aired on TV. What went wrong in the patient/caregiver interaction and how it could have been avoided or averted are explored. Also reviewed are the impact of repetitive questioning, the challenges it raises for caregivers, and some effective intervention strategies that may be useful to diffuse the angst that caregivers experience with repetitive questioning.
反复提问是由于情景记忆受损所致，在阿尔茨海默病（遗忘型）患者中是一个常见且经常出现的问题。这是因为患者在学习新信息、保留信息和回忆信息方面存在困难，并且往往因注意力持续时间短和容易分心而加重。许多因素可能引发并维持反复提问。护理人员应努力识别并解决这些触发因素。在所呈现的病例讨论中，这是由于患者观看了电视上播放的一部特别暴力的电影后，对她自己和家人的安全感到担忧所致。探讨了患者/护理人员互动中出现的问题以及如何避免或防止这些问题。还回顾了反复提问的影响、它给护理人员带来的挑战，以及一些可能有助于缓解护理人员因反复提问而产生的焦虑的有效干预策略。
