Hamdy R C, Kinser A, Depelteau A, Lewis J V, Copeland R, Kendall-Wilson T, Whalen K
East Tennessee State University, Johnson City, TN,USA.
Alzheimer's Tennessee, Knoxville, TN, USA.
Gerontol Geriatr Med. 2018 Feb 13;4:2333721417740190. doi: 10.1177/2333721417740190. eCollection 2018 Jan-Dec.
Repetitive questioning is a major problem for caregivers, particularly taxing if they are unable to recognize and understand the reasons why their loved one keeps asking the same question over and over again. Caregivers may be tempted to believe that the patient does not even try to remember the answer given or is just getting obnoxious. This is incorrect. Repetitive questioning is due to the underlying disease: The patient's short term memory is impaired and he is unable to register, encode, retain and retrieve the answer. If he is concerned about a particular topic, he will keep asking the same question over and over again. To the patient each time she asks the question, it is as if she asked it for the first time. Just answering repetitive questioning by providing repeatedly the same answer is not sufficient. Caregivers should try to identify the underlying cause for this repetitive questioning. In an earlier case study, the patient was concerned about her and her family's safety and kept asking whether the doors are locked. In this present case study, the patient does not know how to handle the awkward situation he finds himself in. He just does not know what to do. He is not able to adjust to the new unexpected situation. So he repeatedly wants to reassure himself that he is not intruding by asking the same question over and over again. We discuss how the patient's son-in-law could have avoided this situation and averted the catastrophic ending.
反复提问对护理人员来说是个大问题，尤其是当他们无法识别和理解亲人为何一遍又一遍地问同一个问题时，这会让他们倍感压力。护理人员可能会倾向于认为患者甚至都不试图记住给出的答案，或者只是变得令人讨厌。但这是不正确的。反复提问是由潜在疾病导致的：患者的短期记忆受损，无法记录、编码、保留和检索答案。如果他担心某个特定话题，就会一遍又一遍地问同一个问题。对患者来说，每次问这个问题时，都好像是第一次问。仅仅通过反复提供相同的答案来回答反复提问是不够的。护理人员应该试图找出这种反复提问的潜在原因。在早期的一个案例研究中，患者担心她自己和家人的安全，不断询问门是否锁好。在本案例研究中，患者不知道如何应对自己所处的尴尬局面。他只是不知道该怎么办。他无法适应这种新出现的意外情况。所以他一遍又一遍地反复问同一个问题，想要再三确认自己没有造成干扰。我们将讨论患者的女婿本可以如何避免这种情况并避免灾难性的结局。
