Faculty of Applied Health Sciences, School of Public Health and Health Systems, University of Waterloo, Waterloo, Canada.
Dementia (London). 2021 Feb;20(2):734-758. doi: 10.1177/1471301220911304. Epub 2020 Mar 12.
Sixty-percent of Canadians with dementia will wander and become lost. Strategies, such as wall murals that camouflage doors, and locator devices, offer proactive options for keeping persons with dementia who wander safer. Information that describes available strategies to mitigate this issue is diverse and inconsistent, creating challenges for caregivers and persons living with dementia when choosing helpful strategies. This project aimed to describe the spectrum of risks and risk mitigation strategies associated with dementia-related wandering. Thirty-eight phone interviews from across Canada were conducted with stakeholders including persons with dementia, paid and family caregivers, health professionals, law enforcement, and Alzheimer societies. Interviewees were asked about strategies that they have used to manage dementia-related wandering, and how their perceptions of risk, culture, stigma and geographical location may influence strategy adoption. Overall, a wide range of high- and low-tech solutions were used or suggested by participants, and factors such as risk, culture, geography and stigma were considered essential elements to successful adoption of these strategies. Results from this study highlight the need for unique combinations of strategies based on the type of stakeholder and influencing factors involved.
60%的痴呆症患者会出现 wander（徘徊、游荡）和迷路现象。墙壁壁画和定位装置等策略可以主动为 wander 的痴呆症患者提供安全保障。描述减轻这一问题的策略的信息多种多样且不一致，这为照顾者和痴呆症患者在选择有益策略时带来了挑战。本项目旨在描述与痴呆症相关的 wander 相关的风险范围和风险缓解策略。通过电话采访了来自加拿大各地的 38 名利益相关者，包括痴呆症患者、有偿和家庭照顾者、医疗保健专业人员、执法人员和阿尔茨海默氏症协会。受访者被问及他们用于管理与痴呆症相关的 wander 的策略，以及他们对风险、文化、耻辱感和地理位置的看法如何影响策略的采用。总体而言，参与者使用或建议了各种高低技术解决方案，并且风险、文化、地理位置和耻辱感等因素被认为是成功采用这些策略的重要因素。这项研究的结果强调了根据利益相关者的类型和相关影响因素制定独特的策略组合的必要性。
