Weinrich S, Egbert C, Eleazer G P, Haddock K S
Research Division, Byrnes Center for Geriatric Medicine, Education, and Research, Columbia 29202, USA.
Arch Psychiatr Nurs. 1995 Oct;9(5):251-60. doi: 10.1016/s0883-9417(95)80044-1.
Strategies for controlling and managing agitation of patients in long-term care populations has been identified as a research priority. Unfortunately, there is a paucity of literature on empirically tested therapeutic interventions for agitation. This manuscript summarizes the literature related to the measurement, management, and interventions for agitation and identifies a nursing research agenda for conducting research in this area. Nonpharmacological and nonrestraint interventions are highlighted and categorized by (1) alterations in care given, (2) environmental adaptations, and (3) behavioral approaches. Future research areas identified by the authors focus on additional types of environmental, interpersonal, and behavioral interventions as well as theoretical predictors of agitation; the influence and role of nursing personnel and caregiver; and the legal and ethical issues involved in caring for patients who manifest agitation.
长期护理人群中患者激越的控制与管理策略已被确定为一项研究重点。遗憾的是,关于经实证检验的激越治疗干预措施的文献匮乏。本手稿总结了与激越的测量、管理及干预相关的文献,并确定了该领域进行研究的护理研究议程。非药物和非约束性干预措施被重点强调,并按以下方式分类:(1) 护理方式的改变;(2) 环境调整;(3) 行为方法。作者确定的未来研究领域集中在其他类型的环境、人际及行为干预措施以及激越的理论预测因素;护理人员和照护者的影响及作用;以及护理表现出激越的患者所涉及的法律和伦理问题。