Hantikainen V, Isola A, Helenius H
University of Turku, Department of Nursing, Finland.
Pflege. 1998 Apr;11(2):78-88.
This study is the first part of a larger research project concerned with disruptive behaviour and the use of physical restraints on elderly nursing home residents. This paper is focused on the types and prevalence of disruptive behaviour among elderly residents, nurses' experiences and the types of nursing interventions employed. Data was collected from nurses of varying qualifications (n = 173) in seven Swiss nursing homes by using a questionnaire. The most frequent behavioural problems reported by nurses were mobility, incontinence, getting dressed, verbal communication, passivity, withdrawal and continual requests. Nurses found physical aggression, continual shouting and verbal abuse the most difficult to manage with. The results also indicated that experiences varied between nurses. In particular, nursing staff always considered disruptive behaviour more disruptive against other residents rather then against themselves. The most frequently used interventions against disruptive behaviour were considering residents' wants and needs, getting close, adjustment to residents' background and organisation of activities. Physical and chemical restraints were also used.
本研究是一个更大研究项目的第一部分，该项目关注老年疗养院居民的破坏性行为及身体约束的使用情况。本文聚焦于老年居民中破坏性行为的类型及发生率、护士的经历以及所采用的护理干预类型。通过问卷调查，从瑞士七家疗养院中不同资质的护士（n = 173）那里收集了数据。护士报告的最常见行为问题包括行动不便、大小便失禁、穿衣、言语交流、被动、退缩及不断请求。护士们发现身体攻击、持续喊叫和言语辱骂最难处理。结果还表明，护士之间的经历存在差异。特别是，护理人员总是认为破坏性行为对其他居民的干扰比对他们自己的干扰更大。针对破坏性行为最常用的干预措施是考虑居民的需求、靠近居民、适应居民背景以及组织活动。也使用了身体和化学约束措施。
