关于长期住院老年痴呆患者护理工作中的伦理问题和对策分析

关于长期住院老年痴呆患者护理工作中的伦理问题和对策分析

张守亚，江文仙，姜林梅，郑志娟

(衢州市第三医院老年精神科,浙江衢州324000,393404389@qq.com)

摘要〔〕老年痴呆症患者给家庭及社会带来沉重负担，导致潜在安全性问题与家属无法长期陪护之间、身体约束保护与自尊及《精神卫生法》之间，生活质量与生命价值观之间产生一系列矛盾及伦理问题，也使密切和他们接触的护理人员不得不面临道德、伦理困境。建议医院提供专职、专业的养老护理员对老年痴呆患者进行长期陪护；加强护理人员与患者家属的沟通交流，合理、合法使用约束工具；完善医疗体系的建设，构建“医养结合”的照护体系；进行综合性康复护理干预，提高患者生活质量；转变服务理念，加强伦理知识的学习和应用，促进护患关系和谐。

关键词〔〕老年痴呆患者；安全问题；约束保护；伦理教育

中图分类号〔〕R-052〔

About Long-term Hospitalization in Elderly Alzheimer's Patients Nursing Ethical Problem

and Countermeasure Analysis

ZHANGShouya,JIANGWenxian,JIANGLinmei,ZHENGZhijuan

(Psychiatric,QuzhouThirdHospital,Quzhou324000,China,E-mail: 393404389@qq.com)

Abstract:Alzheimer′s patients bring heavy burden to their family and society,causing potential safety problems unable to escort for a long time with the family, physical constraints between protection and between self-esteem and the mental health law,the quality of life and life values produce a series of contradiction and ethical issues,also make close contact with their nursing staff have to face the moral and ethical dilemma.The suggestions are :Hospital provides professional full-time, professional pension caregivers of alzheimer′s patients for long-term care, Strengthen the communication of nursing staff and patients′ families, Reasonable and legitimate use tools,Perfect medical system construction, build "Medical support combined" care system, Carry out the comprehensive rehabilitation nursing intervention, improve the patients quality of life, Change service concept, strengthening the study of ethical knowledge and application to promote the doctor-patient relationship.