CAJ | 학술논문

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。
노년치태증환자급가정급사회대래침중부담，도치잠재안전성문제여가속무법장기배호지간、신체약속보호여자존급《정신위생법》지간，생활질량여생명개치관지간산생일계렬모순급윤리문제，야사밀절화타문접촉적호리인원불득불면림도덕、윤리곤경。건의의원제공전직、전업적양로호리원대노년치태환자진행장기배호；가강호리인원여환자가속적구통교류，합리、합법사용약속공구；완선의료체계적건설，구건“의양결합”적조호체계；진행종합성강복호리간예，제고환자생활질량；전변복무이념，가강윤리지식적학습화응용，촉진호환관계화해。
Alzheimer′s patients bring heavy burden to their family and society, causing potential safety prob-lems unable to escort for a long time with the family, physical constraints between protection and between self-es-teem and the mental health law,the quality of life and life values produce a series of contradiction and ethical is-sues,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.