- 期刊
降低加護病房病人身體約束傷害率
The Program of Reducing the Injury Rate of Physical Restraint in Intensive Care Units
摘要
身體約束在加護病房中是經常被運用的醫療輔助措施，但工作中常見約束方法不正確、缺乏合適之約束用物等狀況，造成病人末梢水腫變嚴重、約束部位受傷或已約束尚自拔管路等傷害。故本專案針對成人加護病房護理人員介入身體約束在職教育，提升技術之正確性，制定身體約束監護記錄單並汰舊換新約束帶。期望增進護理人員身體約束的認識及約束方法的正確性，進一步降低病人約束傷害率。經由專案改善後，身體約束傷害率由4.66%降為0.77%。此專案介入在職教育措施、身體約束技術示範及身體約束監護制度，的確有效提升身體約束技術正確性，增強護理同仁對身體約束病人之安全的警覺性，進而降低傷害發生。
並列摘要
Physical restraint is one kind of medical devices. It is frequently applied in intensive care units. Nevertheless, we found mistakes in methods of restraint, and a lack of restraint's tools. Also there were restraint-related injuries to edema, skin abrasion and extubation. Therefore the program intervention consisted of continuing education to promote the exact techniques, establish the nursing record of physical restrain, and eliminate the old tools. The goal of program was to improve the awareness and techniques for nurses to reduce the injury rate in intensive care units. The result of implementing this program indicated that the injury rate of physical restraint was reduced from 4.66%to 0.77%. Intervening continuing education, demonstrating the techniques of physical restraint and nursing record of physical restraint had effectively promoted the correct use of the techniques of physical restraint. And it enhanced nurses alertness and reduced the injury rate of physical restraint.
延伸閱讀
- 陳宜蓁、劉亞璇、楊怡君、呂麗戎、李碧月（2019）。降低綜合科加護病房壓傷發生率之改善專案。安泰醫護雜誌，25(2)，47-61。https://www.airitilibrary.com/Article/Detail?DocID=18111955-201912-201912030009-201912030009-47-61
- 劉美芳、高秀娥、陳玉萍、黃筱芳、鄭之勛、陳瑞儀（2019）。運用多元策略降低病人身體約束事件發生率。台灣醫學，23(5)，640-648。https://doi.org/10.6320/FJM.201909_23(5).0010
- 侯怡吟、吳紋妙、林怡君、賴金敏、吳貞蓉、陳佳文（2019）。運用團隊管理資源降低內科加護病房身體約束事件之專案。領導護理，20(4)，107-122。https://doi.org/10.29494/LN.201912_20(4).0009
- Yeh, S. H., Hsiao, C. Y., Ho, T. H., Chiang, M. C., Lin, L. W., Hsu, C. Y., & Lin, S. Y. (2004). 約束縮減在職教育對加護病房新進護理人員之成效. The Journal of Nursing Research, 12(3), 246-256. https://www.airitilibrary.com/Article/Detail?DocID=16823141-200409-12-3-246-256-a
- 林美玲、蔡慧華、周幸生（2007）。Improving the Accuracy Rate of Physical Restraint Application at an Intensive Care Unit。長庚護理，18(2)，245-256。https://doi.org/10.6386/CGN.200706_18(2).0013