某地區醫院加護病房病患身體約束執行作業之改善方案

An improvement of the Physical Restraint Process for the ICU Patient in the Local Hospital

施淑萍(Shu-Ping Shih) ； 黃碧華(Pi-Hua Huang) ； 張碧容(Pei-Rong Chang) ； 胡慧芬(Hui-Fen Hu)

《高雄護理雜誌》 25卷1期 (2008/05) Pp. 22-33

https://doi.org/10.6692/KJN-2008-25-1-3

摘要

在加護病房內，身體約束是經常用來維護病患安全及預防意外事件的護理措施，由於近代消費者權利運動及法規機構均重視此問題，台灣醫療品質指標計劃亦將「身體約束的使用」列為急性照護品質指標，因此有必要對病患身體約束進行監測管理，以確保病患在約束中的照護品質。為了瞭解身體約束的使用情形，本院於94年7月加護病房查檢結果，顯示身體約束執行作業不完整率為100%，本專案修訂身體約束作業標準並列入電腦作業系統，採資訊化管理，經宣導、在職教育及稽核制度實施後，身體約束執行作業之不完整率降至36.4%。本專案之實施，不但使身體約束執行作業更能落實完整的評估與護理，並可將監測數據做為身體約束品質改善時之參考，進而提升護理品質。

關鍵字

身體約束 ； 資訊化

並列摘要

In the intensive care unit, the physical restraint process is performed for the patient's safety and the prevention of the accidents. Because consumer rights have been uplifted, the government takes this question seriously. ”The use of physical restraint” is also an acute health care quality indicator of the Taiwan Quality Indicator Project. Therefore, it is necessary to carry out monitor management for the patient's restraint, which could ensure nursing care quality. In 2005, July, the state of the physical restraint process in our hospital was examined and the incomplete rate was shown to be 100%. The operational standard of the physical restraint process was accordingly established in this project. Through information management, communication with ICU nurses and office education, the incomplete rate of the physical restraint process has been reduced to 36.4%. Based on the measurement data in the monitoring of the physical restraint process, nursing care and estimation could be more complete and better, which could promote nursing quality.

並列關鍵字

Physical restraint ； information