創意護理：蜂鳴式胸瓶固定架開發

Fixed bottle attached to respiratory ailment patients that alerts nursing staff when under pressure

孫婉娜(Sun, W.-N.) ； 高美珠(Kao, M.-C.) ； 陳宗明(Chen T.-M.) ； 洪淑娥(Hung, S.-E)

《福祉科技與服務管理學刊》 8卷1期 (2020/03) Pp. 92-99

https://doi.org/10.6283/JOCSG.202003_8(1).92

摘要

提升管路安全一直列為衛生福利部病人安全目標十大項目之一，臨床上病人常因氣胸、膿胸或血胸情況下放至胸管引流，當胸瓶意外破裂、傾倒下使胸腔壓力改變導致呼吸衰竭、氣胸等情況，而延長住院天數，故如何將引流瓶固定得宜成為重要議題。台灣現階段固定胸管大多以膠布固定，胸腔引流瓶則放置於一般鐵製引流架中，在無法防止壓破、踢裂等風險下誘使本研究團隊產生創作動機，本研究團隊以倒車雷達概念發想防呆裝置，研發出胸瓶固定架在胸瓶受壓時，可自動發出蜂鳴聲提醒臨床人員，避免胸瓶壓破等病安事件產生，固定方式則改採取卡榫設計可完整固定於床體、輪椅及點滴架上，避免胸瓶在病人移動過程中產生傾倒風險，且可與現有引流架結合降低機構成本。本研究團隊將成品進行臨床試用，並針對方便性、安全性及實用性三項進行調查，滿分為15分最低為3分、最高則為15分，平均總分為13.5分，達到正向肯定，而因現階段台灣醫療臨床上充斥各種床體及型號，現階段本產品侷限某部份床體並非全面通用，此限制乃為本研究團隊未來發展重點。

關鍵字

胸瓶 ； 固定架 ； 警報器 ； 護理創意

並列摘要

Improving the safety of the pipeline has been the priority item among the ten projects of the Ministry of Health and Welfare for patient safety. Clinically, patients with pneumothorax, empyema or hemothorax often experience chest tube drainage. When the chest bottle accidentally ruptures, the pressure in the chest cavity increases causing respiratory failure. In case of pneumothorax, and other respiratory ailments needing prolonged hospital stay, it is important to know how to fix the drainage bottle. At present, most fixed chest tubes in Taiwan are fastened with tape, and the chest drainage bottle is placed in the general iron drainage frame. However, this cannot prevent the crushing of the bottle. The concept of reversing radar has been used to devise a foolproof device. The chest bottle holder was developed to automatically sound a beep to alert the clinic staff when the chest is under pressure. If the bottle is crushed it may lead to the discharge of disease-causing germs. The fixed method permanently holds the bottle to the bed, wheelchair and drip stand to avoid the risk of spilling during patient's movement. It can be integrated with the existing drainage frame fixture.

並列關鍵字

chest bottle ； fixed frame ； buzzer ； Innovative