呼吸照護病房護理人員對病人約束造成相關性傷害之研究

The Study of the Injure from Nursing to Constraint Patients in Respiratory Care Ward

王文璀(Wen-tsuei Wang)

指導教授 ： 陳景元

中臺科技大學/管理學院/健康產業管理研究所/碩士(2011年)

摘要

背景及目的：身體約束乃利用物理的力量限制一個人的活動與移動以 達到控制目的的一種方式，對身體約束的定義為未經病人許可，直接運用物理力量限制病人行動的自由身體約束常被用來當作保護病人的方法，或使用於有治療需求卻無法配合醫療處置之病人，導致不當使用身體約束所造成病人身體與心理傷害。
研究方法：本研究藉由文獻回顧進行資料收集，以橫斷式描述問卷，並以問卷調查就身體約束進行探討，藉此提升護理人員對約束的認知並探討臨床護理人員對約束的認識，及約束不當造成病患傷害的程度，進而降低不當之約束造成的傷害。
研究結果：本研究探討發現呼吸照護病房，護理人員會因執行身體約束而出現複雜的情緒感受，且常因病人或他人處於不安全的情境就考慮傾向執行身體約束，護理人員焦點著重於身體約束處置行為。
結論：身體約束在臨床照護中，常運用來防範管路自拔危害生命以及預防意外事件發生。臨床護理人員常因對約束知識缺乏，導致約束不當，因而造成病患第二次傷害。現階段應以提升護理人員的繼續教育，使對病人約束正確性的知識面提升，相對使病人傷害面降到最低。

關鍵字

傷害 ； 病人 ； 約束

並列摘要

Objectives：Physical restraint is useful physical force to limit person''s activities and achieve control objectives. The physical constraint is defined as a license without the patient direct use of physical force to limit the freedom of action for patients with physical constraint that often used as a method to protect patients or use the treatment demand unable to meet the medical treatment of patients. There are reports of inappropriate use of physical documents restraint by the patient''s body and mental consequences.
Methods：The study data collected through literature review, described in cross-questionnaire and discussion on the questionnaire survey conducted on physical restraint, so as to raise discussion on constraints of cognition of nursing staff and clinical nursing staff awareness of the constraints, and the degree of constraints caused by improper patient injuries.
Measurements：This study found that respiratory care ward; nurses do practice physical constraints and cause the complex emotional feelings, by the patient or another in security situation for considering the tendency of the practice of physical constraints to focus on physical restraint by nurses.
Conclusions：In physical restraint in clinical care often used to prevent the pipeline from pull out danger to life and prevention of accidents. Lack of knowledge of clinical nursing staff due to constraints by resulting in improper constraint thus caused patient injury for the second time. At this stage should be to enhance the continuing education of nursing staff, correctness constraint on patients'' knowledge upgrading, relative to patient injuries to a minimum

並列關鍵字

Constraints ； Patient ； Injury

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