精神科住院病人身體約束之護理作業規範

Nursing Standard of Physical Restraint for Psychiatric Inpatients

孫慧芳(Huey-Fang Sun) ； 許煌澤(Hwang-Tzer Sheu) ； 蕭淑貞(Shu-Jen Shiau)

《精神衛生護理雜誌》 2卷2期 (2007/09) Pp. 11-20

https://doi.org/10.6847/TJPMHN.200709_2(2).0003

摘要

本研究之目的為建構精神科住院病人實施身體約束時之護理作業規範，以為臨床護理人員之作業參考依據。本研究採行動研究法，研究過程包括：（一）邀請產、學界精神衛生護理專家組成核心小組，針對國內、外精神醫療機構現行之住院病人身體約束的護理實務進行資料的收集與討論，並訂定研究計畫。（二）舉行研討會，針對研究議題與實務界護理人員廣泛進行意見的交換與討論。（三）核心小組成員彙整各精神醫療機構身體約束之護理實務、專家意見、與研討會之共識，並參考台灣醫療品質指標計畫之身體約束使用指標，訂定「精神科住院病人身體約束之護理作業規範」草案。（四）二度於專業學術團體會議中就身體約束之護理作業規範草案徵詢專家意見並進行內容之修訂。（五）舉行說明會，就修訂之「精神科住院病人實施身體約束之護理作業規範」版本進行說明並與精神衛生實務界護理人員及專家學者再次討論後而定案。本作業規範基於病人安全、病人尊嚴與自主權之理念，整合了身體約束的執行原則與住院病人的護理作業流程，不但提供了護理人員執行身體約束之臨床照護的良好依循，亦能保障病患的安全與權益。

關鍵字

身體約束 ； 精神科護理作業規範 ； 病人安全

並列摘要

The purpose of this study was to establish a nursing standard of physical restraint for psychiatric inpatients as a clinical guideline. Action research method was adopted in the study, and the research process involved as the following: (1) inviting nationwide clinical nursing experts and scholars in psychiatric mental health field as members of core committee to collect current nursing practice standards of physical restraints in psychiatric clinical settings, and propose the study plans; (2) holding seminar to discuss the research agenda comprehensively; (3) organizing all the information and opinions from the sources of current nursing practice standards, clinical experts, consensus built through the discussion process of the seminar, and the index of restraint use in Taiwan Quality Indicator Project guideline (TQIP) to form the first draft of ”the nursing standard of physical restraint for psychiatric inpatients”; (4) Consulting with the nursing experts from the Committee of Psychiatric Mental Health Nursing, Taiwan Nurses Association and the Committee of Academic Affairs, Psychiatric Mental Health Nurses Association, Republic of China at meetings to modify the draft; (5) holding a seminar for public hearing and discussion about the standard of physical restraint for psychiatric inpatients. The established nursing standard of physical restraint for psychiatric inpatients reflects the important concepts of patient safety, dignity, and autonomy; it not only integrates the practical principles of physical restraints, but also the operation procedures in units.

並列關鍵字

physical restraints ； psychiatric nursing standards ； patient's safety