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來源文獻資料
摘要
外文摘要
引文資料
題名:
護理之家施行約束縮減方案之成效
書刊名:
護理研究
作者:
葉淑惠
/
林麗味
/
王興耀
/
吳淑如
/
林昭宏
/
蔡富棉
作者(外文):
Yeh, Shu-hui
/
Lin, Li-wei
/
Wang, Shing-yaw
/
Wu, Shu-zu
/
Lin, Jau-hong
/
Tsai, Fu-mian
出版日期:
2001
卷期:
9:2
頁次:
頁183-193
主題關鍵詞:
成效
;
約束縮減方案
;
護理之家
;
Outcomes
;
Restraint reduction program
;
Nursing homes
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
12
) 博士論文(
1
) 專書(0) 專書論文(
1
)
排除自我引用:
11
共同引用:
19
點閱:174
國內護理之家入住的老人有些被長年約束在床或輪椅上,生活品質不良,極待改善。本研究採前實驗研究法測試在護理之家施行約束縮減教育方案的成效,以高雄地區立案的護理之家,隨機抽取3家進行介入措施,介入措施期間由老人護理教師到護理之家帶領該機構行政人員、工作人員、老人及家屬進行去除老人身體約束的教導共2次,並由物理治療師及老人精神科醫師各一名,提供3次的平衡運動及老人問題行為的教導及諮商。一個月的介入措施進行的前三天、及完成的三天後進行約束教育成效包括入住老人受約束情況、跌倒、壓瘡、平衡反應、精神藥物的使用、躁動次數及護理人員約束知識之測量。研究發現施行介入措施後老人身體約束比率及躁動次數有顯著下降,老人跌倒、褥瘡及平衡反應沒有顯著改變,護理工作人員約束知識得分有顯著地增加,此結果可供國內護理之家縮減約束的模式,並促進老人照護品質。
以文找文
One of the problems in nursing home care in Taiwan is resident restraint, including physical and chemi- cal restraints. This pre-experimental study was conducted to investigate whether a restraint reduction program could reduce the prevalence of restraint in nursing homes. Three registered nursing homes were randomly selected from nursing homes in the Kaohsiung area. Staff and residents of these nursing homes were educa-ted in restraint alternatives, balance training and managing behavior problems in one month of interventions. Three days before and after interventions, prevalence of restraints, falls, and of pressure sores, balance reaction, frequency of agitation, use of psychotic drugs, as well as the restraint knowledge of the nursing staff, was measured. After the restraint reduction program, the prevalence of restraint and frequency of resident agitation decreased significantly. The prevalence of falls and pressure sores of residents was not changed significantly. The restraint knowledge of the nursing staff significantly increased after the restraint reduction program. The information from this study led to a better strategy to reduce restraint for the elderly in nursing homes. The results could also provide a model to improve the quality of care in nursing homes in Taiwan.
以文找文
期刊論文
1.
江明珠、許玲女、陳翠娥、郭美玲(19990300)。護理人員對身體約束知識與態度之探討。長庚護理,10(1)=25,42-50。
延伸查詢
2.
吳秋燕、吳肖琪、劉文良、林麗嬋(19991200)。機構正式照顧者之約束知識、態度和使用理由之關係。護理研究,7(6),518-530。
延伸查詢
3.
Berg, Katherine、Wood-Dauphine, Sharon、Williams, J. I.、Gayton, David(1989)。Measuring balance in the elderly: Preliminary development of an instrument。Physiotherapy Canada,41(6),304-311。
4.
賀天蕙、葉淑惠、黃夢婷、林麗味(19991200)。無約束的長期照護機構。護理雜誌,46(6),83-88。
延伸查詢
5.
Houston, K. A.、Lach, H. W.(1990)。Restraints: How do you score? Take this quiz to see how well you can separate the facts from the fallacies of restraints。Geriatric Nursing,11(5),231-232。
6.
Varone, L.、Tappen, R. M.、Dixon-Antonio, E.、Gonzales, I.、Glussman, B. C.(1992)。To restrain or not to restrain? The decision-making dilemma for nursing staff。Geriatric Nursing,13(5),269-272。
7.
黃小玲、謝清麟、林伯欣、楊怡君、黃恢濤(1995)。柏格氏平衡量表之信度及同時效度檢定。職能治療學會雜誌,13,25-33。
延伸查詢
8.
楊美賞、鍾信心(1993)。精神科住院病人與護理人員對約束及隔離之態度與感受之比較。護理研究,1(3),193-204。
延伸查詢
9.
鄒建萍(1985)。精神科病人之約束及監護。榮總護理,2(3),300-308。
延伸查詢
10.
Berglas, C.(1993)。Restraint reduction program。Nursing Update,4,1-2。
11.
Bloom, C.、Braun, J. V.(1991)。Restraint in the 90s, success with wanderers。Geriatric Nursing,12。
12.
Burton, L.、German, P.、Rovner, B.、Brant, L.、Clark, R. D.(1992)。Mental illness and the use of restraints in nursing home。The Gerontologist,32(2),164-170。
13.
Cali, C. M.、Kiel, D. P.(1995)。An epidemiological study of fall-related fractures among institutionalized older people。Journal of the American Geriatrics Society,43,1336-1340。
14.
Capezuti, E.、Strumpf, N. E.、Evans, L. K.、Grisso, J. A.、Maislin, G.(1998)。The relationship between physical restraint removal and falls and injuries among nursing home residents。Journal of Gerontology, A,53(1),47-52。
15.
Cohen-Mansfield, T.(1986)。Agitated behaviors in the elderly II: Preliminary results in the cognitively deteriorated。American Geriatrics Society,34(10),722-727。
16.
Coneley, L. G.、Campbell, L. A.(1991)。The use of restraints in caring for the elderly: Realities consequences and alternatives。Nurse Practitioner,16(12),48-52。
17.
Dunbar, J. M.、Neufeld, R. R.、Libow, L. S.、Coben, C. E.、Foley, W. J.(1997)。Taking charge: The role of nursing administrators in removing restraints。Journal of Nursing Administration,27(3),42-48。
18.
Dunbar, J. M.、Neufeld, R. R.、White, H.、Libow, L. S.(1996)。Restrain, don't restrain: The educational intervention of the national nursing home restraint removal project。The Gerontologist,36(4),539-542。
19.
Evans, L. K.、Strumpf, N. E.、Allen-Taylor, S. L.、Capezuit, E.、Maislin, G.、Jacobsen, B.(1997)。A Clinical Trial to Reduce Restraints in Nursing Homes。Journal of the American Geriatrics Society,45(6),675-681。
20.
Evans, L. K.、Strumpf, N. E.(1989)。Tying down the elderly: A review of the literature on physical restraint。Journal of the American Geriatrics Society,37,65-74。
21.
Hardin, S. B.、Magee, R.、Stratmann, D.、Vinson, M. H.、Owen, M.、Htatt, E. C.(1994)。Extended care and nursing home staff attitudes toward restraints。Journal of Gerontological Nursing,20(3),23-31。
22.
Innes, E. M.、Turman, W. G.(1983)。Evaluation of patient falls。Quarterly Reviews of Biophysics,9,30-35。
23.
Janelli, L. M.、Scherer, Y. K.、Kanski, G. W.、Neary, M. A.(1991)。What nursing staff members really know about physical restraints。Rehabilitation Nursing,16(6),345-348。
24.
Johnson, D.(1991)。Make your own chairbound alternatives。Geriatric Nursing,12(1),18-19。
25.
Levine, J. M.、Marchello, V.、Totolos, E.(1995)。Progress toward a restraint-free environment in a large academic nursing facility。Journal of the American Geriatrics Society,43,914-918。
26.
MacPherson, D. S.、Lofgren, R. P.、Granieri, R.、Myllenbeck, S.(1990)。Deciding to restrain medical patients。Journal of the American Geriatrics Society,38(5),516-520。
27.
Miles, S. H.、Irvine, P. I.(1992)。Deaths caused by physical restraints。The Gerontologist,32,762-766。
28.
Phillips, C. D.、Hawes, C.、Fries, B. E.(1993)。Reducing the use of physical restraints in nursing homes: Will it increase costs?。American Journal of Public Health,83(3),342-348。
29.
Powell, C.、Mitchell-Pedersen, L.、Fingerote, E.、Edmund, L.(1989)。Freedom from restraint: Consequences of reducing physical restraints in the management of the elderly。Canadian Medical Association Journal,141,561-564。
30.
Read, S.、Bagheri, A.、Stricklan, P.(1991)。Are restraints all bad?。Journal of the American Geriatrics Society,39,222-225。
31.
Strumpf, N. E.、Evans, L. K.(1988)。Physical restraint of the hospitalized elderly: Perceptions of patients and nurses。Nursing Research,37(3),132-137。
32.
Supprock, L. A.(1990)。Changing the rules: This nursing home's switch to restraint-free care started with a carefully crafted policy。Geriatric Nursing,11,288-289。
33.
Tinetti, M. E.、劉文良、Ginter, S. F.(1992)。Mechanical restraint use and fall-related injuries among restraints of skilled nursing facilities。Annals of Internal Medicine,116(5),369-374。
34.
Weisz, S.(1938)。Studies in equilibrium reaction。The Journal of Nervous and Mental Disease,88,150-162。
研究報告
1.
葉淑惠(1998)。護理之家醫護品質之評估。沒有紀錄:國家衛生研究院。
延伸查詢
圖書
1.
葉碧芳(1995)。實用傷口護理。台北:華杏。
延伸查詢
2.
Institute of Medicine(1996)。Nursing staffing in hospitals and nursing homes: is it adequate?。Nursing staffing in hospitals and nursing homes: is it adequate?。Washington, DC:National Academy。
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