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題名:影響加護病房護理人員執行病患身體約束行為之因素
書刊名:長庚護理
作者:許素珍黃升苗陳一伶
作者(外文):Hsu, Su-chenHuang, Sheng-miauhChen, Yi-ling
出版日期:2006
卷期:17:4=56
頁次:頁399-407
主題關鍵詞:護理人員身體約束知識態度行為NursePhysical restraintKnowledgeAttitudeBehavior
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:18
  • 點閱點閱:247
本研究旨在探討影響加護病房護理人員執行病患身體約束行為之相關因素。研究對象為南部某醫學中心所有加護病房護理人員,共294位,完成受測率為65.31%(192/294)。研究工具為江、許、陳及郭(1999)所發展之身體約束知識及態度結構式問卷,身體約束行為資料則由病歷查閱病患被約束的人次數。資料以SPSS for windows 10.0軟體進行多變項逐步回歸分析。結果顯示:護理人員身體約束知識平均答對率為70.43%;身體約束態度平均 3.83±0.40分,趨向於同意執行身體約束;每位護理人員執行約束的次數平均8.18±6.28人次。回歸分析顯示外科單位、N1進階層級、護理師職稱者所執行之約束行為次數較多,可解釋約束行為總變異量的15.1%;知識或態度得分與約束行為無顯著線性相關。所以建議護理主管應針對外科加護單位、N1進階層級的臨床護理人員進一步追蹤約束行為,同時創造與醫療團隊討論約束的機會及制訂合理的政策。未來研究則應再分析影響身體約束行為決策的非護理人員因素。
The purpose of this study was to explore factors associated with behavior of physical restraint among nurses in the intensive care unit (ICU). The ICU nurses who worked at a medical center in southern Taiwan participated in the study. One hundred and ninety-two (65.31%) eligible nurses completed the questionnaire regarding their sociodemographic variables, knowledge, and attitude toward physical restraint. The frequency of physical restraint was collected from reviewing patients?chart. A multivariate analysis was performed using multiple linear regressions by SPSS for windows 10.0 software. The regression model showed that nurses at surgical ICU, nurse with N1 clinical ladder, and non-leader or head nurses had higher frequency of using physical restraint. These variables explained 15.1% of the total variation. The nursing mangers could improve the use of physical restraint by monitoring the behavior among nurses with N1 clinical ladder or in surgical ICU. Researches about decision making of physical restraint should be further studied in the future.
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。new window  延伸查詢new window
2.Choi, E.、Song, M.(2003)。Physical restraint use in a Korean ICU。Journal of Clinical Nursing,12(5),651-659。  new window
3.明勇、孟祥越、范保羅(20020600)。「身體約束的使用」臨床之評估與應用。慈濟護理雜誌,1(2),24-30。  延伸查詢new window
4.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。new window  延伸查詢new window
5.黃惠子、馬鳳歧、陳清惠(20030600)。護理人員對身體約束的知識、態度、行為及其相關性探討。慈濟護理雜誌,2(2),32-41。  延伸查詢new window
6.Minnick, A. F.、Mion, L. C.、Leipzig, R.、Lamb, K.、Palmer, R. M.(1998)。Prevalence and patterns of physical restraint use in the acute care setting。Journal of Nursing Administration,28(11),19-24。  new window
7.Minnick, A.、Leipzig, R. M.(2001)。The restraint match-up: Three lessons show how nurse leaders can influence the use of physical restraints。Nursing Management,32(3),37-39。  new window
8.黃惠子、莊宇慧(2002)。身體約束替代措施的臨床運用。長庚護理,13(4),352-358。new window  延伸查詢new window
9.錢美容、陳幼珍、郭美容、李雅文(2004)。在職教育對成人加護病房護理人員執行約束的知識、態度與行為之影響。長庚護理,15(3),248-257。new window  延伸查詢new window
10.Bourbonniere, M., Strumpf, N. F., Evans, L. K.,、Maislin, G.(2003)。Organizational characteristics and restraint use for hospitalized nursing home residents。Journal of the American Geriatrics Society,51(8),1079- 1084。  new window
11.Bower, F. L.,、McCullough, C. S.(2000)。Restraint use in acute care Setting: Can it be reduced?。Journal of Nursing Administration,30(12),592-598。  new window
12.Happ, M. B.(2004)。Further considerations regarding the effects of physical restraint in the intensive care unit。Critical Care Medicine,32(9),1977。  new window
13.Leith, B. A.(1999)。Canadian critical care nurses and physical restraints。Official journal of the Canadian Association of Critical Care Nurses,10(1),10-14。  new window
14.Maccioli, G. A., Dorman, T., Brown, B. R., Mazuski, J. E., McLean, B. A., Kuszaj, J. M., et al..(2003)。Clinical practice guidelines for the maintenance of patient physical safety in the intensive care unit: use of restraining therapies-American College of Critical Care Medicine Task Force 2001-2002。Critical Care Medicine,31(11),2665-2676。  new window
15.Mion, L. C., Fogel, J., Sandhu, S., Palmer, R. M., Minnick, A. F., Cranston, T., et al.,(2001)。Outcomes following physical restraintreduction programs in two acute care hospitals。The Joint Commission Journal on Quality Improvement,27(11),605-618。  new window
16.Mott, S.. Poole. J..、Kenrick, M.(2005)。Physical and chemical restraints in acute care: their potential impact on the rehabilitation of older people。International Journal of Nursing Practice,11(3),95-101。  new window
17.Myers, H., Nikoletti, S.,、Hill, A.(2001)。Nurses’ use of restraints and their attitudes toward restraint use and the elderly in an acute care setting。Nursing & Health Sciences,3(1),29-34。  new window
18.Rateau, M. R.(2000)。Confusion and aggression in restrained elderly persons undergoing hip repair surgery。Applied Nursing Research,13(1),50-54。  new window
19.Wang, I. S.,、Chien, W. T.(2005)。Young medical patients’ experience of physical restraint: an exploratory study。Journal of Clinical Nursing,14(1),120-121。  new window
研究報告
1.石明煌(2004)。行政院衛生署九十三年度補助研究計劃研究報告-ICU使用麻醉及鎮靜劑對身體約束使用率之影響。台北:醫策會。  延伸查詢new window
圖書
1.財團法人醫院評鑑暨醫療品質策進會(2005)。94年新制醫院評鑑暨教學醫院評鑑評分基準說明及周題集。台北:醫策會。  延伸查詢new window
 
 
 
 
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