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題名:降低加護病房病人身體約束傷害率
書刊名:榮總護理
作者:張瑛瑛張麗銀柯惠蓮黎慧美黃靜儀何崇萍黃淑芸
作者(外文):Chang, Ying-yingChang, Li-yinKo, Hui-lienLi, Huei-meiHuang, Thin-yiHe, Hung-pingHuang, Shu-yun
出版日期:2007
卷期:24:4
頁次:頁391-400
主題關鍵詞:加護病房身體約束傷害率Intensive care unitsPhysical restraintInjury rate
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 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:0
  • 共同引用共同引用:18
  • 點閱點閱:2
身體約束在加護病房中是經常被運用的醫療輔助措施,但工作中常見約束方法不正確、缺乏合適之約束用物等狀況,造成病人末梢水腫變嚴重、約束部位受傷或已約束尚自拔管路等傷害。故本專案針對成人加護病房護理人員介入身體約束在職教育,提升技術之正確性,制定身體約束監護記錄單並汰舊換新約束帶。期望增進護理人員身體約束的認識及約束方法的正確性,進一步降低病人約束傷害率。經由專案改善後,身體約束傷害率由4.66%降為0.77%。此專案介入在職教育措施、身體約束技術示範及身體約束監護制度,的確有效提升身體約束技術正確性,增強護理同仁對身體約束病人之安全的警覺性,進而降低傷害發生。
Physical restraint is one kind of medical devices. It is frequently applied in intensive care units. Nevertheless, we found mistakes in methods of restraint, and a lack of restraint's tools. Also there were restraint-related injuries to edema, skin abrasion and extubation. Therefore the program intervention consisted of continuing education to promote the exact techniques, establish the nursing record of physical restrain, and eliminate the old tools. The goal of program was to improve the awareness and techniques for nurses to reduce the injury rate in intensive care units. The result of implementing this program indicated that the injury rate of physical restraint was reduced from 4.66% to 0.77%. Intervening continuing education, demonstrating the techniques of physical restraint and nursing record of physical restraint had effectively promoted the correct use of the techniques of physical restraint. And it enhanced nurses alertness and reduced the injury rate of physical restraint.
期刊論文
1.錢美容、陳幼珍、郭容美、李雅文(20040900)。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)=47,248-257。new window  延伸查詢new window
2.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
3.Evans, D.、Wood, J.、Lambert, L.(2003)。Patient injury and physical restraint devices: a systematic review。Journal and Advanced Nursing,41(3),274-282。  new window
4.葉淑惠、林麗味、王興耀、吳淑如、林昭宏、蔡富棉(20010400)。護理之家施行約束縮減方案之成效。護理研究,9(2),183-193。new window  延伸查詢new window
5.Stilwell, E. M.(1991)。Nurses' education related to the use of restraints。Journal of Gerontological Nurse,17(2),23-25。  new window
6.Birkett, K. M.、Southerland, K. A.、Leslie, G. D.(2005)。Reportingunplanned extubation。Intensive and Critical Care Nursing,21(2),65-75。  new window
7.Park, M.、Tang, J. H.-C.、Adams, S.、Titler, M. G.(2007)。Changing the practice of physical restraint use in acutecare。Journal of Gerontological Nurse,33(2),9-16。  new window
8.Mion, L. C.、O'Connell, A.(2003)。Parenteral hydrationandnutritioninthegeriatricpatient: clinical and ethical。Journal of Infusion Nursing,26(3),144-152。  new window
9.Maccioli, G. A.、Mazuski, J. E.、Kuszaj, J. M.、Rosenbaum, S. H.、Frankel, L. R.、Devlin, J. W.、Govert, J. H.、Peruzzi, W. T.(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
10.Evans, D.、Wood, J.、Lambert, L.(2002)。A review of physical restraintminimization in the acute and residential care settings。Journal of Advanced Nursing,40(6),616-625。  new window
11.Yeh, S. H.、Hsiao, C. Y.、Ho, T. H.、Chiang, M. C.、Lin, L. W.、Hsu, C. Y.、Lin, S. Y.(2004)。The effects of continuing education in restraint reduction on Novice nurse in intensive care units。Journal of Nursing Research,12(3),246-256。  new window
其他
1.財團法人醫院評鑑暨醫療品質策進會(2006)。95年度教學醫院評分準則及注意事項。  延伸查詢new window
 
 
 
 
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