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題名：應用改良式約束手套於加護病患之成效
書刊名：健康與建築雜誌
作者：廖淑貞／張文忠／李巧萍
作者(外文)：Liao, Shu-chen／Chang, Wen-chung／Li, Chiao-ping
出版日期：2015
卷期：2:1
頁次：頁65-73
主題關鍵詞：約束手套；病人安全；護理工時；滿意度；Restraint grove；Patient safety；Nursing times；Satisfaction
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(2) 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:2
  • 共同引用共同引用:23
  • 點閱點閱:3
背景：使用約束物品應秉持以最少的約束，提供最多的安全為原則。目的：旨在探討改良式約束手套之臨床應用成效。方法：採準實驗研究設計，2007年5月1日至11月30日，在某醫學中心加護室，採立意取樣，實驗組接受改良式約束手套，對照組接受傳統式約束手套。研究工具包括：約束觀察紀錄表、病人親友及護理師滿意度問卷。結果：共收案改良式約束手套組27位、傳統式約束手套組26位，前者發生手部潮濕、約束部位水腫、約束部位皮膚勒痕較後者少（p＜.05）；收案病人親友51位，改良式約束手套組26位，對約束之滿意度為3.97±.65分；傳統式約束手套組25位，對約束之滿意度為3.62±.78分；收案護理師39位，平均年齡32.1歲，對改良式約束手套之滿意度為3.22±.58分，對傳統式約束手套之滿意度為1.98±.96分；測血糖及測血氧之護理工時，改良式約束手套均少於傳統式約束手套（p＜.05）。結論／實務應用：改良式約束手套較少產生約束合併症、病人親友及護理師有較高的滿意度、能節省護理工時，值得推廣使用。
Background: The principle of using restraint should uphold minimal constraints to provide maximum security. Purpose: This study was to explore the effectiveness of modified restraint glove. Methods: This quasi-experimental study design was used. Subjects were recruited from critical care unit in medical center, during May 1 to November 30, 2007. Subjects were divided by purposive sampling into an experimental group and a control group. The experimental group received Modified Restraint Glove (MRG), whereas the control group received Traditional Restraint Glove (TRG). Research tools included Restraint Diary, Family Satisfaction of Restraints, and Nurses Satisfaction of Restraint. Results: 1) MRG n=27, TRG n=26; MRG less hands sweet, edema, tight mark than TRG ( p＜.05) MRG Families n=26, TRG Families n=25, The average score of the satisfaction of restraint was 3.97±.65 (MRG Families) and 3.62±.78 (TRG Families), 3) 39 Nurses (32.1±6.1 years old), The average score of the satisfaction of restraint was 3.22±.58 (MRG Nurses) and 1.98±.96 (TRG Nurses), Nursing times of check finger blood sugar and oximeter MRG is saving the nursing times than TRG ( p＜.05). Conclusions: MRG not only improvement on patient's safety but also enhance the satisfaction of patients' families and nurses, and saving the nursing times. MRG is worth popularizing.
期刊論文
1.廖淑貞、張文忠(20110800)。從知識經濟談護理創新之成果應用。護理雜誌，58(4)，93-98。new window  延伸查詢new window
2.Mcsherry, Rob、Douglas, Mary(2011)。Innovation in nursing practice: A means to tackling the global challenges facing nurses, midwives and nurse leaders and managers in the future。Journal of Nursing Management，19(2)，165-169。  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.林嘉玲、王亞妮、蔡秀敏(20130400)。創新思維在護理實務之運用。護理雜誌，60(2)，97-102。new window  延伸查詢new window
5.廖淑貞、黃碧霜(20070600)。約束手套會微笑--省時、省力又安全。榮總護理，24(2)，204-209。new window  延伸查詢new window
6.柯莉珊、周幸生、熊道芬、林麗華、陳玉枝(20100600)。重症護理人員執行病人身體約束之影響因素。榮總護理，27(2)，161-170。new window  延伸查詢new window
7.陳玉枝(20040700)。從護理照護層面談病人安全。臺灣醫學，8(4)，528-534。  延伸查詢new window
8.陳怡潓、古玉貞、王智菡、廖秋月(20100600)。管路留置病人接受約束處置相關因素之探討。榮總護理，27(2)，179-187。new window  延伸查詢new window
9.楊秀蘭、吳家榛(20120800)。降低加護病房病人持續超長被約束之成效。若瑟醫護雜誌，6(1)，53-65。  延伸查詢new window
10.Coburn, V. A.、Mycyk, M. B.(2009)。Physical and Chemical Restraints。Emergency Medicine Clinics of North America，27(4)，655-667。  new window
11.張麗銀、張瑛瑛、柯惠蓮、黃淑芸(20060900)。急性病患身體約束臨床照護指引。榮總護理，23(3)，319-328。new window  延伸查詢new window
12.張雅芬、劉麗芳、劉波兒(20010300)。某精神科病房保護約束處置改善方案。榮總護理，18(1)，72-79。new window  延伸查詢new window
13.郭淑珍、翁黃玲、胡月娟、林宜嬛(20040100)。行動研究架構談約束帶的創作改善。長期照護雜誌，7(4)，399-408。  延伸查詢new window
14.Demir, A.(2007)。Nurses' use of physical restraints in four Turkish hospitals。Journal of Nursing Scholarship，39(1)，38-45。  new window
15.Lusis, S.(2000)。Update on restraint use in acute care settings。Plastic Surgical Nursing，20(3)，145-150。  new window
16.Martin, B.(2002)。Restraint use in acute and critical care settings: changing practice。American Association Critical Nursing Clinical Issue，13(2)，294-306。  new window
17.Matin, B.、Mathisen, L.(2005)。Use of physical restraints in adult critical care: a bicultural study。American Journal of Critical Care，24(2)，133-142。  new window
18.Minnick, A. F.、Mion, L. C.、Johnson, M. E.、Catrambone, C.、Leipzig, R.(2007)。Prevalence and variation of physical restraint use in acute care setting in US。Journal of Nursing Scholarship，39(1)，30-37。  new window
19.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
20.Retsas, A. P.、Crabbe, H.(1998)。Use physical restraints in nursing home in New South Wales, Australia。International Journal of Nursing Studies，35(3)，177-183。  new window
21.Saufl, N. M.(2004)。Restraint use and falls prevention。Journal of PeriAnesthesia Nursing，19(6)，433-436。  new window
 
 
 
 
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