:::

詳目顯示

回上一頁
題名:降低針灸治療毫針掉落發生率之改善專案
書刊名:長庚護理
作者:鄧雪妹陳俐伶李姿蓉張惠珍黃淑娟郭美玲
作者(外文):Deng, Hsueh-meiChen, Li-lingLi, Zi-rongChang, Hui-chenHuang, Shu-chuanKuo, Mei-ling
出版日期:2019
卷期:30:1=105
頁次:頁40-51
主題關鍵詞:針灸毫針掉落毫針掉落發生率AcupunctureFiliform needles dropRate of filiform needles drop
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(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:8
  • 點閱點閱:2
本專案旨在降低針灸治療毫針掉落發生率,專案動機係由毫針掉落衍生醫療抱怨、醫護人員及照顧者針扎風險高所引發。分析毫針掉落原因為電針導線夾過重、醫師採淺刺治療方式、病人服布料無彈性無法固定、棉被面積龐大易滑落、電針導線夾置放位置作業規範不明確及病人不自主移動等。經改良電針導線夾、規劃以皮內針施行淺刺、增設收放式開合夾固定病人服、修訂電針法護理作業規範及增設大浴巾於針灸時使用等措施後,中醫病房病人接受中醫針灸治療毫針掉落發生率由3.8%降至0.14%,改善幅度達96.3%,冀望此專案之改善經驗可提供針灸照護之參考,並降低因針灸治療毫針掉落造成之潛在針扎風險。
The proposal aimed to reduce the incidence of filiform needles drop when taking acupuncture treatment. The motivation was that the filiform needles drop leads to medical complaints and increases the risk of needlestick injuries (NSIs) for medical staff and caregiver. Analysis results revealed several reasons for filiform needles drop, including the alligator clip for electroacupuncture was too heavy, the doctors applied shallow needling therapy, the patient's clothes can not be fixed due to lack of elasticity, quilts were too large and could slip easily, the operation procedure for alligator clip placement was not clear, and patients moved involuntarily. Through improving the alligator clip for electroacupuncture, using intradermal needle when taking shallow needling therapy, adding retractable clip to fix the patient's clothes, revising the operation procedure of electroacupuncture care, and adding bath towel when taking acupuncture treatment, the incidence of filiform needles drop in the Chinese medicine ward reduced from 3.8% to 0.14% and the improvement rate reached 96.3%. The protocol can serve as a reference for acupuncture care and reduce the potential risk of NSIs caused by filiform needles drop when taking acupuncture treatment.
期刊論文
1.Adams, D.(2012)。Needlestick and sharps injuries: practice update。Nursing Standard,26(37),49-57。  new window
2.蕭淑銖、林洺秀、徐儆暉、秦唯珊、陳秋蓉、毛義方(20101200)。針扎與血液體液暴觸監控成效。勞工安全衛生研究季刊,18(4),430-441。new window  延伸查詢new window
3.顏素美、龔佩珍、葉麗月、黃宣穎、蔡文正(20160300)。探討中醫師對針灸治療病人安全之認知、態度及預防措施。醫學與健康期刊,5(1),35-51。new window  延伸查詢new window
4.陳旺全(20110600)。針灸臨床應用新知。北市中醫會刊,17(2)=64,3-19。  延伸查詢new window
5.卓雨青(2016)。針扎事件處理原則。首都中醫報導,13(30),13-15。  延伸查詢new window
6.陳美妙、吳麗蘭、方志嘉、王祖琪(20141000)。醫院工作人員尖銳物品扎傷之綜論。感染控制雜誌,24(5),229-238。  延伸查詢new window
7.張永賢(20120900)。聯合國將針灸列為世界文化財產。北市中醫會刊,18(3)=69,68-69。  延伸查詢new window
8.溫崇凱(2014)。溫氏現代針灸學之簡介。台灣中醫臨床醫學雜誌,20(1),17-21。  延伸查詢new window
9.葉桂貞、廖炎智(2015)。探討針灸透穴刺法的臨床應用特殊效果。中國鍼灸學雜誌,3(1),101-113。  延伸查詢new window
10.Adams, D.、Cheng, F.、Jou, H.、Aung, S.、Yasui, Y.、Vohra, S.(2011)。The safety of pediatric acupuncture: a systematic review。Pediatrics,128(6),1575-1587。  new window
11.He, W.、Zhao, X.、Li, Y.、Xi, Q.、Guo, Y.(2012)。Adverse events following acupuncture: a systematic review of the Chinese literature for the years 1956-2010。Journal of Alternative and Complementary Medicine,10,892-901。  new window
12.Wu, M. S.、Chen, K. H.、Chen, I. F.、Huang, S. K.、Tzeng, P. C.、Yeh, M. L.、Chen, C.(2016)。The efficacy of acupuncture in post-operative pain management: A systematic review and meta-analysis。PLoS ONE,11(3),1-12。  new window
13.Wu, J.、Hu, Y.、Zhu, Y.、Yin, P.、Litscher, G.、Xu, S.(2015)。Systematic review of adverse effects: A further step towards modernization of acupuncture in China。Evidence-based Complementary and Alternative Medicine,2015,432-467。  new window
14.Memish, Z. A.、Assiri, A. M.、Eldalatony, M. M.、Hathout, H. M.、Alzoman, H.、Undaya, M.(2013)。Risk analysis of needlestick and sharp object injuries among health care workers in a tertiary care hospital (Saudi Arabia)。Journal of Epidemiology and Global Health,3(3),123-129。  new window
15.Lin, Y.、Fang, J.、Zhang, J.、Chi, X.、Chen, H.(2016)。Analgesic effect and mechanism of electro acupuncture on rats with chronic Inflammatory Pain。中國中西醫結合雜誌,36(6),690-695。  new window
16.Lee, Sook-Hyun、Lim, Sung Min(2016)。Acupuncture for insomnia after stroke: a systematic review and meta-analysis。BMC Complementary and Alternative Medicine,16,(228)1-(228)11。  new window
17.Zhao, L.、Zhang, F. W.、Li, Y.、Wu, X.、Zheng, H.、Cheng, L. H.、Liang, F. R.(2011)。Adverse events associated with acupuncture: three multicentre randomized controlled trials of 1968 cases in China。Trials,12(1),1-9。  new window
研究報告
1.勞動部勞動及職業安全衛生研究所(20160804)。針扎統計資料。  延伸查詢new window
圖書
1.張曼玲、張永賢、羅琦、蘇靖媛、陳光慧、陳慧珊、高宗桂(2011)。中醫護理學概論。台北市:新文京。  延伸查詢new window
2.陳麗麗、王純娟、林君黛、張曼玲(2011)。實用中醫護理學。台北:華杏。  延伸查詢new window
其他
1.行政院衛生福利部中央健康保險署(20160901)。中醫門診總額醫療品質資訊103年第4季,http://www.nhi.gov.tw/Resource/.../28175_2_103年Q4中醫0407(2).pdf。  延伸查詢new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top