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題名 | 降低加護病房病人身體約束時間大於24小時之比率成效=Reducing the Ratio of Patients with Physical Restraint over 24 Hours in the Intensive Care Unit |
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作者 | 吳純怡; 陳明怡; 賴寶琴; 林鎮均; Wu, Chun-yi; Chen, Ming-yi; Lai, Pao-chin; Lin, Chen-chun; |
期刊 | 臺灣醫學 |
出版日期 | 20160300 |
卷期 | 20:2 2016.03[民105.03] |
頁次 | 頁189-194 |
分類號 | 419.73 |
語文 | chi |
關鍵詞 | CPOT評估; 止痛與鎮靜藥物; 身體約束; Critical-care pain observation tool; CPOT; Sedation therapy; Physical restraint; |
中文摘要 | 「身體約束」為加護病房常見醫療輔助措施,約束目的在於維護病人安全及避免拔除重要醫療管路,預防超長時間約束的重點在於辨識高危險性自拔管路病人的能力、建構化學性約束護理準則、規範約束決策時機及有效稽核約束護理時數,因此必須規劃完善的約束醫療護理準則來避免超長時間約束所引發之負面影響。CPOT評估工具運用在約束照護並建立止痛、鎮靜藥物劑量使用準則,有助於避免低估病人疼痛程度,對於提升意識不清或插管病人疼痛問題之觀察能力,確實有極大幫助;另一方面,醫療團隊合作對約束決策評估作具體改善,適時稽核約束護理時數,在醫護團隊共識下,研擬出更合宜的約束照護準則,也使得專案推行後,有效降低病人約束的時間,並提供更舒適的醫療照護品質。 |
英文摘要 | The proportion of patients who were restricted over 24 hours in 2013, in Taiwan, in Shin Kong Wu Ho-Su Memorial Hospital was 69.8%, which was higher than that of Taiwan Clinical Performance Indicators (other medical centers) (52.7%). The main reason is because health-care providers can make work easier by overuse of physical restraint. However, it might cause more complications during hospitalization. Therefore, we strengthened the knowledge about chemical restraint by using critical-care pain observation tool to our patients and building the healthcare team. After these efforts, the proportion of patients who were restricted over 24 hours was reduced by 20.8%. In addition to reducing ratio of prolonged physical restraint, this project promotes the quality in healthcare. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。